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Psychosocial Risk Predicts New Episode Depression After Heart Transplant
Psychosocial assessment is an essential component of the pretransplant evaluation. Many individuals have significant psychosocial problems, and they are either denied for transplantation or deferred from listing and transplant until the psychosocial issues are addressed. The primary aim of this stud...
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| Published in: | Psychosomatics (Washington, D.C.) D.C.), 2019-01, Vol.60 (1), p.47-55 |
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| cites | cdi_FETCH-LOGICAL-c356t-6b9df0713cfde7044daad2005468c8d84d6252d501e6a8fcc51aca6c7b543da03 |
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| creator | Schneekloth, Terry D. Hitschfeld, Mario J. Jowsey-Gregoire, Sheila G. Petterson, Tanya M. Dunlay, Shannon M. Niazi, Shehzad K. Vasquez, Adriana R. Rummans, Teresa A. |
| description | Psychosocial assessment is an essential component of the pretransplant evaluation. Many individuals have significant psychosocial problems, and they are either denied for transplantation or deferred from listing and transplant until the psychosocial issues are addressed.
The primary aim of this study was to evaluate the outcomes of patients who initially had significant psychosocial problems, but who addressed them and received a heart transplant.
This retrospective study included heart transplant recipients from 1/1/2000 to 12/31/2012. Those with initial Psychosocial Assessment of Candidates for Transplantation (PACT) scale score |
| doi_str_mv | 10.1016/j.psym.2018.06.003 |
| format | article |
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The primary aim of this study was to evaluate the outcomes of patients who initially had significant psychosocial problems, but who addressed them and received a heart transplant.
This retrospective study included heart transplant recipients from 1/1/2000 to 12/31/2012. Those with initial Psychosocial Assessment of Candidates for Transplantation (PACT) scale score <2 were compared with those whose initial score was ≥2 for the variables new onset depression and anxiety, length of stay, rejection, and survival using logistic and linear regression and Cox proportional hazards modeling.
Of 164 heart recipients with pretransplant PACT scores, 46 (28%) were female, 154 (94%) were white, and the mean age was 52.7 years. Only 11 (7%) received an initial PACT score <2; these candidates underwent heart transplantation after their scores increased to ≥2. Initial PACT <2 increased the odds of new depression by 11-fold (p = 0.002), but was not associated with differences in survival, posttransplant length of stay, the occurrence of treated episodes of rejection or new anxiety (p ≥ 0.20 for all).
Among heart recipients, initially high pretransplant psychosocial risk, as assessed by PACT, was associated with posttransplant new episode depression. However, after addressing the primary psychosocial issues before transplant, posttransplant length of stay, organ rejection, and survival were the same as those without prior psychosocial concerns.</description><identifier>ISSN: 0033-3182</identifier><identifier>EISSN: 1545-7206</identifier><identifier>DOI: 10.1016/j.psym.2018.06.003</identifier><identifier>PMID: 30064730</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Anxiety - epidemiology ; Anxiety - psychology ; Cohort Studies ; Depression ; Depression - epidemiology ; Depression - psychology ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Female ; Follow-Up Studies ; Graft Rejection - epidemiology ; Heart transplantation ; Heart Transplantation - psychology ; Humans ; Kaplan-Meier Estimate ; Length of Stay - statistics & numerical data ; Linear Models ; Logistic Models ; Male ; Middle Aged ; Outcome assessment ; Proportional Hazards Models ; Psychology ; Psychosocial assessment ; Retrospective Studies ; Risk Factors ; Survival Rate ; Transplantation</subject><ispartof>Psychosomatics (Washington, D.C.), 2019-01, Vol.60 (1), p.47-55</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-6b9df0713cfde7044daad2005468c8d84d6252d501e6a8fcc51aca6c7b543da03</citedby><cites>FETCH-LOGICAL-c356t-6b9df0713cfde7044daad2005468c8d84d6252d501e6a8fcc51aca6c7b543da03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30064730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schneekloth, Terry D.</creatorcontrib><creatorcontrib>Hitschfeld, Mario J.</creatorcontrib><creatorcontrib>Jowsey-Gregoire, Sheila G.</creatorcontrib><creatorcontrib>Petterson, Tanya M.</creatorcontrib><creatorcontrib>Dunlay, Shannon M.</creatorcontrib><creatorcontrib>Niazi, Shehzad K.</creatorcontrib><creatorcontrib>Vasquez, Adriana R.</creatorcontrib><creatorcontrib>Rummans, Teresa A.</creatorcontrib><title>Psychosocial Risk Predicts New Episode Depression After Heart Transplant</title><title>Psychosomatics (Washington, D.C.)</title><addtitle>Psychosomatics</addtitle><description>Psychosocial assessment is an essential component of the pretransplant evaluation. Many individuals have significant psychosocial problems, and they are either denied for transplantation or deferred from listing and transplant until the psychosocial issues are addressed.
