Jacobs Julia, Michael Tanja, Brandsch Susanne, Schäfers Hans-Joachim, Wilkens Heinrike, Köllner Volker
Abteilung für Klinische Psychologie und Psychotherapie, Universität des Saarlandes, Saarbrücken.
Medizinische Fakultät der Universität des Saarlandes, Homburg/Saar.
Psychother Psychosom Med Psychol. 2015 Jul;65(7):255-60. doi: 10.1055/s-0034-1396829. Epub 2015 Feb 9.
The goal of this study was to compare PTSD frequencies of patients who are on a waiting list for a transplant (WL) and patients who have had a lung transplant (L-Tx).
Data concerning PTSD (IES-R, SKID-I), the quality of life (SF-36), social support (F-SozU), anxiety and depression (HADS-D) was collected from patients on waiting lists (n=44) and transplant patients (n=48).
The PTSD results of patients on WL were significantly higher (25%), than those of patients after L-Tx (6.25%). Especially the rates on subscales about intrusion and hyper-arousal showed a higher symptomatology for WL-patients. Patients after L-Tx had a significantly better physical and mental quality of life as well as a significantly lower level of depressiveness and anxiety.
The lower PTSD rates of the transplant participants indicate that the psychological symptoms will at least partially decrease when patients have fewer negative physical symptoms after L-Tx.
本研究的目的是比较等待移植者（WL）和接受肺移植者（L-Tx）的创伤后应激障碍（PTSD）发生率。
收集了等待移植者（n = 44）和移植患者（n = 48）有关PTSD（IES-R，SKID-I）、生活质量（SF-36）、社会支持（F-SozU）、焦虑和抑郁（HADS-D）的数据。
WL患者的PTSD发生率（25%）显著高于L-Tx术后患者（6.25%）。特别是在闯入和过度觉醒分量表上，WL患者的症状表现更为严重。L-Tx术后患者的身心健康状况明显更好，抑郁和焦虑水平也显著更低。
移植参与者较低的PTSD发生率表明，当L-Tx术后患者的负面身体症状较少时，心理症状至少会部分减轻。
