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Tanja Zimmermann1, Sarah Weusthoff1, Johannes Beneke1

  • 1Hannover Medical School Department of Psychosomatic Medicine and Psychotherapy Carl-Neuberg-Str. 1 D-30625 Hannover Germany Hannover Medical School.

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
|June 5, 2018
PubMed
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The Transplant Evaluation Rating Scale (TERS) reliably assesses psychosocial functioning before lung transplantation. Higher TERS scores correlate with increased depression, anxiety, and lower quality of life, aiding in patient selection.

Area of Science:

  • Psychiatry
  • Psychology
  • Transplantation Medicine

Background:

  • Pre-transplant psychosocial evaluation is crucial for anticipating challenges and identifying distress impacting lung transplant outcomes.
  • Assessing psychological well-being pre-transplant can optimize patient adjustment and post-operative success.

Purpose of the Study:

  • To evaluate the reliability and clinical utility of the Transplant Evaluation Rating Scale (TERS) for assessing psychosocial functioning in lung transplant candidates.
  • To determine the association between TERS scores and psychological distress, quality of life, and smoking history.

Main Methods:

  • A cross-sectional study involving 75 patients undergoing pre-lung transplantation evaluation.
  • Psychosocial functioning was assessed using the Transplant Evaluation Rating Scale (TERS).
Keywords:
Lung TransplantationPsychosocial EvaluationPsychosocial OutcomesTransplant Evaluation Rating Scale (TERS)Transplant Recipients

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  • Statistical analyses examined the reliability of the TERS and its correlations with depression, anxiety, quality of life, and smoking abstinence.

    • Main Results:

    • The TERS demonstrated satisfactory reliability (α = 0.75) and a two-factorial structure (emotional sensitivity, defiance).
    • Higher TERS scores were significantly linked to increased depressive and anxiety symptoms (r = .38/.42).
    • Elevated TERS scores correlated with lower quality of life (r = -.26) and fewer years of smoking abstinence (r = -.35).

    Conclusions:

    • The TERS is a reliable and valid instrument for evaluating psychosocial functioning in lung transplant candidates.
    • The scale effectively identifies behavioral concerns relevant to post-transplantation outcomes.
    • TERS scores provide valuable clinical insights for pre-transplant patient assessment and management.