The role of attachment and parental bonding in the psychosocial assessment of transplant candidates: a cross-sectional study

BMC Psychology, Journal Year: 2025, Volume and Issue: 13(1)

Published: March 11, 2025

Kidney transplant involves profound psychological, relational, and social changes for both the patients their family context. Occasionally, or support can be deemed "dysfunctional" as it fails to fully comprehend patient's needs requirements. Attachment style, which pertains motivation seek proximity care in relationships with caregivers, has a significative role system transplant, therapeutic adherence, maintenance of transplanted organ. We sought assess attachment styles among awaiting transplantation using psychosocial measures order study impact on psychopathology, quality life, eligibility. Eighty-five chronic kidney disease were recruited at Italian Transplant Center administered Stanford Integrated Psychosocial Assessment Transplantation (SIPAT), Style Questionnaire (ASQ), Parental Bonding Instrument (PBI), Short Form Health Survey-36 (SF-36), Middlesex Hospital (MHQ). Measures entered blocks stepwise multiple regression. The SIPAT score was significantly associated key psycho-physical constructs. negatively predicted by maternal (β = -.35, p .001), secure (i.e., confidence) -.23, .029), general physical health -.25, .016) – could considered protective factors suitability. Conversely, anxiety symptoms positively .32, .001) may serve risk factor post-transplant issues. These findings highlight that evaluation candidates, greater attention should paid parental bonding, adult attachment, psychopathological symptoms, these play A timely assessment constructs improve suitability transplantation, well allow provision targeted psychotherapeutic interventions enhance acceptance management illness transplants.

Language: Английский

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Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care

Frontiers in Psychology, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 17, 2025

Psychosocial distress and mental health problems are common in patients before after solid organ transplantation can negatively affect morbidity, mortality, adherence. Even though regular screening is recommended to identify with high levels of distress, the implementation routine care has been insufficient so far. Two newly developed problem lists for transplantations were pilot implemented 8 weeks at Medical Center Hamburg Eppendorf (UKE) factors facilitating impeding their implementation. Health professionals evaluated its appropriateness, feasibility, cooperation psychologists (HCPs: n = 23) 19) Four assessed appropriateness feasibility by answering open-ended close-ended questions. Additionally, (n 8) 100) filled out rated acceptance. Only data analyzed due small sample size transplantation. HCPs screenings as very appropriate [HCPs: M 3.84 (SD 0.77) 4.32 0.58)]. It was also highly accepted among [M 4.23 0.85) 4.68 0.65)]. Contentment psychological support understanding increased significantly from (U 107.50, p < 0.05, r 0.33; U 107.00, 0.34). The list post-Tx care, however, seen challenging 3.11 1.05) 3.47 1.07)]. improved between different professions. Barriers be lack staff resources. Future studies should assess adoption sustainability care.

Language: Английский

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Rapid Review: Die Lebensqualität nach adulter allogener Nierentransplantation in den letzten 5 Jahren

Deleted Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 7, 2025

Zusammenfassung Hintergrund In aktuellen Studien konnte gezeigt werden, dass das klinische Monitoring der Lebensqualität (HRQoL) frühzeitig hilft, Nierentransplantatversagen zu erkennen. Fragestellung Aufgrund des Potenzials, in Verbesserung HRQoL für die Langzeitergebnisse Nierentransplantation steckt, führten wir ein Rapid Review letzten 5 Jahre zur Evaluation nach adulter allogener durch. Material und Methoden Es wurde eine schnelle Evidenzanalyse mittels Literaturrecherche MEDLINE im Zeitraum 2019 bis 2024 durchgeführt. Ergebnisse Die primäre Literatursuche ergab 554 Treffer, schließlich konnten lediglich 12 Kohortenstudien eingeschlossen davon 2 retrospektive zehn prospektive Arbeiten. Nierentransplantierte Patienten haben bessere als mit terminaler Niereninsuffizienz. Das wird durch körperliche, psychische soziale Faktoren beeinflusst. Eine weitere bzw. primären Einflussfaktoren hat Potenzial, weiter verbessern. Allerdings fehlen Identifikation geeigneter Interventionen. Interessante beeinflussende könnten z. B. Atemwegsbeschwerden Unterstützung bei beruflichen Wiedereingliederung sein. Diskussion Zukünftige sollten auf adäquater Interventionen weiteren Nierentransplantierten fokussieren.

