Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor

Journal article

Goetzmann, L, Irani, S, Moser, KS, Schwegler, K, Stamm, M, Spindler, A, Buddeberg, C, Boehler, A and Klaghofer, R (2010). Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor. British Journal of Health Psychology. 14 (4), pp. 667-680. https://doi.org/10.1348/135910708X399447
AuthorsGoetzmann, L, Irani, S, Moser, KS, Schwegler, K, Stamm, M, Spindler, A, Buddeberg, C, Boehler, A and Klaghofer, R
Abstract

This is the peer reviewed version of the following article: Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor,British Journal Health Psychology. 2009 Nov;14 (Pt 4) :667-80 which has been published in final form at 10.1348/135910708X399447. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

Objectives Lung recipients undergo a complex psychological process, including organ integration and processing of attitudes towards the organ donor.
Design Seventy-six lung recipients were asked to participate in a cross-sectional questionnaire study on the psychological processing of lung transplants.
Methods The questionnaire consisted of statements describing aspects of organ integration and the patient's relationship with the donor. Furthermore, chronic stress/psychological distress (Screening Scale of the Trier Inventory; Symptom Checklist SCL-K-9) and the emotional effects of transplantation/immunosuppression (Transplant Effects Questionnaire; Medication Experience Scale for Immunosuppressants) were assessed.
Results In general, lung recipients perceive the transplant as part of themselves (97.4%) and not as a foreign object (90%). One-third of patients still have frequent thoughts about the donor, whilst the majority (80.3%) do not believe that they have adopted the donor's characteristic traits. Factor analysis reveals the two-dimensional structure of the questionnaire items ‘organ integration’ (factor 1) and ‘relationship to the donor’ (factor 2). Poor organ integration predicts low adherence, low disclosure and high feelings of guilt, whilst a close donor relationship predicts chronic stress and psychological distress.
Conclusions Poor organ integration and a close relationship to the donor should be borne in mind in psychosocial treatment regarding the patient's adherence behaviour and psychological distress.

Year2010
JournalBritish Journal of Health Psychology
Journal citation14 (4), pp. 667-680
PublisherWiley
ISSN1359-107X
Digital Object Identifier (DOI)https://doi.org/10.1348/135910708X399447
Publication dates
Print24 Dec 2010
Publication process dates
Deposited04 Dec 2017
Accepted24 Dec 2010
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