Psychological Responses to the Coronavirus Disease 2019 Pandemic in Renal Transplant Recipients
| Autor: | Nina Babel, A. Wunsch, Panagiota Zgoura, Benjamin Rohn, Frederic Bauer, Adrian Doevelaar, Timm H. Westhoff, Christoph Waldecker, Richard Viebahn, Felix S. Seibert, Peter Schenker |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study medicine.medical_treatment media_common.quotation_subject Pneumonia Viral 030230 surgery Article 03 medical and health sciences Betacoronavirus Immunocompromised Host 0302 clinical medicine Internal medicine Surveys and Questionnaires Pandemic medicine Humans Psychological testing Pandemics Kidney transplantation media_common Transplantation business.industry SARS-CoV-2 Life satisfaction COVID-19 Immunosuppression Middle Aged medicine.disease Comorbidity Kidney Transplantation Transplant Recipients Cross-Sectional Studies Feeling 030211 gastroenterology & hepatology Surgery Female business Coronavirus Infections |
| Zdroj: | Transplantation Proceedings |
| ISSN: | 1873-2623 |
| Popis: | Background Renal transplant recipients are at increased risk for an adverse course of coronavirus disease 2019 (COVID-19), most likely due to immunosuppression and the high level of cardiovascular comorbidity. Many transplant recipients are aware of these facts. The psychological effects of this knowledge, however, remain elusive. Methods Cross-sectional study on 62 renal transplant recipients. Fifty cardiovascular outpatients without immunosuppression and 55 healthy subjects served as control. We performed a focused psychological assessment during the pandemic (April 2020) and compared the data with a time 6 months before. Additionally, an intergroup analysis was performed for the data during the pandemic. The analysis was performed by means of a questionnaire derived from KPD-38. We extracted 5 questions focusing on the parameters "life satisfaction" and perceived "action competence." Life satisfaction score ranged from 2 to 8, and the score for action competence from 5 to 20. Results Both life satisfaction and perceived action competence were significantly lower during the pandemic than 6 months before in all the 3 groups (P < .005 each). During the pandemic median levels of life satisfaction did not significantly differ between the 3 groups (transplant recipients 6, interquartile range [IQR] 4-7; cardiovascular patients 5, IQR: 4-6; healthy controls 6, IQR 5-7; Kruskal-Wallis P > .05). In contrast, the perceived action competence was higher in healthy subjects (15, IQR 12-17) than in both renal transplant recipients (13, IQR 10-15) and cardiovascular patients (13, IQR 8-14, Kruskal-Wallis P = .0003). Conclusion The COVID-19 pandemic has negative effects on life satisfaction and perceived action competence in renal transplant recipients, cardiovascular patients without immunosuppression, and healthy subjects. The effects on life satisfaction in transplant recipients did not differ from nonimmunocompromised patients or healthy controls. In contrast, the feeling of reduced action competence exceeded healthy controls, most likely due to a subjective need for stricter social distancing to avoid infection. |
| Databáze: | OpenAIRE |
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