anxiety; depression; general health; heart transplantation; psychopathology
Abstract :
[en] Orthotopic heart transplantation (OHT) is a major surgical intervention inducing distress and anxiety. Psychological problems after OHT have been described in many studies. Little is known, however, about the relationship between the psychological state of the patient and time after surgery. The present study involved 41 consecutive OHT patients that underwent transplantation from January 1991 to December 1992, with a retrospective review of pretransplant psychiatric evaluations to define a Diagnostic and Statistical Manual of Mental Disorders, 3rd edn., revised (DSM III-R) Axis I diagnosis. Patients completed the Beck Depression Inventory (BDI-13), Spielberger's State Trait-Anxiety Inventory (STAI-Y), and the General Health Questionnaire (GHQ-28) between 1 and 41 months after transplantation. For comparison, 29 presumably healthy volunteers were given the same questionnaires. The study confirms the occurrence of abnormal psychological scores in the OHT group as compared to the reference population. Psychological scores, however, do not appear to be related to the time they were recorded after surgery.
Disciplines :
Surgery
Author, co-author :
Triffaux, Jean-Marc ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Wauthy, Jacques ; Université de Liège - ULiège > Département des sciences cliniques > Département d'éducation et formation
Albert, Adelin ; Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
Bertrand, Jean-Marie ; Centre Hospitalier Universitaire de Liège - CHU > Radiothérapie
Limet, Raymond ; Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Demoulin, Jean-Claude
Dozot, Jean-Pol
Ansseau, Marc ; Université de Liège - ULiège > Département des sciences cliniques > Psychiatrie et psychologie médicale
Language :
English
Title :
Psychological distress of surgical patients after orthotopic heart transplantation
Publication date :
December 2001
Journal title :
Transplant International
ISSN :
0934-0874
eISSN :
1432-2277
Publisher :
Springer-Verlag, New York, United States - New York
(1987) Diagnostic and statistical manual of mental disorders. DSM III-R, 3rd edn., rev., American Psychiatric Association, Washington, DC; .
Barsky A.J., Ahern D.K., Brener J., Surman O.S., Ring C., Dec G.W. (1998) Palpitations and cardiac awareness after heart transplantation. Psychosom Med 60:557-562.
Beck A.T., Rial W.Y., Rickels K. (1974) Short form of depression inventory: Cross-validation. Psychol Rep 34:1184-1186.
Bunzel B., Laederach-Hofmann K., Schubert M.T. (1999) Patients benefit partners suffer? The impact of heart transplantation on the partner relationship. Transpl Int 12:33-41.
Caine N., Sharples L.D., Dennis C., Higenbottam T.W., Wallwork J. (1996) Measurement of health-related quality of life before and after heart-lung transplantation. J Heart Lung Transplant 15:1047-1058.
Cupples S.A., Nolan M.T., Augustine S.M., Kynoch D. (1998) Perceived stressors and coping strategies among heart transplant candidates. J Transpl Coord 8:179-187.
Dew M.A., Simmons R.G., Roth L.H., Schulberg H.C., Thompson M.E., Armitage J.M., Griffith B.P. (1994) Psychosocial predictors of vulnerability to distress in the year following heart transplatation. Psychol Med 24:929-945.
Dew M.A., Goycoolea J.M., Switzer G.E., Allen A.S. (2000) Quality of life in organ transplantation: Effects on adult recipients and their families. The transplant patient. Biological, psychiatric, and ethical issues in organ transplantation , Trzepacz P, Dimartini A (eds). Cambridge University Press, Cambridge; 67-145.
Fisher D.C., Lake K.D., Reutzel T.J., Emery R.W. (1995) Changes in health-related quality of life and depression in heart transplant recipients. J Heart Lung Transplant 14:373-381.
Goldberg D.P., Hillier V.F. (1979) A scaled version of the General Health Questionnaire. Psychol Med 9:139-145.
