Folgeerkrankungen nach Organtransplantation

Ciesek, Sandra; Manns, Michael P.; Strassburg, Christian P.

doi:10.1007/s00108-006-1583-1

Cited by 7 publications

(3 citation statements)

References 30 publications

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“…Die sich ausweitenden diagnostischen Möglichkeiten der modernen Hepatologie führen dazu, dass Indikationen ausgeweitet werden und damit der Druck auf die Wartelisten steigt. Ergebnisse hängen aber nicht nur von den Spezifika der zur Indikation führenden Erkrankung ab [7,10,17,18], sondern werden auch von den Kriterien der Aufnahme auf die Warteliste und der damit zuerkannten Priorität beeinflusst [4]. Der Wechsel von einer auf dem Child-Turcotte-Pugh-System basierenden Allokation hin zum "model of end stage liver disease" (MELD) in 2006 [15] …”

Section: Indikationen Und Ergebnisseunclassified

Lebertransplantation

Strassburg

Manns

2009

Internist

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After around 64,000 transplantations in Europe since 1988 liver transplantation has emerged as a standard treatment option for otherwise incurable chronic liver diseases. Cirrhosis of different etiologies represents the most frequent transplant indication. Overall survival in this group amounts to 72% after 5 years, and 62% after 10 years. In Germany, the main indications include alcoholic liver cirrhosis, tumors with increasing numbers in recent years, as well as viral diseases leading to cirrhosis. Since December 2006 the priority for liver transplantation is determined by the model for end stage liver disease (MELD) and not by the length of waiting time. MELD is a statistical model based on serum creatinine, serum bilirubin and coagulation, which describes the probability of 3-month mortality of a potential transplant candidate. Not all liver diseases are adequately represented by MELD necessitating the additional use of a defined number of standard exceptions that have been last updated in 2008. As a consequence of these developments indications, selection of recipients and the management of the waiting list have seen profound change.

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Section: Indikationen Und Ergebnisseunclassified

Lebertransplantation

Strassburg

Manns

2009

Internist

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“…However kidney transplantation can be considered as a stressor that impacts the psychological well-being of the patient (Goetzmann et al, 2007). The kidney transplant recipient is permanently exposed to requests in the healthcare context, such as the life-long intake of immunosuppressive medication (Behrend, 2001; Ciesek et al, 2006). Therefore increasing rates of depression, family problems and non-adherence can occur (Laederach-Hofmann et al, 2002; Butler et al, 2004; DiMatteo, 2004; Bunzel et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Dyadic Coping of Kidney Transplant Recipients and Their Partners: Sex and Role Differences

et al. 2019

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Background: Coping with stressful health issues – e.g., organ transplantation – can affect interpersonal relationships. Objective: The study examines individual and dyadic coping (DC) in kidney transplant recipients and their partners under consideration of sex and role differences. The Dyadic Coping Inventory allows analyzing partners’ perception of their own DC and also of their partner’s behavior and investigating different perspectives with three discrepancy indexes (similarity, perceived similarity, congruence). Methods: Fifty-six kidney transplant recipients and their partners completed self-report questionnaires ( N = 112) on DC, depression, anxiety, and relationship satisfaction. The average age of the patients was 58.1 years and of the partners 57.2 years; 64.3% of the patients were male; time since transplantation was on average 9.7 years. Results: (1) Individual and dyadic functioning: In couples with male patients female caregivers showed higher own supportive DC than the males. In couples with female patients, women reported higher own stress communication, supportive DC, total positive DC and total DC as well as depression compared to men. (2) Regarding the discrepancy indexes, in couples with male patients lower levels of similarity in DC reactions of the couple was associated with higher depression of the males as well as higher anxiety of the females. Moreover, lower comparability of the own DC with partner-perception was correlated with higher depression in males. In couples with female patients, higher comparability was associated with higher DC. Higher DC of the males was associated with lower own anxiety and better similarity in DC reactions. Lower levels of similarity of the male spouse showed correlations with higher depression and anxiety of the females. (3) Sex and role differences occurred. No significant differences between male patients and male partners occurred whereas female patients showed higher own stress communication, supportive DC, common DC, total positive DC, total DC and relationship satisfaction compared to female caregivers (role differences). The same differences were found comparing female with male patients. No differences occurred between male and female caregivers (sex differences). (4) Regarding male’s relationship quality, male’s DC total score and similarity index seem to be important predictors in couples with male patients. Discussion: The results demonstrate the relevance of DC in couples with kidney transplantation and show differences between males and females as well as between patients and partners.

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“…However kidney transplantation can be considered as a stressor that impacts the psychological well-being of the patient (Goetzmann et al, 2007). The kidney transplant recipient is permanently exposed to requests in the healthcare context, such as the life-long intake of immunosuppressive medication (Behrend, 2001;Ciesek et al, 2006). Therefore increasing rates of depression, family problems and non-adherence can occur (Laederach-Hofmann et al, 2002;Butler et al, 2004;Bunzel et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Dyadic Coping: A Collection of Recent Studies

Bodenmann¹,

Falconier²,

Randall³

2019

Frontiers Research Topics

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Dyadic coping is a concept that has reached increased attention in psychological science within the last 20 years. Dyadic coping conceptualizes the way couples cope with stress together in sharing appraisals of demands, planning together how to deal with the stressors and engage in supportive or joint dyadic coping. Among the different theories of dyadic coping, the Systemic Transactional Model (STM;) has been applied to many studies on couples' coping with stress. While a recent meta-analysis shows that dyadiccoping is a robust and consistent predictor of relationship satisfaction and couple's functioning in community samples, some studies also reveal the significance of dyadic coping in dealing with psychological disorders (e.g., depression, anxiety) or severe illness (e.g., cancer, diabetes, COPD, etc.).Researchers all over the world build their research on this or other concepts of dyadic coping and many typically use the Dyadic Coping Inventory (DCI) for assessing dyadic coping. So far, research on dyadic coping has been systematically presented in two books, one written by Revenson, Kayser, & Bodenmann in 2005, focussing on emerging perspectives on couples' coping, the other by Falconier, Randall, & Bodenmann more recently in 2016, addressing intercultural aspects of dyadic coping in African, American, Asian and European couples. This eBook gives an insight into recent dyadic coping research in different areas and countries.

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Folgeerkrankungen nach Organtransplantation

Cited by 7 publications

References 30 publications

Lebertransplantation

Lebertransplantation

Dyadic Coping of Kidney Transplant Recipients and Their Partners: Sex and Role Differences

Dyadic Coping: A Collection of Recent Studies

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