Prevalence and correlates of depression symptoms at 10 years after heart transplantation: continuous attention required

被引:39
作者
Dobbels, F
De Geest, S
Martin, S
Van Cleemput, J
Droogne, W
Vanhaecke, J
机构
[1] Katholieke Univ Leuven, Fac Med, Sch Publ Hlth, Ctr Hlth Serv & Nursing Res, B-3000 Louvain, Belgium
[2] Katholieke Univ Leuven, Univ Hosp Leuven, Leuven Heart Transplant Programme, Louvain, Belgium
[3] Univ Basel, Inst Nursing Sci, Basel, Switzerland
关键词
heart transplantation; depression; long-term study;
D O I
10.1007/s00147-004-0732-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
This study investigates the presence and correlates of symptoms of depression at 5 and 10 years after heart transplantation, with particular attention given to patients showing symptoms at both time points. Prevalence of depression symptoms were studied in 41 patients, prospectively, at 5 and 10 years after heart transplantation. We examined potential correlates of depression symptoms (i.e. worse functional capacity, inadequate coping mechanisms and lack of social contacts) 10 years after transplantation. The prevalence of depression symptoms was 30% at 5 years and 22% at 10 years. Of the 41 patients, 20% were depressed at both time points. Those patients had significantly higher scores on passive coping and had significantly lower club membership. They also tended to have more negative emotions (i.e. anger, hostility and irritability) and less engagement in sports activities. Functional capacity was not different. Depression symptoms were prevalent and persistent in the long-term after heart transplantation. This study opens perspectives for beyond-standard pharmacological and psychotherapeutic treatment for depression, i.e. training patients who are using passive coping to use problem-solving capacities instead and motivating them to engage in social life and sports activities.
引用
收藏
页码:424 / 431
页数:8
相关论文
共 39 条
[1]   PSYCHOSOCIAL FUNCTIONING AND DEPRESSION - DISTINGUISHING AMONG ANTECEDENTS, CONCOMITANTS, AND CONSEQUENCES [J].
BARNETT, PA ;
GOTLIB, IH .
PSYCHOLOGICAL BULLETIN, 1988, 104 (01) :97-126
[2]   PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY - 25 YEARS OF EVALUATION [J].
BECK, AT ;
STEER, RA ;
GARBIN, MG .
CLINICAL PSYCHOLOGY REVIEW, 1988, 8 (01) :77-100
[3]  
BILLINGHAM ME, 1990, J HEART TRANSPLANT, V9, P587
[4]  
BLAZER D, 1988, ARCH GEN PSYCHIAT, V45, P1078
[5]   AGE AND IMPAIRED SUBJECTIVE SUPPORT - PREDICTORS OF DEPRESSIVE SYMPTOMS AT ONE-YEAR FOLLOW-UP [J].
BLAZER, D ;
HUGHES, DC ;
GEORGE, LK .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1992, 180 (03) :172-178
[6]  
Bohachick Patricia, 2002, Clin Nurs Res, V11, P34
[7]   HEART-TRANSPLANTATION - ARE THERE PSYCHOSOCIAL PREDICTORS FOR CLINICAL SUCCESS OF SURGERY [J].
BUNZEL, B ;
WOLLENEK, G .
THORACIC AND CARDIOVASCULAR SURGEON, 1994, 42 (02) :103-107
[8]   PREDICTION OF CREATININE CLEARANCE FROM SERUM CREATININE [J].
COCKCROFT, DW ;
GAULT, MH .
NEPHRON, 1976, 16 (01) :31-41
[9]  
De Geest S, 1998, J HEART LUNG TRANSPL, V17, P854
[10]   CHARACTERISTICS OF PATIENTS SURVIVING MORE THAN 10 YEARS AFTER CARDIAC TRANSPLANTATION [J].
DECAMPLI, WM ;
LUIKART, H ;
HUNT, S ;
STINSON, EB .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1995, 109 (06) :1103-1115