Journal ArticleDOI
Psychosocial vulnerability, physical symptoms and physical impairment after lung and heart–lung transplantation
Annette DeVito Dabbs,Mary Amanda Dew,Carol S. Stilley,Jan D. Manzetti,Thomas G. Zullo,Kenneth R. McCurry,Robert L. Kormos,Aldo Iacono +7 more
TLDR
To the extent that psychologic distress increases the likelihood of perceived physical limitations, timely identification and treatment of distress may help to maximize quality of life after lung and heart-lung transplantation.Abstract:
Background Many lung and heart–lung transplant recipients experience distressing physical symptoms and elevated physical impairment levels. Although post-transplant complications and secondary illnesses may largely account for these health limitations, patients’ psychosocial well-being may influence them as well. We examined the contribution of psychosocial variables to patients’ experience of physical symptoms and physical impairment. Methods The study consisted of a cross-sectional sample of 50 patients (36 lung, 14 heart–lung) at between 2 and 17 months post-transplant. They were interviewed to assess physical symptoms, current physical impairment and psychosocial well-being in the areas of mental health, sense of mastery and coping. Medical record reviews established the presence of medical complications and secondary illnesses concurrent with the interviews. Descriptive analyses examined the range of symptoms and levels of physical impairment experienced. Bivariate analyses and multivariate linear regression examined relationships between key variables. Results Average number of physical symptoms and level of physical impairment met or exceeded levels reported in other transplant samples. Elevated depressive and anxiety symptoms, a low sense of mastery, and the presence of concurrent medical complications were each associated with increased number of physical symptoms and physical impairment level. When the impact of concurrent medical complications was controlled, recipients with elevated psychologic distress remained significantly more likely to report more physical symptoms and higher physical impairment levels. Conclusions Patients’ physical health status may be influenced by many factors. To the extent that psychologic distress increases the likelihood of perceived physical limitations, timely identification and treatment of distress may help to maximize quality of life after lung and heart–lung transplantation.read more
Citations
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Journal ArticleDOI
Health beliefs, disease severity, and patient adherence: a meta-analysis.
TL;DR: In this article, a large body of empirical data exists on the prediction of patient adherence from subjective and objective assessments of health status and disease severity, which can be summarized with meta-analysis.
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Developing an agenda for translational studies of resilience and vulnerability following trauma exposure.
TL;DR: It is argued that an individual differences approach to the study of resilience, in which the full range of behavioral and biological responses to stress exposure is examined can be applied across human samples and even, in some cases, across species.
Journal ArticleDOI
Health-related quality of life in two hundred-eighty lung transplant recipients.
Christiane Kugler,Stefan Fischer,Jens Gottlieb,Tobias Welte,Andre R. Simon,Axel Haverich,Martin Strueber +6 more
TL;DR: Self-ratings for HRQoL were high for all dimensions for the entire sample, and remained relatively similar even for medium- and long-term survivors, despite differences in life expectancy of LTx patients compared with the healthy population.
Journal ArticleDOI
Onset and risk factors for anxiety and depression during the first 2 years after lung transplantation.
Mary Amanda Dew,Andrea DiMartini,Annette J. DeVito Dabbs,Kristen R. Fox,Larissa Myaskovsky,Larissa Myaskovsky,Donna M. Posluszny,Galen E. Switzer,Galen E. Switzer,R. Zomak,Robert L. Kormos,Yoshiya Toyoda +11 more
TL;DR: Higher vigilance for panic disorder in lung recipients and major depression in all cardiothoracic recipients is warranted, and strategies to prevent psychiatric disorder should target recipients based not only on pretransplant characteristics but on early posttransplant characteristics as well.
Journal ArticleDOI
Psychological disorders and distress after adult cardiothoracic transplantation.
Mary Amanda Dew,Andrea DiMartini +1 more
TL;DR: This review summarizes and integrates evidence concerning mental health outcomes following heart, lung, and heart-lung transplantation and describes the prevalence and clinical characteristics of psychological disorders, as well as the level of clinically significant distress in the years posttransplant.
References
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Book
Statistical Power Analysis for the Behavioral Sciences
TL;DR: The concepts of power analysis are discussed in this paper, where Chi-square Tests for Goodness of Fit and Contingency Tables, t-Test for Means, and Sign Test are used.
Book
Using multivariate statistics
TL;DR: In this Section: 1. Multivariate Statistics: Why? and 2. A Guide to Statistical Techniques: Using the Book Research Questions and Associated Techniques.
Journal ArticleDOI
The structure of coping.
TL;DR: Results indicate that individuals' coping interventions are most effective when dealing with problems within the close interpersonal role areas of marriage and child-rearing and least effective when deals with the more impersonal problems found in occupation.
Journal ArticleDOI
The Sickness Impact Profile: development and final revision of a health status measure.
TL;DR: In this article, the authors developed the Sickness Impact Profile (SIP), a behaviorally based measure of health status, and evaluated its reliability and validity using multitrait-multimethod technique.