This study longitudinally evaluates prevalence, clinical characteristics, and risk factors for DSM-III-R Major Depression, Generalized Anxiety Disorder (GAD), associated Adjustment Disorders, and Post-Traumatic Stress Disorder related to the transplant (PTSD-T) in a large, representative sample of heart recipients followed during the first year after transplantation.
Lifetime pretransplant prevalence as well as 1-year posttransplant rates were determined for the 154 recipients via standardized clinical interview schedules.
Major Depression was the most prevalent disorder posttransplant (1-year rate of 17.3%), followed by PTSD-T (13.7%), and Adjustment Disorders (10.0%). There were no cases of GAD.
Specific pretransplant and perioperative factors increased recipients'risk for any psychiatric disorder (vs none) posttransplant, including pretransplant psychiatric history ; poor social supports from primary family caregiver, other relatives, and friends ; the use of avoidance coping strategies for managing health problems ; and low self-esteem early posttransplant.
Within diagnostic groups, additional risk factors distinguished recipients with anxiety-related vs depressive disorders post-transplant : those at highest relative risk for anxiety had waited more briefly for a donor heart, were more likely to have a family psychiatric history, had the poorest family and friend support of all recipients, utilized the poorest coping skills, and had a poor sense of mastery. (...)
Mots-clés Pascal : Homotransplantation, Coeur, Etude longitudinale, Prévalence, Etat dépressif, Trouble humeur, Posttraumatisme syndrome, Stress, Trouble anxieux, Trouble anxiété généralisée, Prédiction, Evolution, Facteur risque, Homme, Receveur, Transplantation, Chirurgie
Mots-clés Pascal anglais : Homotransplantation, Heart, Follow up study, Prevalence, Depression, Mood disorder, Posttraumatic syndrome, Stress, Anxiety disorder, Generalized anxiety disorder, Prediction, Evolution, Risk factor, Human, Recipient, Transplantation, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0034560
Code Inist : 002A26N03B. Création : 21/05/1997.