The primary aim of this study was to evaluate the outcomes of patients who initially had significant psychosocial problems, but who addressed them and received a heart transplant.
This retrospective study included heart transplant recipients from 1/1/2000 to 12/31/2012. Those with initial Psychosocial Assessment of Candidates for Transplantation (PACT) scale score <2 were compared with those whose initial score was ≥2 for the variables new onset depression and anxiety, length of stay, rejection, and survival using logistic and linear regression and Cox proportional hazards modeling.
Of 164 heart recipients with pretransplant PACT scores, 46 (28%) were female, 154 (94%) were white, and the mean age was 52.7 years. Only 11 (7%) received an initial PACT score <2; these candidates underwent heart transplantation after their scores increased to ≥2. Initial PACT <2 increased the odds of new depression by 11-fold (p = 0.002), but was not associated with differences in survival, posttransplant length of stay, the occurrence of treated episodes of rejection or new anxiety (p ≥ 0.20 for all).
Among heart recipients, initially high pretransplant psychosocial risk, as assessed by PACT, was associated with posttransplant new episode depression. However, after addressing the primary psychosocial issues before transplant, posttransplant length of stay, organ rejection, and survival were the same as those without prior psychosocial concerns.</description><subject>Adult</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Cohort Studies</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Rejection - epidemiology</subject><subject>Heart transplantation</subject><subject>Heart Transplantation - psychology</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome assessment</subject><subject>Proportional Hazards Models</subject><subject>Psychology</subject><subject>Psychosocial assessment</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Survival Rate</subject><subject>Transplantation</subject><issn>0033-3182</issn><issn>1545-7206</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kMFKw0AQhhdRbK2-gAfJ0UvibDa7ieCl1GqFokXqednuTnBr28SdVOnbm9Dq0dPA8M3PPx9jlxwSDlzdLJOaduskBV4koBIAccT6XGYyzlNQx6zfbkQseJH22BnREgAkl-qU9QSAynIBfTaZ0c6-V1RZb1bRq6ePaBbQedtQ9Izf0bj2VDmM7rEOSOSrTTQsGwzRBE1oonkwG6pXZtOcs5PSrAgvDnPA3h7G89Eknr48Po2G09gKqZpYLW5dCTkXtnSYQ5Y5Y1zaFstUYQtXZE6lMnUSOCpTlNZKbqxRNl_ITDgDYsCu97l1qD63SI1ee7K4ajtgtSWdQtEqKDIpWzTdozZURAFLXQe_NmGnOejOoF7qzqDuDGpQuvM1YFeH_O1ije7v5FdZC9ztAWy__PIYNFmPG9tKC2gb7Sr_X_4PEh6CRg</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Schneekloth, Terry D.</creator><creator>Hitschfeld, Mario J.</creator><creator>Jowsey-Gregoire, Sheila G.</creator><creator>Petterson, Tanya M.</creator><creator>Dunlay, Shannon M.</creator><creator>Niazi, Shehzad K.</creator><creator>Vasquez, Adriana R.</creator><creator>Rummans, Teresa A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Psychosocial Risk Predicts New Episode Depression After Heart Transplant</title><author>Schneekloth, Terry D. ; Hitschfeld, Mario J. ; Jowsey-Gregoire, Sheila G. ; Petterson, Tanya M. ; Dunlay, Shannon M. ; Niazi, Shehzad K. ; Vasquez, Adriana R. ; Rummans, Teresa A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-6b9df0713cfde7044daad2005468c8d84d6252d501e6a8fcc51aca6c7b543da03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Cohort Studies</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Rejection - epidemiology</topic><topic>Heart transplantation</topic><topic>Heart Transplantation - psychology</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Linear Models</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome assessment</topic><topic>Proportional Hazards Models</topic><topic>Psychology</topic><topic>Psychosocial assessment</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Survival Rate</topic><topic>Transplantation</topic><toplevel>online_resources</toplevel><creatorcontrib>Schneekloth, Terry D.