a Department of Psychosomatic Medicine and Psychotherapy , Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg , Germany.
b Department of Cardiovascular Surgery, Heart Center , Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg , Germany.
Int J Psychiatry Clin Pract. 2017 Nov;21(4):277-282. doi: 10.1080/13651501.2017.1324034. Epub 2017 May 15.
Heart transplantation (HT) obviously affects body image and integrity. However, there are very few empirical data post-transplant.
In a cross-sectional study, 57 HT patients were compared with 47 subjects with mechanical aortic valve replacement (AVR) using the Dresden-Body-Image questionnaire (DKB) and specific questions regarding integration of the organ/device. In addition, affective symptoms and quality of life (QoL) were assessed (12-Item Short-Form Health Survey and Hospital Anxiety and Depression Scale, HADS).
DKB-35 scores did not differ. HT patients scored higher than AVR on specific questions regarding integration of the organ/device. AVR patients showed more affective disturbance and lower mental QoL than HT subjects. Affective scores correlated negatively with body image scores. Seventeen percent of all patients showed psychological distress (HADS scores >8).
HT patients integrated the new organ well - and even better than AVR subjects did with the device. In general, our data corroborate a good adaptation process, in particular in HT patients. Similar to other reported data, a subgroup of 15-20% of patients shows stronger mental distress, including body image problems. These must be identified and treated by professionals. Patients with AVR deserve more attention in the future.
心脏移植（HT）显然会影响身体形象和完整性。然而，移植后很少有实证数据。
在一项横断面研究中，使用德累斯顿身体形象问卷（DKB）和关于器官/装置整合的特定问题，将 57 例 HT 患者与 47 例机械主动脉瓣置换术（AVR）患者进行比较。此外，还评估了情感症状和生活质量（QoL）（12 项简明健康调查和医院焦虑抑郁量表，HADS）。
DKB-35 评分无差异。HT 患者在器官/装置整合的特定问题上的评分高于 AVR 患者。AVR 患者的情感障碍比 HT 患者更严重，心理健康 QoL 更低。情感评分与身体形象评分呈负相关。17%的患者出现心理困扰（HADS 评分>8）。
HT 患者很好地整合了新器官——甚至比 AVR 患者更好地整合了设备。总的来说，我们的数据证实了一个良好的适应过程，特别是在 HT 患者中。与其他报告的数据类似，15-20%的患者存在更严重的精神困扰，包括身体形象问题。这些必须由专业人员识别和治疗。AVR 患者在未来应得到更多关注。
