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作者信息

Zimmermann Tanja, Weusthoff Sarah, Beneke Johannes, Krüger Jan Hendrik, Tudorache Igor, Gottlieb Jens, de Zwaan Martina

机构信息

Hannover Medical School Department of Psychosomatic Medicine and Psychotherapy Carl-Neuberg-Str. 1 D-30625 Hannover Germany Hannover Medical School.

Department of Cardiac, Thoracic, Transplant, and Vascular Surgery Hannover Germany.

出版信息

Z Psychosom Med Psychother. 2018 Jun;64(2):172-185. doi: 10.13109/zptm.2018.64.2.172.

Abstract

OBJECTIVES

An evaluation of psychosocial functioning prior to lung transplantation is advisable for anticipating behavioral difficulties and for screening for any psychological distress that might be harmful to posttransplantation outcomes and adjustment.

METHODS

In this cross-sectional, single-center study, the level of psychosocial functioning of N = 75 patients before lung transplantation was rated using the Transplant Evaluation Rating Scale (TERS).

RESULTS

he reliability of the TERS total score was satisfactory at α = 0.75. A two-factorial solution (emotional sensitivity; defiance) was found. Higher TERS scores were significantly associated with higher depressive and anxiety symptoms (r = .38/r = .42), lower quality of life (r = -.26), and fewer years abstinent from smoking (r = -.35). No associations were found with lung disease and symptom severity.

CONCLUSIONS

The TERS appears to be a reliable and valid measure with clinical utility for specifying behavioral concerns prior to lung transplantation.

摘要

目的

在肺移植前对心理社会功能进行评估,有助于预测行为困难,并筛查可能对移植后结果和适应产生有害影响的任何心理困扰。

方法

在这项横断面单中心研究中,使用移植评估量表(TERS)对75例肺移植患者移植前的心理社会功能水平进行评分。

结果

TERS总分的信度在α = 0.75时令人满意。发现了一个双因素解决方案(情绪敏感性;违抗)。较高的TERS评分与较高的抑郁和焦虑症状显著相关(r = 0.38/r = 0.42),生活质量较低(r = -0.26),戒烟年限较少(r = -0.35)。未发现与肺部疾病和症状严重程度有关联。

结论

TERS似乎是一种可靠且有效的测量方法,在肺移植前确定行为问题方面具有临床实用性。

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