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Symptom Distress Before and After Heart Transplantation : A Longitudinal 5-Year Follow-Up

Dalvindt, Marita LU orcid ; Lindahl Veungen, Hannah LU ; Kisch, Annika LU ; Nozohoor, Shahab LU ; Lennerling, Annette and Forsberg, Anna LU (2024) In Clinical Transplantation 38(7).
Abstract

INTRODUCTION: Symptom distress after heart transplantation (HTx) is a significant problem causing uncertainty, low self-efficacy, and psychological distress. Few studies have addressed self-reported symptoms. The aim was to explore self-reported symptom distress from time on the waiting list to 5 years after HTx and its association with self-reported psychological well-being, chronic pain, and fatigue in order to identify possible predictors of psychological or transplant specific well-being.

METHODS: This multicenter, longitudinal cohort study includes 48 heart recipients (HTRs), 12 women, and 36 men, with a median age of 57 years followed from pretransplant to 5 years post-transplant. Symptom distress was explored by means of... (More)

INTRODUCTION: Symptom distress after heart transplantation (HTx) is a significant problem causing uncertainty, low self-efficacy, and psychological distress. Few studies have addressed self-reported symptoms. The aim was to explore self-reported symptom distress from time on the waiting list to 5 years after HTx and its association with self-reported psychological well-being, chronic pain, and fatigue in order to identify possible predictors of psychological or transplant specific well-being.

METHODS: This multicenter, longitudinal cohort study includes 48 heart recipients (HTRs), 12 women, and 36 men, with a median age of 57 years followed from pretransplant to 5 years post-transplant. Symptom distress was explored by means of four instruments measuring psychological general wellbeing, transplant specific wellbeing, pain, and fatigue.

RESULTS: Transplant specific well-being for the whole improved in a stepwise manner during the first 5 years compared to pretransplant. Heart transplant recipients with poor psychological wellbeing were significantly more burdened by symptom distress, in particular sleep problems and fatigue, for up to 5 years after HTx, and their transplant-specific well-being never improved compared to baseline. The prevalence of pain varied from 40% to 60% and explained a significant proportion of the variance in transplant-specific well-being, while psychological general well-being was mainly predicted by overall symptom distress.

CONCLUSION: The presence of distressing symptoms explains a significant proportion of poor psychological wellbeing both among HTRs reporting chronic pain and those without pain.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Heart Transplantation/psychology, Male, Female, Middle Aged, Follow-Up Studies, Longitudinal Studies, Prognosis, Quality of Life, Fatigue/etiology, Adult, Postoperative Complications/psychology, Aged, Stress, Psychological/etiology, Psychological Distress, Risk Factors, pain, psychological well-being, symptom distress, symptom management
in
Clinical Transplantation
volume
38
issue
7
article number
e15385
pages
10 pages
publisher
Wiley-Blackwell
external identifiers
  • pmid:38973775
ISSN
1399-0012
DOI
10.1111/ctr.15385
language
English
LU publication?
yes
additional info
© 2024 The Author(s). Clinical Transplantation published by John Wiley & Sons Ltd.
id
7c2901d9-9169-4c7a-ad26-c926a2722658
date added to LUP
2024-09-11 10:34:01
date last changed
2024-09-11 10:42:31
@article{7c2901d9-9169-4c7a-ad26-c926a2722658,
  abstract     = {{<p>INTRODUCTION: Symptom distress after heart transplantation (HTx) is a significant problem causing uncertainty, low self-efficacy, and psychological distress. Few studies have addressed self-reported symptoms. The aim was to explore self-reported symptom distress from time on the waiting list to 5 years after HTx and its association with self-reported psychological well-being, chronic pain, and fatigue in order to identify possible predictors of psychological or transplant specific well-being.</p><p>METHODS: This multicenter, longitudinal cohort study includes 48 heart recipients (HTRs), 12 women, and 36 men, with a median age of 57 years followed from pretransplant to 5 years post-transplant. Symptom distress was explored by means of four instruments measuring psychological general wellbeing, transplant specific wellbeing, pain, and fatigue.</p><p>RESULTS: Transplant specific well-being for the whole improved in a stepwise manner during the first 5 years compared to pretransplant. Heart transplant recipients with poor psychological wellbeing were significantly more burdened by symptom distress, in particular sleep problems and fatigue, for up to 5 years after HTx, and their transplant-specific well-being never improved compared to baseline. The prevalence of pain varied from 40% to 60% and explained a significant proportion of the variance in transplant-specific well-being, while psychological general well-being was mainly predicted by overall symptom distress.</p><p>CONCLUSION: The presence of distressing symptoms explains a significant proportion of poor psychological wellbeing both among HTRs reporting chronic pain and those without pain.</p>}},
  author       = {{Dalvindt, Marita and Lindahl Veungen, Hannah and Kisch, Annika and Nozohoor, Shahab and Lennerling, Annette and Forsberg, Anna}},
  issn         = {{1399-0012}},
  keywords     = {{Humans; Heart Transplantation/psychology; Male; Female; Middle Aged; Follow-Up Studies; Longitudinal Studies; Prognosis; Quality of Life; Fatigue/etiology; Adult; Postoperative Complications/psychology; Aged; Stress, Psychological/etiology; Psychological Distress; Risk Factors; pain; psychological well-being; symptom distress; symptom management}},
  language     = {{eng}},
  number       = {{7}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Clinical Transplantation}},
  title        = {{Symptom Distress Before and After Heart Transplantation : A Longitudinal 5-Year Follow-Up}},
  url          = {{http://dx.doi.org/10.1111/ctr.15385}},
  doi          = {{10.1111/ctr.15385}},
  volume       = {{38}},
  year         = {{2024}},
}