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A narrative review on the psychosocial domains of the impact of organ transplantation

Discover Mental Health, Journal Year: 2025, Volume and Issue: 5(1)

Published: Feb. 24, 2025

This review explores organ transplantation, spanning historical developments, psychosocial impacts, and future directions. In the pre-transplantation phase, evaluations of factors, including substance use, mental health, social support, are essential for successful outcomes. However, linking total risk scores to post-transplant outcomes remains challenging despite available tools assessments. Patient selection criteria psychological assessments pivotal in achieving transplantation The age donors significantly impacts transplant across various organs, highlighting urgency addressing shortages. Meticulous patient selection, thorough evaluations, ensures recipients possess necessary emotional resilience support systems transplantation. Both pre- post-transplantation evaluation processes crucial assessing supporting individuals throughout journey. Posttransplant continue monitor adjustment difficulties, medication adherence, complex emotions, enabling timely intervention personalized support. waiting period before presents significant challenges, uncertainty, anxiety, isolation. Robust coping mechanisms during this transitional fostering hope among waitlist candidates. Psychological challenges after depression, sleep disturbances, common recipients. Coping mechanisms, such as religious/spiritual approaches, participation groups, play roles recovery. Ethical considerations paramount ensuring fair effective practices, allocation, adherence care, financial burdens, interplay between medical factors.

Language: Английский

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Immunosuppressant medication behaviours in solid organ transplant recipients: a cross-sectional study from south-central China during COVID-19 reopening period

BMJ Open, Journal Year: 2024, Volume and Issue: 14(3), P. e080998 - e080998

Published: March 1, 2024

Objective Medication non-adherence to immunosuppressants threatens allograft survival and function maintenance among solid organ transplant (SOT) recipients. This study aimed investigate the prevalence of immunosuppressant medication associated factors during COVID-19 reopening period Chinese SOT Design Cross-sectional study. Setting South-central China. Population Adult patients who received with functioning graft. Methods Sociodemographic questionnaire scales measure physical activity, depression were used collect data. Logistic regression analysis was conducted identify non-adherence. Mediation moderated mediation analyses performed examine potential mechanisms influencing behaviour pandemic using SPSS PROCESS macro 4.3 software. Results A total 1121 participants recruited 36.3% in this Recipients men, had a higher monthly income, lived alone, transplantation for minimum 3 years, vaccination experienced depressive symptoms exhibited an increased risk Contrarily, those engaged high-intensity activity decreased risk. Physical negatively (r=−0.124, p<0.001) fully mediating relationship (B=−0.014, 95% CI: −0.032 –0.003). significantly between (B=−0.303, −0.515 –0.090). Conclusion investigated recipients China, its mechanism. Depression mediated association non-adherence, depression. These findings provide some insights managing when confronting public health emergencies. However, relationships displayed model should be tracked after returning normal life other explored deeply understand non-adherent behaviour.

Language: Английский

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Psychosocial assessment tools for use before transplantation are predictive of post-operative psychosocial and health behavior outcomes: a narrative review of the literature

Frontiers in Transplantation, Journal Year: 2023, Volume and Issue: 2

Published: Sept. 7, 2023

Introduction In end-stage diseases, transplantation may be necessary. The limited number of donors led to the development several pre-transplant psychosocial assessment tools. We summarized predictive value these tools before solid-organ transplantation. Methods PRISMA search strategy and MEDLINE database were used review literature. From 1,050 records, we found thirteen studies using four different scales (Millon Behavioral Health Inventory [MBHI], Psychosocial Assessment Transplant Candidates [PACT], Stanford Integrated for Transplantation [SIPAT], Evaluation Rating Scale [TERS]). Results TERS MBHI associated with highest positive concerning scores primary outcomes. predict in a systematic way health behavioural outcomes, but generated mixed results mortality rejection. Discussion This narrative underlines need multidisciplinary evaluation well-conducted clinical trials assist transplant teams utilizing effectively during candidates.

Language: Английский

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Abdominale Organtransplantation beim multimorbiden Patienten

Deleted Journal, Journal Year: 2024, Volume and Issue: 96(2), P. 124 - 129

Published: Dec. 6, 2024

Patients with an indication for transplantation of abdominal organs often suffer from terminal organ failure a relevant number comorbidities. This can be complicated by acute and underlying disease-related events or age-related The diagnostic assignment symptoms is difficult the available treatment options have to adapted. During evaluation, waiting time suitable donor immediately prior surgery, team, consisting referring physician interdisciplinary team needs decide whether performed.

Language: Английский

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Advancing Models of Care in Transplant Psychiatry: A Review and Considerations for Enhancing the Multidisciplinary Approach

Current Psychiatry Reports, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 21, 2024

Language: Английский

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Organtransplantation

Springer eBooks, Journal Year: 2023, Volume and Issue: unknown, P. 473 - 565

Published: Jan. 1, 2023

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