Monthly Archives: April 2014

Perceived health after kidney transplantation: a cross-sectional comparison of long-term and short-term cohorts.






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Perceived health after kidney transplantation: a cross-sectional comparison of long-term and short-term cohorts.

Transplant Proc. 2013 Jul-Aug;45(6):2184-90

Authors: Schulz T, Niesing J, Homan van der Heide JJ, Westerhuis R, Ploeg RJ, Ranchor AV

Abstract
Although increased longevity of grafts has led to a growing number of long-term kidney transplant recipients, knowledge about the perceived health of these patients remains limited. A cross-sectional sample of 609 patients (60% response) was stratified into a short-term (≤1 year), midterm (>1 and ≤8 years), and long-term cohort (>8 and ≤15 years posttransplantation). Cohorts were compared for perceived health (Visual Analogue Scale of the EQ-5D), number of symptoms, and number of comorbidities by analysis of variance/covariance and multivariate regression analyses. Long-term patients reported more symptoms, (F[2, 606] = 3.09, P = .046) and more comorbidities, (F[2, 588] = 4.75, P = .009) but similar levels of perceived health, (F[2, 550] = 2.37, P > .05). Furthermore, symptoms were less influential for perceived health among long- versus short-term (z = -2.08, P = .038) or midterm cohorts (z = -2.60, P = .009). Previously identified predictors of perceived health accounted for less variance in the long-term as opposed to short-term (z = 4.30, P < .001) and midterm cohort (z = 2.07, P = .039). Despite more symptoms and comorbidities, the perceived health of long-term kidney transplant recipients was comparable to the short- and midterm, possibly due to selective survival or patient adjustment. Because kidney function and symptoms were predominantly associated with short-term perceived health, there is an urgent need to identify variables associated with long-term perceived health.

PMID: 23953527 [PubMed – indexed for MEDLINE]

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Ineffectiveness of reverse wording of questionnaire items: let’s learn from cows in the rain.






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Ineffectiveness of reverse wording of questionnaire items: let’s learn from cows in the rain.
PLoS One. 2013;8(7):e68967
Authors: van Sonderen E, Sanderman R, Coyne JC
Abstract
OBJEC… Continue reading

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Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden.






Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden.

Psychooncology. 2014 Apr 15;

Authors: Lehmann V, Grönqvist H, Engvall G, Ander M, Tuinman MA, Hagedoorn M, Sanderman R, Mattsson E, von Essen L

Abstract
OBJECTIVE: The aim of this study was to provide insight into survivor-reported negative and positive consequences of cancer during adolescence 10 years after diagnosis and compare these with consequences reported 3 and 4 years after diagnosis.
METHODS: Three, 4, and 10 years after diagnosis, survivors of adolescent cancer were interviewed about negative and positive consequences due to their cancer experience. Manifest content analysis was used to identify categories of reported consequences. Categories of consequences 10 years after diagnosis were compared with consequences reported 3 and 4 years after diagnosis.
RESULTS: Seven categories of negative consequences were identified: bodily concerns, existential thoughts about loss and life (new at 10 years), psychological problems, difficulties interacting with others, health worries (new), fertility concerns (new), and frustrations about health care (new); and six categories of positive consequences: positive view of life, positive view of self, compassion for others (new), close relationships, gained knowledge about disease and health care, and financial gains. Consistent with previous time points, bodily concerns were reported most often. The majority of survivors (n = 22) reported both negative and positive consequences of their former disease. Few reported only negative (n = 2) or only positive consequences (n = 4).
CONCLUSIONS: Ten years after diagnosis, most survivors reported both negative and positive consequences. New themes, relevant to young adulthood and long-term survival, were identified. Health care professionals treating young adult survivors may anticipate and address problems regarding physical health, fertility, and health care but may also reinforce positive affect by addressing survivors’ positive views of life, sense of self, and close relationships. © 2014 The Authors. Psycho-Oncology published by John Wiley & Sons, Ltd.

PMID: 24737637 [PubMed – as supplied by publisher]

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Testing the McSad depression specific classification system in patients with somatic conditions: validity and performance.






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Testing the McSad depression specific classification system in patients with somatic conditions: validity and performance.
Health Qual Life Outcomes. 2013;11:125
Authors: Papageorgiou K, Vermeulen K… Continue reading

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Problems in cross-cultural use of the hospital anxiety and depression scale: “no butterflies in the desert”.






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Problems in cross-cultural use of the hospital anxiety and depression scale: “no butterflies in the desert”.
PLoS One. 2013;8(8):e70975
Authors: Maters GA, Sanderman R, Kim AY, Coyne JC
Abst… Continue reading

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