Self-reported symptom occurrence and distress, and psychological well-being after liver transplantation – a descriptive cross-sectional study of Danish recipients
(2024) In Frontiers in Psychology 15.- Abstract
Introduction: Symptom distress and impaired psychological well-being after liver transplantation may lead to limitations in everyday activities and lowered health-related quality of life. The aim of this nationwide, descriptive, and cross-sectional study was to explore self-reported symptom occurrence and distress, among Danish liver transplant recipients, and their association with self-reported psychological well-being as well as demographic, and clinical characteristics. Methods: Liver transplant recipients transplanted from 1990 to 2022 were included. All recipients were asked to complete the Organ Transplant Symptom and Wellbeing instruments consisting of two instruments measuring self-reported symptom occurrence and distress,... (More)
Introduction: Symptom distress and impaired psychological well-being after liver transplantation may lead to limitations in everyday activities and lowered health-related quality of life. The aim of this nationwide, descriptive, and cross-sectional study was to explore self-reported symptom occurrence and distress, among Danish liver transplant recipients, and their association with self-reported psychological well-being as well as demographic, and clinical characteristics. Methods: Liver transplant recipients transplanted from 1990 to 2022 were included. All recipients were asked to complete the Organ Transplant Symptom and Wellbeing instruments consisting of two instruments measuring self-reported symptom occurrence and distress, respectively, as well as self-reported psychological well-being by the Psychological General well-being instrument. Results: Of 511 invited recipients 238 responded: 116 women and 122 men with a median post-transplant follow-up of 7.5 years (IQR 3.6–14.2 years). The most common single symptoms reported were decreased libido (18%), diarrhea (10%), and headache (8%). Sleep problems were the most common transplant-specific domain. 41% of the recipients reported poor psychological well-being, especially those who had undergone transplantation within the last 5 years, women, and younger recipients. Discussion: In the interest of equity, the fact that women reported a higher level of symptom distress than men requires attention. Research on symptom management support is warranted with interventions focusing on how to alleviate symptom distress, which might increase long-term survival, which has not improved in recent decades.
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- author
- Dengsø, Kristine Elberg ; Knudsen, Andreas Dehlbæk ; Møller, Dina Leth ; Forsberg, Anna LU ; Nielsen, Susanne Dam and Hillingsø, Jens
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- liver transplant recipients, liver transplantation, survey, symptom distress, well-being
- in
- Frontiers in Psychology
- volume
- 15
- article number
- 1354706
- publisher
- Frontiers Media S. A.
- external identifiers
-
- scopus:85188558687
- pmid:38544518
- ISSN
- 1664-1078
- DOI
- 10.3389/fpsyg.2024.1354706
- language
- English
- LU publication?
- yes
- id
- c146a2a2-1225-44b4-b6bd-11d939babdab
- date added to LUP
- 2024-04-19 08:11:30
- date last changed
- 2024-06-14 13:25:10
@article{c146a2a2-1225-44b4-b6bd-11d939babdab,
abstract = {{<p>Introduction: Symptom distress and impaired psychological well-being after liver transplantation may lead to limitations in everyday activities and lowered health-related quality of life. The aim of this nationwide, descriptive, and cross-sectional study was to explore self-reported symptom occurrence and distress, among Danish liver transplant recipients, and their association with self-reported psychological well-being as well as demographic, and clinical characteristics. Methods: Liver transplant recipients transplanted from 1990 to 2022 were included. All recipients were asked to complete the Organ Transplant Symptom and Wellbeing instruments consisting of two instruments measuring self-reported symptom occurrence and distress, respectively, as well as self-reported psychological well-being by the Psychological General well-being instrument. Results: Of 511 invited recipients 238 responded: 116 women and 122 men with a median post-transplant follow-up of 7.5 years (IQR 3.6–14.2 years). The most common single symptoms reported were decreased libido (18%), diarrhea (10%), and headache (8%). Sleep problems were the most common transplant-specific domain. 41% of the recipients reported poor psychological well-being, especially those who had undergone transplantation within the last 5 years, women, and younger recipients. Discussion: In the interest of equity, the fact that women reported a higher level of symptom distress than men requires attention. Research on symptom management support is warranted with interventions focusing on how to alleviate symptom distress, which might increase long-term survival, which has not improved in recent decades.</p>}},
author = {{Dengsø, Kristine Elberg and Knudsen, Andreas Dehlbæk and Møller, Dina Leth and Forsberg, Anna and Nielsen, Susanne Dam and Hillingsø, Jens}},
issn = {{1664-1078}},
keywords = {{liver transplant recipients; liver transplantation; survey; symptom distress; well-being}},
language = {{eng}},
publisher = {{Frontiers Media S. A.}},
series = {{Frontiers in Psychology}},
title = {{Self-reported symptom occurrence and distress, and psychological well-being after liver transplantation – a descriptive cross-sectional study of Danish recipients}},
url = {{http://dx.doi.org/10.3389/fpsyg.2024.1354706}},
doi = {{10.3389/fpsyg.2024.1354706}},
volume = {{15}},
year = {{2024}},
}