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Changes of perceived control after kidney transplantation: a prospective study
Torben Schulz1, Jan Niesing2, Jaap J Homan van der Heide3
1Department of Health Psychology, University Medical Center Groningen, University of Groningen, The Netherlands.
Journal of Advanced Nursing
|January 26, 2017
Summary
Kidney transplantation can increase perceived control, leading to reduced psychological distress. This improvement in perceived control is linked to better well-being post-transplant for many patients.
Area of Science:
- Nephrology
- Psychology
- Transplantation Medicine
Background:
- Low perceived control is linked to reduced well-being in dialysis patients.
- Understanding factors influencing post-transplant psychological health is crucial.
Purpose of the Study:
- To investigate if kidney transplantation increases perceived control.
- To examine how changes in perceived control impact psychological distress up to one year post-transplant.
Main Methods:
- Prospective longitudinal cohort study design.
- Assessed perceived control (Mastery Scale) and psychological distress (GHQ-12) pre- and post-transplant.
- Stratified patients into control gain, stable control, and control loss groups.
Main Results:
- A small overall increase in perceived control was observed post-transplant.
- Patients experiencing control gain showed a significant reduction in psychological distress.
- Secondary schooling was associated with the control loss group.
Conclusions:
- Increased perceived control post-kidney transplantation is common and linked to decreased psychological distress.
- Enhancing perceived control may be a target for interventions to improve post-transplant well-being.
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