Symptom Distress Before and After Heart Transplantation : A Longitudinal 5-Year Follow-Up
Dalvindt, Marita LU
; 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.
(Less)
- author
- Dalvindt, Marita
LU
; Lindahl Veungen, Hannah
LU
; Kisch, Annika
LU
; Nozohoor, Shahab
LU
; Lennerling, Annette
and Forsberg, Anna
LU
- organization
-
- Care in high technological environments (research group)
- Department of Health Sciences
- Neurological injury in acute type A aortic dissection (research group)
- Minimal invasive cardiac surgery in valvular heart disease (research group)
- Bleeding disorders and acute typ-A dissection (research group)
- Thoracic Surgery
- publishing date
- 2024-07
- 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
-
- scopus:85197736844
- 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
- 2025-07-04 08:17:05
@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}},
}