PTSD in Heart Transplant Recipients and Their Primary Family Caregivers

Stukas, Arthur A.; Dew, Mary Amanda; Switzer, Galen E.; DiMartini, Andrea; Kormos, Robert L.; Griffith, Bartley P.

doi:10.1016/s0033-3182(99)71237-5

Cited by 133 publications

(81 citation statements)

References 21 publications

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“…We found that 5.3% of the patients met DSM-III-R criteria for a current diagnosis of full PTSD, and 17.3% of the patients for a partial PTSD at a median time of 3.8 years after OLT. Despite the increasing consideration of medically related posttraumatic stress symptoms in a large body of literature over the past 5 years, only three previous studies systematically addressed the issues of posttraumatic stress symptoms related to solid organ transplantation [24,53,54]. Walker et al [24] interviewed 18 children aged between 7 and 16 years at a mean time of 16.94 months after liver transplantation by using the Child Posttraumatic Stress Reaction Index (CPTS-RI).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric and Psychosocial Outcome of Orthotopic Liver Transplantation

Rothenhäusler¹,

Ehrentraut²,

Kapfhammer³

et al. 2002

Psychother Psychosom

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Background:The study aimed to explore the prevalence of psychiatric disorders among orthotopic liver transplantation (OLT) recipients, and to investigate how psychiatric morbidity was linked to health-related quality of life (HRQOL). Methods: We recruited 75 patients who had undergone OLT a median of 3.8 years previously (range = 5-129 months). Psychiatric morbidity was assessed using the Structural Clinical Interview for the DSM-III-R. Psychometric observer-rating and self-rating scales were administered to evaluate cognitive functioning (SKT), depressive symptomatology (HAMD 17 ), posttraumatic stress symptoms (PTSS-10), social support (SSS), and HRQOL (SF-36 Health Status Questionnaire). Treatment characteristics were obtained from medical records. Results: 22.7% (n = 17) of our sample had a current or probable psychiatric diagnosis according to DSM-III-R: 2.7% full posttraumatic stress disorder (PTSD) (n = 2), 2.7% major depressive disorder (MDD) comorbid to full PTSD (n = 2), 1.3% MDD comorbid to partial PTSD (n = 1), and 16% partial PTSD (n = 12). Patients with PTSD symptoms demonstrated lower cognitive performance, higher severity of depressive symptoms and more unfavorable perception of social support. OLT-related PTSD symptomatology was associated with maximal decrements in HRQOL. The duration of intensive care treatment, the number of medical complications, and the occurrence of acute rejection were positively correlated with the risk of PTSD symptoms subsequent to OLT. Conclusion: OLT-related PTSD symptomatology impairing HRQOL is a complication for a subgroup of OLT recipients. Health-care providers should be aware of the possible presence of PTSD in OLT survivors.

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Section: Discussionmentioning

confidence: 99%

Psychiatric and Psychosocial Outcome of Orthotopic Liver Transplantation

Rothenhäusler¹,

Ehrentraut²,

Kapfhammer³

et al. 2002

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…Subsequent studies have identified personality traits (27,41,42), sociodemographic factors (eg, age, female sex, and ethnic origin) (29,32,38,40,43), lack of social support (39,40,43,44), previous psychiatric history (39), prior traumatization (29), dissociative symptoms and acute stress disorder at the time of MI (42,44,45), and aspects related to the cardiac event (eg, the subjective perception of life threat and severity of MI, awareness of having a cardiac event, and anticipated incapacitation after MI) (22,29,45,43) as potential risk factors for the development of PTSD in cardiac patients (Figure 1). …”

Section: The Puzzle Of Risk Factorsmentioning

confidence: 99%

“…Fifth, when studying risk factors for the development of PTSD, current evidence suggests that several factors, including sociodemographic factors (29,32,38,40), social support (39,40,43,44), prior traumatization (29), previous psychiatric history (39), aspects related to the cardiac event (26,29,45,41), and personality may lead to the development of PTSD. Personality may be a particularly important explanatory factor of individual differences in risk, as the distressed (Type D) personality has been associated with a 4-fold increased risk of PTSD in first MI patients and controls (41).…”

Section: H Spindler and S S Pedersenmentioning

confidence: 99%