Spanish Adaptation and Validation of the Transplant Effects Questionnaire (TxEQ-Spanish) in Liver Transplant Recipients and Its Relationship to Posttraumatic Growth and Quality of Life

Pérez-San-Gregorio, María Ángeles; Martín-Rodríguez, Agustín; Sánchez-Martín, Milagrosa; Borda-Más, Mercedes; Avargues-Navarro, María Luisa; Gómez‐Bravo, Miguel Ángel; Conrad, Rupert

doi:10.3389/fpsyt.2018.00148

Cited by 11 publications

(15 citation statements)

References 38 publications

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“…Later, it was translated into other languages. At present, there are various language versions: German, Spanish, and Dutch, for recipients of kidney transplants from a living or deceased donor and recipients of the heart and liver ( 7 , 8 , 20 , 21 ).…”

Section: Discussionmentioning

confidence: 99%

Polish validation of the Transplant Effects Questionnaire

Dębska,

Milaniak,

Dębska-Ślizień

et al. 2023

Front. Psychiatry

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IntroductionThe Transplant Effects Questionnaire (TxEQ) assesses specific recipients’ reactions to receiving a transplanted organ, including worry about the transplant, Guilt regarding the donor, disclosure of having undergone transplantation, adherence to medical treatment, and responsibility to the donor, family, or medical staff. Poland has no standardized tool for evaluating the emotional reaction to transplantation. The study aimed to assess the basic psychometric properties, such as the reliability and validity of the Polish translation of TxEQ-PL.Materials and methodsThe study involved 84 patients after kidney transplantation. The average age of the subjects was 49.87 years (±15.27). The study used the diagnostic survey method, the Polish versions of the Revised Life Orientation Test (LOTR-R), the Mental Component Summary of the SF-36 (SF-36-MCS), and the Hospital Anxiety and Depression Scale (HADS). The Confirmatory Factor Analysis (CFA) was used to verify the factor structure of TxEQ -P.L. variables.ResultsThe TxEQ-PL version has satisfactory internal consistency for each subscale (Cronbach’s alpha > 0.7). The analysis showed a significant negative relationship between optimism (LOT-R) and the TxEQ-PL subscales: worry about transplant and disclosure of having undergone transplantation and a positive relationship in the subscale of adherence to medical treatment. In addition, a significant negative relationship was found between the subscale: adherence to medical treatment and the severity of depression and intensity of anxiety (HADS); also, a positive relationship with the Mental Component Summary of the SF-36 (SF-36-MCS). The intensity of anxiety and severity of depression were positively related to the TxEQ-PL subscale of disclosure of having undergone transplantation and negatively associated with the Mental Component Summary of the SF-36 (SF-36-MCS). The Confirmatory Factor Analysis confirmed the five-factor structure of the TXEQ-PL questionnaire (RMSEA = 0.083). Not the best fit is indicated by the value of comparative fit indexCFI = 0.813 and SRMR = 0.10. The result of the chi-squared test (220) = 340 was statistically significant; p < 0.001.ConclusionTxEQ-PL is useful for assessing emotional reactions to organ transplantation. The tool has a factor structure identical to the original English version and comparable psychometric properties.

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Section: Discussionmentioning

confidence: 99%

Polish validation of the Transplant Effects Questionnaire

Dębska,

Milaniak,

Dębska-Ślizień

et al. 2023

Front. Psychiatry

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“…Moreover, LT candidate education positively affects post-LT HRQoL[ 40 ]. Education is associated with better outcomes and higher patient adherence[ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of biliary complications on quality of life in live-donor liver transplant recipients