Grady K.L., Jalowiec A., White-Williams C. (1996) Improvement in quality of life in patients with heart failure who undergo transplantation. J Heart Lung Transplant 15:749-757.
Hetzer R., Albert W., Hummel M., Pasic M., Loebe M., Warnecke H., Haverich A., Borst H.G. (1997) Status of patients presently living 9 to 13 years after orthotopic heart transplantation. Ann Thorac Surg 64:1661-1668.
Kaba E., Shanley E. (1997) Identification of coping strategies used by heart transplant recipients. Br J Nurs 6:858-862.
Kugler J., Tenderich G., Stahlhut P., Posival H., Korner M.M., Korfer R., Kruskemper G.M. (1994) Emotional adjustment and perceived locus of control in heart transplant patients. J Psychosom Res 38:403-408.
Littlefield C., Abbey S., Fiducia D., Cardella C., Greig P., Levy G., Maurer J., Winton T. (1996) Quality of life following transplantation of the heart, liver, and lungs. Gen Hosp Psychiatry 18(SUPPL. 6).
Lough M.E., Lindsey A.M., Shinn J.A., Stotts N.A. (1985) Life satisfaction following heart transplantation. J Heart Transplant 4:446-449.
Maricle R.A., Hosenpud J.D., Norman D.J., Pantely G.A., Cobanoglu A.M., Starr A. (1991) The lack of predictive value of preoperative psychologic distress for postoperative medical outcome in heart transplant recipients. J Heart Lung Transplant 10:942-947.
Paris W., Brawner N., Thompson S., Penido M. (1997) Psychosocial issues in heart transplantation: A review for transplant coordinators. J Transpl Coord 7:88-93.
Riedmayr M.I., Tammen A.R., Behr T.M., Witting C., Bullinger M., Reichart B., Angermann C.E. (1998) Perspectives of patients with terminal renal failure: Quality of life and psychological adjustment before and in the first year after heart transplantation (Original in German). Z Kardiol 87:808-816.
Roman D.D., Kubo S.H., Ormaza S., Francis G.S., Bank A.J., Shumway S.J. (1997) Memory improvement following cardiac transplantation. J Clin Exp Neuropsychol 19:692-697.
Salmon P., Mikhail G., Stanford S.C., Zielinsk S., Pepper J.R. (1998) Psychological adjustment after cardiac transplantation. J Psychosom Res 45:449-458.
Shapiro P.A. (1996) Psychiatric aspects of cardiovascular disease. Psychiatr Clin North Am 19:613-629.
Shapiro P.A., Kornfeld D.S. (1989) Psychiatric outcome of heart transplantation. Gen Hosp Psychiatry 11:352-357.
Shapiro P.A., Williams D.L., Foray A.T., Gelman I.S., Wukich N., Sciacca R. (1995) Psychosocial evaluation and prediction of compliance problems and morbidity after heart transplantation. Transplantation 60:1462-1466.
Spielberger C.D. Manual for the state-trait anxiety inventory (STAI) (form Y; self-evaluation questionnaire), Consulting Psychologists Press, Palo Alto; 1983.
Spurkland I., Bjorbaeck T., Geiran O. (1999) Chronic heart or lung disease and psychological stress. Tidsskr Nor Laegeforen 119:209-213.
Triffaux J.M., Bertrand J., Bertrand O., Demoulin J.C., Defraigne J.O., Kulbertus H. (1994) Psychological evolution and assessment after heart transplantation. Eur Psychiatry 9(SUPPL. 1):71.
Trzepacz P., Dimartini A. (2000) The transplant patient. Biological, psychiatric, and ethical issues in organ transplantation, Cambridge University Press, Cambridge; .
Zipfel S., Lowe B., Paschke T., Immel B., Lange R., Zimmermann R., Herzog W., Bergmann G. (1998) Psychological distress in patients awaiting heart transplantation. J Psychosom Res 45:465-470.
