Abstract:
OBJECTIVE:The transplanted organ is a key element of the recipient's daily life. But its representations are neither spontaneously expressed by patients, nor taken into account by transplantation professionals. Our objective was to assess specifically the transplanted organ representations in liver transplant recipients. METHODS:In a prospective cohort study, 134 liver transplanted (LT) patients were assessed using the Transplanted Organ Questionnaire (TOQ), a new specifically designed questionnaire, fulfilled 3, 6, 12, 24, and 36months post-LT. RESULTS:The TOQ comprised three dimensions, explaining 44% of the total variance: Donor (21.3%) measuring the recipients' concerns about the donor, Positive attitude towards the transplant (13.4%), and Psychological Rejection (9.3%), measuring a lack of incorporation of the transplant. These three dimensions have a high internal consistency (Cronbach alpha: 0.91, 0.76 and 0.56) and are stable over time. Older recipients had more concern about the Donor than younger ones. As compared to other medical primary diagnoses, viral hepatitis was associated with higher scores on the subscales Positive attitude towards the transplant and Psychological Rejection. Interestingly, Psychological rejection predicted increased long term risk of death (HR, 1.20; 95% CI, 1.01-1.44, P=.046) under multivariate Cox analyses, independently from other variables. CONCLUSION:The transplanted organ representations as specifically assessed by the Transplanted Organ Questionnaire (TOQ) are relevant in liver transplant recipients. Interventions based on the transplant representations after LT should be assessed in further studies. Indeed, preventing psychological rejection of the transplanted organ and facilitating its psychological incorporation may decrease long term mortality after LT.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Corruble E,Barry C,Varescon I,Castaing D,Samuel D,Falissard Bdoi
10.1016/j.jpsychores.2012.07.012subject
Has Abstractpub_date
2012-10-01 00:00:00pages
319-24issue
4eissn
0022-3999issn
1879-1360pii
S0022-3999(12)00204-8journal_volume
73pub_type
杂志文章abstract:OBJECTIVE:In the operant conditioning of hypertension hypothesis, it is assumed that the frequently found diminished sensitivity to painful stimuli in hypertensives can be generalized to sensitivity to other stressors, including psychological stressors. The validity of this assumption is examined in the present study. ...
journal_title:Journal of psychosomatic research
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更新日期:2001-05-01 00:00:00
abstract::The McGill Pain Questionnaire (MPQ) was administered to 268 subjects following electrical stimulation to pain-tolerance limits. Subjects received stimulation under four social modeling conditions: tolerant, intolerant, control, and no model. The number of factors and degree of obliqueness most appropriate for the MPQ ...
journal_title:Journal of psychosomatic research
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doi:10.1016/0022-3999(86)90085-1
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abstract::In a preliminary study using only self-report measures, university students completed questionnaires about their bowel symptoms and trait anxiety. Results showed that students with irritable bowel syndrome (IBS) reported higher trait anxiety than asymptomatic controls. Among the students with IBS, there were no signif...
journal_title:Journal of psychosomatic research
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abstract::Governmental agencies do not systematically investigate the presence of daytime sleepiness as a determinant of driving accidents. We surveyed automobile drivers traveling on summer vacations and driving long distances on a European highway. We evaluated their subjective daytime sleepiness while driving and any sleep d...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(96)00127-4
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abstract::This report documents findings from an open trial of dextroamphetamine in the treatment of depression and low energy in AIDS patients. Dextroamphetamine offers the potential for rapid onset of effect and activation properties, both of which are important to persons with late stage HIV illness. Primary inclusion criter...
journal_title:Journal of psychosomatic research
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doi:10.1016/s0022-3999(96)00366-2
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abstract::We investigated two groups of men with regard to vasectomy acceptance, and subsequent erectile dysfunction. Group I was a group of 45 men chosen at random from 254 vasectomized patients. Group II was a group of 18 men who, out of 180 patients treated for erectile dysfunction, attributed their dysfunction to previous v...
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2009.03.009
更新日期:2010-01-01 00:00:00
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/s0022-3999(97)00014-7
更新日期:1997-06-01 00:00:00
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journal_title:Journal of psychosomatic research
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pub_type: 杂志文章,评审
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更新日期:2007-03-01 00:00:00
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更新日期:2000-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00458-0
更新日期:2003-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:1990-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
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更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Journal of psychosomatic research
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更新日期:2007-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2005-07-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2014-07-01 00:00:00
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更新日期:2020-11-01 00:00:00
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doi:10.1016/j.jpsychores.2011.03.012
更新日期:2011-10-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(91)90044-o
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