Guirguis¹,

Nashaat²,

Yassin³

et al. 2021

WJH

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BACKGROUND Despite significant advancements in liver transplantation (LT) surgical procedures and perioperative care, post-LT biliary complications (BCs) remain a significant source of morbidity, mortality, and graft failure. In addition, data are conflicting regarding the health-related quality of life (HRQoL) of LT recipients. Thus, the success of LT should be considered in terms of both the survival and recovery of HRQoL. AIM To assess the impact of BCs on the HRQoL of live-donor LT recipients (LDLT-Rs). METHODS We retrospectively analysed data for 25 LDLT-Rs who developed BCs post-LT between January 2011 and December 2016 at our institution. The Short Form 12 version 2 (SF 12v2) health survey was used to assess their HRQoL. We also included 25 LDLT-Rs without any post-LT complications as a control group. RESULTS The scores for HRQoL of LDLT-Rs who developed BCs were significantly higher than the norm-based scores in the domains of physical functioning ( P = 0.003), role-physical ( P < 0.001), bodily pain ( P = 0.003), general health ( P = 0.004), social functioning ( P = 0.005), role-emotional ( P < 0.001), and mental health ( P < 0.001). No significant difference between the two groups regarding vitality was detected ( P = 1.000). The LDLT-Rs with BCs had significantly lower scores than LDLT-Rs without BCs in all HRQoL domains ( P < 0.001) and the mental ( P < 0.001) and physical ( P = 0.0002) component summary scores. CONCLUSION The development of BCs in LDLT-Rs causes a lower range of improvement in HRQoL.

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“…Recipients avoid mentioning the transplantation and suppress their psychological conflicts about the donor (Pérez et al, 2018;Tanja et al, 2016) The psychological distress and depression caused by psychological integration and the donor-recipient relationship are detrimental to recovery by interfering with the endocrine and immune systems directly, as well as indirectly affecting their medication compliance and self-care behaviours (Goetzmann et al, 2007;Stracciari & Guarino, 2001).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…A recipient's attitudes and emotions towards the donor are complex; recipients appreciate the donors but also feel guilt and shame, and some recipients even regard themselves as “vultures,” for harming the donor by robbing his/her organ. Recipients avoid mentioning the transplantation and suppress their psychological conflicts about the donor (Pérez et al, 2018; Tanja et al, 2016) The psychological distress and depression caused by psychological integration and the donor‐recipient relationship are detrimental to recovery by interfering with the endocrine and immune systems directly, as well as indirectly affecting their medication compliance and self‐care behaviours (Goetzmann et al, 2007; Stracciari & Guarino, 2001).…”

Section: Introductionmentioning

confidence: 99%

Mental health of recipients after cadaveric liver transplantation: A perspective from positive psychology

Saiyu

Shen

et al. 2022

Journal of Clinical Nursing

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Aims and Objectives The aim of this study was to explore the mental health of transplant recipients, especially psychological integration and the donor‐recipient relationship. Background Psychological integration and the donor‐recipient relationship are unique psychological perception of recipients with transplantation, which have important effects on their mental health and recovery. However, few studies have focused on the feelings and attitudes of cadaveric liver transplant recipients. Design A qualitative descriptive design was used. Methods Individual semi‐structured interviews were conducted face‐to‐face with 30 recipients after liver transplantation. Qualitative content analysis was used and data saturation was achieved. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) were used. Results Three themes and eight subthemes were identified. (1) Psychological integration—acknowledging the transplanted liver was a part of their own body and attaching great importance to the liver; (2) Attitudes towards the donor—gratitude to the donor, being inspired by the dedication of the donor and mourning the donor's misfortune; and (3) Living in the moment—health behaviours of self‐care, emotional regulation and positive attitude about life. Conclusion The psychological integration of recipients of cadaveric liver transplants is smooth, and the attitudes towards the donor are positive. From the perspective of positive psychology, we observed the important role of post‐traumatic growth of the recipient and positive emotions in promoting the recipient's health behaviours for self‐care, emotion regulation and attitudes towards life. Relevance for Clinical Practice Medical staff should help recipients to deal with these issues about the organ and its donor constructively and guide them to focus on postoperative inner growth and positive emotion.

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Spanish Adaptation and Validation of the Transplant Effects Questionnaire (TxEQ-Spanish) in Liver Transplant Recipients and Its Relationship to Posttraumatic Growth and Quality of Life

Cited by 11 publications

References 38 publications

Polish validation of the Transplant Effects Questionnaire

Polish validation of the Transplant Effects Questionnaire

Impact of biliary complications on quality of life in live-donor liver transplant recipients

Mental health of recipients after cadaveric liver transplantation: A perspective from positive psychology

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