</creatorcontrib><creatorcontrib>Hitschfeld, Mario J.</creatorcontrib><creatorcontrib>Jowsey-Gregoire, Sheila G.</creatorcontrib><creatorcontrib>Petterson, Tanya M.</creatorcontrib><creatorcontrib>Dunlay, Shannon M.</creatorcontrib><creatorcontrib>Niazi, Shehzad K.</creatorcontrib><creatorcontrib>Vasquez, Adriana R.</creatorcontrib><creatorcontrib>Rummans, Teresa A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychosomatics (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schneekloth, Terry D.</au><au>Hitschfeld, Mario J.</au><au>Jowsey-Gregoire, Sheila G.</au><au>Petterson, Tanya M.</au><au>Dunlay, Shannon M.</au><au>Niazi, Shehzad K.</au><au>Vasquez, Adriana R.</au><au>Rummans, Teresa A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial Risk Predicts New Episode Depression After Heart Transplant</atitle><jtitle>Psychosomatics (Washington, D.C.)</jtitle><addtitle>Psychosomatics</addtitle><date>2019-01</date><risdate>2019</risdate><volume>60</volume><issue>1</issue><spage>47</spage><epage>55</epage><pages>47-55</pages><issn>0033-3182</issn><eissn>1545-7206</eissn><abstract>Psychosocial assessment is an essential component of the pretransplant evaluation. Many individuals have significant psychosocial problems, and they are either denied for transplantation or deferred from listing and transplant until the psychosocial issues are addressed.
The primary aim of this study was to evaluate the outcomes of patients who initially had significant psychosocial problems, but who addressed them and received a heart transplant.
This retrospective study included heart transplant recipients from 1/1/2000 to 12/31/2012. Those with initial Psychosocial Assessment of Candidates for Transplantation (PACT) scale score <2 were compared with those whose initial score was ≥2 for the variables new onset depression and anxiety, length of stay, rejection, and survival using logistic and linear regression and Cox proportional hazards modeling.
Of 164 heart recipients with pretransplant PACT scores, 46 (28%) were female, 154 (94%) were white, and the mean age was 52.7 years. Only 11 (7%) received an initial PACT score <2; these candidates underwent heart transplantation after their scores increased to ≥2. Initial PACT <2 increased the odds of new depression by 11-fold (p = 0.002), but was not associated with differences in survival, posttransplant length of stay, the occurrence of treated episodes of rejection or new anxiety (p ≥ 0.20 for all).
Among heart recipients, initially high pretransplant psychosocial risk, as assessed by PACT, was associated with posttransplant new episode depression. However, after addressing the primary psychosocial issues before transplant, posttransplant length of stay, organ rejection, and survival were the same as those without prior psychosocial concerns.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>30064730</pmid><doi>10.1016/j.psym.2018.06.003</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Psychosomatics (Washington, D.C.), 2019-01, Vol.60 (1), p.47-55 |
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| source | ScienceDirect Freedom Collection |
| subjects | Adult Anxiety - epidemiology Anxiety - psychology Cohort Studies Depression Depression - epidemiology Depression - psychology Depressive Disorder - epidemiology Depressive Disorder - psychology Female Follow-Up Studies Graft Rejection - epidemiology Heart transplantation Heart Transplantation - psychology Humans Kaplan-Meier Estimate Length of Stay - statistics & numerical data Linear Models Logistic Models Male Middle Aged Outcome assessment Proportional Hazards Models Psychology Psychosocial assessment Retrospective Studies Risk Factors Survival Rate Transplantation |
| title | Psychosocial Risk Predicts New Episode Depression After Heart Transplant |
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