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Jenewein

Fakultäten » Medizinische Fakultät » Konsiliarpsychiatrie und Psychosomatik, Klinik für » Prof. Dr. Josef Jenewein » Jenewein

Completed research project

Title / Titel Psychological adjustment after lung transplantation - a new empirical approach with a vizualising method (PRISM)
PDF Abstract (PDF, 14 KB)
Summary / Zusammenfassung Background: In transplant medicine, the mental processing of the transplantation is an important clinical topic. Until to date, only some case-study investigations were concerned with this topic, regarding for example the change of the recipient’s self presentation, or the forms of coping and defence following a transplant. Moreover, patient’s adherence is a vital requirement for the medium- and longer-term success of an organ transplant. Medical as well as psychological reasons for non-adherence are known to date. However, these explanations rarely provide a deeper understanding of psychological reasons, why certain transplant patients show non-adherence behaviour.
Methods: This study investigates the psychodynamic processing of a lung transplant and relations to the adherence behaviour. In a qualitative part, 40 patients after lung transplantation are to be questioned as to their thoughts and feelings concerning the transplantation, the new organ, the donor and their medication at three time points (two weeks, three months and six months post-transplant, MP1 – MP3). The interview uses both visualization and verbalization methods (PRISM, Pictorial Representation of Illness and Self Measure, semistructured interviews). In the quantitative part, validated test instruments are to be used with respect to the attachment style (ECR) as well as quality of life (EuroQuol-5), sense of coherence (SOC-13), psychological distress (SCL-K-9) and the emotional processing of the transplantation (included adherence behaviour, TxEQ-D). First experiences with five transplant patients show the feasibility and high acceptance of PRISM among transplant patients, above all regarding the visualising of the transplant, the drugs and the deceased donor.
Publications / Publikationen Goetzmann L, Klaghofer R, Wagner-Huber R, Halter J, Boehler A, Muellhaupt B, Schanz, U, Buddeberg C. Psychosocial vulnerability predicts outcome after an organ transplant – results of a prospective study with lung, liver and bone marrow patients. J Psychosom Res 2007a, 62: 93-100.
Goetzmann L, Moser KS, Vetsch E, Naef R, Russi EW, Buddeberg C, Boehler A. How does psychological processing relate to compliance behaviour after lung transplantation? - a content analytical study. Psych Health Med 2007b, 12: 94-106.
Goetzmann L, Ruegg L, Stamm M, Ambuehl P, Boehler A, Halter J, Muellhaupt B, Noll G, Schanz U, Wagner-Huber R, Spindler A, Buddeberg C, Klaghofer R. (2008). Psychosocial Profiles after Transplantation: a 24-Month Follow-up in Heart, Lung, Liver, Kidney and Allogeneic Bone-Marrow Patients; Transplantation, 86, 662-668
Goetzmann L, Irani S, Moser KS, Schwegler K, Stamm M, Spindler A, Buddeberg C, Schmid, C, Boehler A, Klaghofer R (2009). Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor; Brit. J. Health. Psychol. 14, 667-680.
Büchi S, Sensky T. PRISM: Pictorial representation of iIllness and self measure. Psychosomatics 1999, 40: 314-320.
Bullinger M, Kirchberger I. SF-36. Fragebogen zum Gesundheitszustand. Handanweisung. Göttingen: Hogrefe, 1998.
Project leadership and contacts /
Projektleitung und Kontakte
Prof. Dr. Josef Jenewein (Project Leader) josef.jenewein@usz.ch
Prof. Dr. Richard Klaghofer  
M.Sc. Annina Seiler  
Funding source(s) /
Unterstützt durch
Foundation
 
In collaboration with /
In Zusammenarbeit mit
Prof. Stefan Büchi, Klinik Hohenegg, Meilen Switzerland
PD Dr. Lutz Götzmann, Klinik Segerberg, Germany
Duration of Project / Projektdauer Jul 2012 to Jul 2016