Psychological assessment of patients on the heart transplant waiting list: A single center experience

Clin Transplant. 2024 May;38(5):e15328. doi: 10.1111/ctr.15328.

Abstract

Objective: To analyze the data of the psychological assessment, focusing attention on the quality of life and the psychological status of patients who are listed for heart transplant.

Methods: All heart failure patients listed for heart transplant at the Cardiac Surgery Unit of Bari University, Italy, were evaluated from September to November 2023, by administering the Symptom Checklist-90-R (SCL-90-R) and the Short Form Health Survey 36 (SF-36).

Results: Overall, 27 patients were studied. Mean age was 60 years, 88% were males. One third of the patients showed a clinically significant overall mental distress. The symptoms leading to domains such as somatization (55.55%), anxiety (40.74%) and depression (33.33%) were frequently observed. The majority of the population studied (96.30%) showed low levels of perceived physical health status, while 59,62% of them presented levels of perceived physical health status below normal ranges.

Conclusions: Heart transplant candidates show elements of overall mental distress and low quality of life related to physical health status.

Keywords: depression; patient characteristics; quality of life (QOL); waitlist management.

MeSH terms

  • Adult
  • Aged
  • Anxiety / diagnosis
  • Anxiety / etiology
  • Anxiety / psychology
  • Depression / etiology
  • Depression / psychology
  • Female
  • Follow-Up Studies
  • Heart Failure* / psychology
  • Heart Failure* / surgery
  • Heart Transplantation* / psychology
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Prognosis
  • Quality of Life*
  • Stress, Psychological
  • Surveys and Questionnaires
  • Waiting Lists*