Personality factors in heart transplant recipients

Objective: to assess the personal psychological profile of heart transplant recipients as the first stage in the development of post-transplant personalized rehabilitation programs. Materials and methods. From January 2010 to July 2019, 129 HTs were performed (mean age 46.6 ± 14.1 years; 74% (n = 95...

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Main Authors: M. A. Simonenko, P. A. Fedotov, P. V. Shirobokova, Yu. V. Sazonova, M. A. Bortsova, A. V. Berezina, M. A. Karpenko
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2020-10-01
Series:Вестник трансплантологии и искусственных органов
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Online Access:https://journal.transpl.ru/vtio/article/view/1228
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author M. A. Simonenko
P. A. Fedotov
P. V. Shirobokova
Yu. V. Sazonova
M. A. Bortsova
A. V. Berezina
M. A. Karpenko
author_facet M. A. Simonenko
P. A. Fedotov
P. V. Shirobokova
Yu. V. Sazonova
M. A. Bortsova
A. V. Berezina
M. A. Karpenko
author_sort M. A. Simonenko
collection DOAJ
description Objective: to assess the personal psychological profile of heart transplant recipients as the first stage in the development of post-transplant personalized rehabilitation programs. Materials and methods. From January 2010 to July 2019, 129 HTs were performed (mean age 46.6 ± 14.1 years; 74% (n = 95) were men, 26% (n = 34) were women). All patients in the heart transplant waiting list were examined by a clinical psychologist and a psychotherapist to exclude contraindications to transplant surgery. To assess personal traits, we used the standard multifactorial questionnaire by Cattell R., 16 PF (version A), which included 187 questions. Heart transplantation and absence of post-transplant severe cognitive impairments were the selection criteria for this study. Patients were surveyed before they were discharged from the hospital – 30–60 days following HT: during the period of complete recovery after surgery. In the present study, a retrospective assessment of the results was performed in 107 patients (n = 76 – men; n = 31 – women). Results. Analysis of the personality portrait revealed that over half of recipients were reserved, distant (factor A – schizothymia) and restrained (factor F – restraint; F2 – introvert; F4 – conforming) with lower mental capacity (factor B), and were shy, timid (factor H), with low super ego (factor G: irresponsible, tolerates disorder, flexible, open to change). Our results showed that 47% of patients (n = 18 out of 38 patients, n = 22 are pensioners) with a weak degree of factor C (reactive, affected by feelings) are workers to 42% (n = 29 out of 69, n = 28 – retirees) with a strong degree of the same factor. One year after HT, the number of physically active patients was higher among those with low anxiety compared with high anxiety (41% (18 of 44) and 32% (20 of 63), respectively, p = 0.41). Conclusion. Personality factors are non-modifiable characteristics of patients. They affect human behavior, return to work and to social life, as well as physical and psychological recovery from HT. Knowing the personal traits of recipients would allow to develop a personalized approach to their rehabilitation and a technique for timely examination after HT.
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publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
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spelling doaj-art-50a7b82ff3fe4f30bac80376f45043dd2025-08-20T03:38:18ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912020-10-01223626810.15825/1995-1191-2020-3-62-68896Personality factors in heart transplant recipientsM. A. Simonenko0P. A. Fedotov1P. V. Shirobokova2Yu. V. Sazonova3M. A. Bortsova4A. V. Berezina5M. A. Karpenko6Almazov National Medical Research CentreAlmazov National Medical Research CentrePavlov First St. Petersburg State Medical UniversityAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreObjective: to assess the personal psychological profile of heart transplant recipients as the first stage in the development of post-transplant personalized rehabilitation programs. Materials and methods. From January 2010 to July 2019, 129 HTs were performed (mean age 46.6 ± 14.1 years; 74% (n = 95) were men, 26% (n = 34) were women). All patients in the heart transplant waiting list were examined by a clinical psychologist and a psychotherapist to exclude contraindications to transplant surgery. To assess personal traits, we used the standard multifactorial questionnaire by Cattell R., 16 PF (version A), which included 187 questions. Heart transplantation and absence of post-transplant severe cognitive impairments were the selection criteria for this study. Patients were surveyed before they were discharged from the hospital – 30–60 days following HT: during the period of complete recovery after surgery. In the present study, a retrospective assessment of the results was performed in 107 patients (n = 76 – men; n = 31 – women). Results. Analysis of the personality portrait revealed that over half of recipients were reserved, distant (factor A – schizothymia) and restrained (factor F – restraint; F2 – introvert; F4 – conforming) with lower mental capacity (factor B), and were shy, timid (factor H), with low super ego (factor G: irresponsible, tolerates disorder, flexible, open to change). Our results showed that 47% of patients (n = 18 out of 38 patients, n = 22 are pensioners) with a weak degree of factor C (reactive, affected by feelings) are workers to 42% (n = 29 out of 69, n = 28 – retirees) with a strong degree of the same factor. One year after HT, the number of physically active patients was higher among those with low anxiety compared with high anxiety (41% (18 of 44) and 32% (20 of 63), respectively, p = 0.41). Conclusion. Personality factors are non-modifiable characteristics of patients. They affect human behavior, return to work and to social life, as well as physical and psychological recovery from HT. Knowing the personal traits of recipients would allow to develop a personalized approach to their rehabilitation and a technique for timely examination after HT.https://journal.transpl.ru/vtio/article/view/1228heart transplantationpsychological well-beingpersonality factorsquality of life
spellingShingle M. A. Simonenko
P. A. Fedotov
P. V. Shirobokova
Yu. V. Sazonova
M. A. Bortsova
A. V. Berezina
M. A. Karpenko
Personality factors in heart transplant recipients
Вестник трансплантологии и искусственных органов
heart transplantation
psychological well-being
personality factors
quality of life
title Personality factors in heart transplant recipients
title_full Personality factors in heart transplant recipients
title_fullStr Personality factors in heart transplant recipients
title_full_unstemmed Personality factors in heart transplant recipients
title_short Personality factors in heart transplant recipients
title_sort personality factors in heart transplant recipients
topic heart transplantation
psychological well-being
personality factors
quality of life
url https://journal.transpl.ru/vtio/article/view/1228
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AT yuvsazonova personalityfactorsinhearttransplantrecipients
AT mabortsova personalityfactorsinhearttransplantrecipients
AT avberezina personalityfactorsinhearttransplantrecipients
AT makarpenko personalityfactorsinhearttransplantrecipients