Psychiatric disorders and psychological distress in patients undergoing evaluation for lung transplantation: a national cohort study

Soyseth, Torunn Stavnes; Lund, May-Brit; Bjørtuft, Øystein; Heldal, Anne Taraldsen; Søyseth, Vidar; Dew, Mary Amanda; Haugstad, Gro Killi; Malt, Ulrik Fredrik

doi:10.1016/j.genhosppsych.2016.07.001

Cited by 26 publications

(18 citation statements)

References 47 publications

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“…30 Another benefit of preoperative PR is that, for individuals who are immobilized for a long time or who are unable to go outside, it provides an opportunity to interact with other patients, to socialize, and to establish a close relationship with health professionals. 19 In the present study, improved depression scores also support the benefit of preoperative PR.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Pehlivan

Balcı²,

Kılıç³

et al. 2018

Exp Clin Transplant

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Objectives: The frequency and success rates of lung transplant in patients with end-stage lung disease are increasing. In our study, we investigated the effects of preoperative pulmonary rehabilitation on pulmonary function, exercise capacity, and quality of life in patients who are candidates for lung transplant. Materials and Methods: This prospective study included 39 consecutive patients who were candidates for lung transplant. All patients underwent preoperative pulmonary rehabilitation for at least 3 weeks. Results: Our patient group included 25 male and 14 female patients with a mean age of 36 years (range, 15 -68 y). Although no significant improvement was shown in the forced expiratory volume in 1 second after pulmonary rehabilitation, significant improvements were observed in the Modified Medical Research Council dyspnea scores (P = .001) and 6-minute walk distance (P = .001). We also observed statistically significant improvements in the ShortForm 36 Quality of Life Questionnaire's physical function (P = .01) and emotional role (P = .02) subparameters. We also found a significant improvement in the Beck Depression Inventory score (P = .004). There was no correlation between Beck Depression Inventory scores before and after rehabilitation and 6-minute walk distance, Short-Form 36, and Modified Medical Research Council dyspnea scores. Conclusions: Our results suggest that preoperative pulmonary rehabilitation improves exercise capacity, reduces the sensation of dyspnea and muscle strength loss, and has a positive effect on the psychologic state of patients who are candidates for lung transplant. Key words: Dyspnea, Muscle loss, Psychologic assessment IntroductionLung transplant is the last treatment option for endstage lung disease patients for whom conservative treatments have failed. 1 A pulmonary rehabilitation (PR) program has an important role in this group of patients who have chronic lung diseases and complex medical histories. 2 Studies have shown positive effects of PR programs in patients who are on wait lists for transplant and have shown that postoperative outcomes are improved in patients who can obtain higher preoperative exercise capacity. 3 In chronic pulmonary diseases such as chronic obstructive pulmonary disease, bronchiectasis, and interstitial lung disease, the efficacy and reliability of exercise have been well-documented. [4][5][6] However, data are still scarce on the safety and efficacy of exercise in patients with end-stage lung disease who are transplant candidates. Evidence-based exercise training programs for pre-and postoperative stages of transplant have not yet been developed. Considering the exercise principles and recom mendations in the guidelines for the care of adults with chronic pulmonary disease, exercise training programs should be established to offer optimal health benefits for transplant candidates on wait lists. 7 Patients prepared for lung transplant are a select patient population with advanced chronic lung disease. These patients typically have ven...

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Section: Discussionmentioning

confidence: 99%

Untitled

Pehlivan

Balcı²,

Kılıç³

et al. 2018

Exp Clin Transplant

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“…Given the many psychological and emotional challenges that lung transplant patients experience, 2,4 we were surprised that patients did not rate items related to psychological aspects of care higher. One possible explanation for this finding may relate to the ESAS depression and anxiety items, which patients with cancer have indicated are nonspecific 28 .…”

Section: Discussionmentioning

confidence: 98%

“…Recent trends in Lung Allocation Scores (LAS) demonstrated an increasing proportion (17.1%) of patients in the highest (sickest) range (50–100) 1 . With the increasing acuity of patients on the waitlist, these patients experience a myriad of physical, psychological, and emotional issues, including significant symptom burden, limited functional status, social isolation, and increased anxiety 2-4 . Moreover, once listed the transplant process adds unique stressors such as the potential need for relocation to be closer to the transplant center.…”

Section: Introductionmentioning

confidence: 99%

The palliative care needs of lung transplant candidates

Pawlow

Blumenthal

Christie

et al. 2020

Clinical Transplantation

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The number of patients on the US lung transplant waitlist has grown steadily, with a 42.2% increase in the number of candidates over the last decade. Lung transplant candidates are older and sicker than they have been in the past; almost one-third of lung transplant candidates were 65 years and older in 2018. Recent trends in Lung Allocation Scores (LAS) demonstrated an increasing proportion (17.1%) of patients in the highest (sickest) range (50-100). 1 With the increasing acuity of patients on the waitlist, these patients experience a myriad of physical, psychological, and emotional issues, including significant symptom burden, limited functional status, social isolation, and increased anxiety. 2-4 Moreover, once listed the transplant process adds unique stressors such as the potential need for relocation to be closer to the transplant center. Candidates also face the mixed emotions of the hope for transplant and the fear that

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“…Concluyeron que las puntuaciones en los índices de depresión y ansiedad antes del trasplante no se asociaban con una peor supervivencia después del trasplante. Soyseth et al (2016): prevalencia actual de los trastornos Mentales del 41.5% y Prevalencia de por vida del 61%: trastornos de ansiedad (39.8%), trastornos del estado de ánimo (11.8) y trastornos subsindrómicos (8.7%), con sintomatología ansioso-depresiva, sin cumplir criterios de un trastorno psiquiátrico. Parekh et al (2003): la comorbilidad psiquiátrica se asociaba con disminución de la calidad de vida relacionada con la salud.…”

Section: Evaluación Psicológica En El Proceso De Trasplanteunclassified