Psychosocial Situation and Physical Health in 50 Patients &gt; 1 Year After Lung Transplantation

Goetzmann, Lutz; Scheuer, Eberhard; Naef, Rahel; Vetsch, Esther; Buddeberg, Claus; Russi, Erich W.; Boehler, Annette

doi:10.1378/chest.127.1.166

Cited by 32 publications

(25 citation statements)

References 12 publications

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“…In transplantation medicine, there is a growing body of literature dealing with both psychological and physical determinants of quality-of-life and psychological well-being before and after organ transplantation (for lung recipients, Littlefield, Abbey, Fiducia, Cardella, Greig, Levy, Maurer & Winton 1996;TenVergert, Essink-Bot, Geertsma, van Enckevort, de Boer & van der Bij, 1998;Cohen, Littlefield, Kelly, Maurer & Abbey, 1998;Limbos, Joyce, Chan & Kesten, 2000;Goetzmann, Scheuer, Naef, Vetsch, Buddeberg, Russi, & Boehler, 2005). According to this research, both quality-of-life and psychological wellbeing improve significantly after transplantation.…”

Section: Organ Integration and The Adoption Of The Donor's Traitsmentioning

confidence: 95%

Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor

Goetzmann

Irani

Moser

et al. 2009

British J Health Psychol

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Psychological processing of transplantation in lung recipients: a quantitative study of organ integration and the relationship to the donor Abstract OBJECTIVES: Lung recipients undergo a complex psychological process, including organ integration and processing of attitudes towards the organ donor. DESIGN: Seventy-six lung recipients were asked to participate in a cross-sectional questionnaire study on the psychological processing of lung transplants. METHODS: The questionnaire consisted of statements describing aspects of organ integration and the patient's relationship with the donor. Furthermore, chronic stress/psychological distress (Screening Scale of the Trier Inventory; Symptom Checklist SCL-K-9) and the emotional effects of transplantation/immunosuppression (Transplant Effects Questionnaire; Medication Experience Scale for Immunosuppressants) were assessed. RESULTS: In general, lung recipients perceive the transplant as part of themselves (97.4%) and not as a foreign object (90%). One-third of patients still have frequent thoughts about the donor, whilst the majority (80.3%) do not believe that they have adopted the donor's characteristic traits. Factor analysis reveals the two-dimensional structure of the questionnaire items 'organ integration' (factor 1) and 'relationship to the donor' (factor 2). Poor organ integration predicts low adherence, low disclosure and high feelings of guilt, whilst a close donor relationship predicts chronic stress and psychological distress. CONCLUSIONS: Poor organ integration and a close relationship to the donor should be borne in mind in psychosocial treatment regarding the patient's adherence behaviour and psychological distress. Psychological Processing in Lung RecipientsAbstract Objectives: Lung recipients undergo a complex psychological process, including organ

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Section: Organ Integration and The Adoption Of The Donor's Traitsmentioning

confidence: 95%

Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor

Goetzmann

Irani

Moser

et al. 2009

British J Health Psychol

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“…All patients had undergone lung transplantation at least 12 months ago and had a good command of the German language. These patients had already taken part in a questionnaire study that had been carried out with 50 of 53 invited patients following a lung transplantation (Goetzmann, Scheuer, Naef, Vetsch, et al, 2005;.…”

Section: Subjects and Sampling Proceduresmentioning

confidence: 99%

How does psychological processing relate to compliance behaviour after lung transplantation? A content analytical study

Goetzmann

Moser²,

Vetsch

et al. 2007

Psychology, Health & Medicine

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Non-compliance is one of the crucial problems impairing outcome after transplantation. Fourteen lung transplant recipients were interviewed about their thoughts regarding transplant-related topics. Compliance was assessed by doctors. The psychological processing was investigated by content analysis. Highly compliant patients perceived more advantages by transplantation. In contrast, low-compliant patients reported either an emotional distance to the lung or a closer relationship to the donor. Furthermore, they showed a contradictory relationship to the medical staff. There are some indications that perception of advantages by transplantation is crucial to compliance. This experience takes place in the context of a good staff-patient relationship. Emotional distance to the lung or nearness to the donor are further contributing factors of non-compliance.

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“…[74][75][76][77] Improvements in multiple measures of quality of life, such as physical functioning, social function, mental health, and health perceptions, have been noted in several studies. [78][79][80][81][82] Exercise capacity also increases significantly after transplantation, with near doubling of distances walked in 6 minutes at 3 to 6 months after surgery. 75,77 Importantly, a prospective study that examined quality of life and functional status before and after transplant revealed that 90% of the patients were satisfied with their decision to undergo LT. [83][84][85] Interestingly, the benefits of LT on survival have been a matter of debate.…”

Section: Expected Benefitsmentioning

confidence: 99%

Interventional Treatment Options for Advanced Emphysema: Imaging Manifestations

Kim¹,

Steiner²

2009

Journal of Thoracic Imaging

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Chronic obstructive pulmonary disease is a preventable and treatable disease characterized by progressive and debilitating limitations of airflow. Despite aggressive medical therapy, many patients with advanced emphysema continue to decline and exhibit disabling symptoms. Lung volume reduction surgery and lung transplantation can offer improved quality of life, enhanced exercise tolerance, and improvement in mortality rates in selected patients with advanced disease. In addition, newer bronchoscopic techniques to reduce lung volume in patients with emphysema are under development in an effort to duplicate the results of lung volume reduction surgery without significant morbidity. This article discusses the results of a variety of surgical and bronchoscopic interventions, with an emphasis upon the role of imaging.

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Psychosocial Situation and Physical Health in 50 Patients > 1 Year After Lung Transplantation

Cited by 32 publications

References 12 publications

Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor

Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor

How does psychological processing relate to compliance behaviour after lung transplantation? A content analytical study

Interventional Treatment Options for Advanced Emphysema: Imaging Manifestations

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