Great expectations? Pre-transplant quality of life expectations and distress after kidney transplantation: A prospective study

Torben Schulz; Jan Niesing; Jaap J. Homan van der Heide; Ralf Westerhuis; Rutger J. Ploeg; Adelita V. Ranchor

doi:10.1111/bjhp.12081

Great expectations? Pre-transplant quality of life expectations and distress after kidney transplantation: A prospective study

Torben Schulz, Jan Niesing, Jaap J. Homan van der Heide, Ralf Westerhuis, Rutger J. Ploeg, Adelita V. Ranchor^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

26 Citations (Scopus)

Abstract

ObjectivesPrevious research suggests that prior to kidney transplantation, patients overestimate their post-transplant quality of life (QoL). The current study aimed to corroborate these findings, identify determinants of QoL overestimation, examine its association with subsequent distress, and clarify the role of optimism.

DesignProspective observational study.

MethodsPhysical, psychological, and social QoL expectations, actual QoL, and distress (GHQ-12) of participants (56% male) were prospectively assessed before (T0; n=228) and 3 (T1; n=149), 6 (T2; n=146), and 12 (T3; n=114) months after successful transplantation.

ResultsPatients who were treated with haemodialysis before transplantation reported greater physical QoL overestimation than those who received treatment with peritoneal dialysis. Neither physical nor social QoL overestimation at T1 was prospectively associated with increased distress at T2 or T3. The interaction between optimism and social QoL overestimation at T1 (=-.56, p

ConclusionsQoL overestimation is not associated with subsequent distress. Findings suggest that patients low in optimism are more vulnerable to distress following QoL overestimation.

Original language	English
Pages (from-to)	823-838
Number of pages	16
Journal	British Journal of Health Psychology
Volume	19
Issue number	4
DOIs	https://doi.org/10.1111/bjhp.12081
Publication status	Published - Nov-2014

Keywords

expectation
distress
kidney transplantation
quality of life
psychological adjustment
optimism
STAGE RENAL-DISEASE
ORIENTATION TEST
CANCER-PATIENTS
BREAST-CANCER
HEALTH-CARE
ILLNESS
ADJUSTMENT
RECIPIENTS
CONSTRUCT
VALIDITY

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@article{39ba3c24bc564ecebefbe56ef0c0bbe5,

title = "Great expectations? Pre-transplant quality of life expectations and distress after kidney transplantation: A prospective study",

abstract = "ObjectivesPrevious research suggests that prior to kidney transplantation, patients overestimate their post-transplant quality of life (QoL). The current study aimed to corroborate these findings, identify determinants of QoL overestimation, examine its association with subsequent distress, and clarify the role of optimism.DesignProspective observational study.MethodsPhysical, psychological, and social QoL expectations, actual QoL, and distress (GHQ-12) of participants (56% male) were prospectively assessed before (T0; n=228) and 3 (T1; n=149), 6 (T2; n=146), and 12 (T3; n=114) months after successful transplantation.ResultsPatients who were treated with haemodialysis before transplantation reported greater physical QoL overestimation than those who received treatment with peritoneal dialysis. Neither physical nor social QoL overestimation at T1 was prospectively associated with increased distress at T2 or T3. The interaction between optimism and social QoL overestimation at T1 (=-.56, pConclusionsQoL overestimation is not associated with subsequent distress. Findings suggest that patients low in optimism are more vulnerable to distress following QoL overestimation.",

keywords = "expectation, distress, kidney transplantation, quality of life, psychological adjustment, optimism, STAGE RENAL-DISEASE, ORIENTATION TEST, CANCER-PATIENTS, BREAST-CANCER, HEALTH-CARE, ILLNESS, ADJUSTMENT, RECIPIENTS, CONSTRUCT, VALIDITY",

author = "Torben Schulz and Jan Niesing and {van der Heide}, {Jaap J. Homan} and Ralf Westerhuis and Ploeg, {Rutger J.} and Ranchor, {Adelita V.}",

year = "2014",

month = nov,

doi = "10.1111/bjhp.12081",

language = "English",

volume = "19",

pages = "823--838",

journal = "British Journal of Health Psychology",

issn = "1359-107X",

publisher = "Wiley",

number = "4",

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T1 - Great expectations? Pre-transplant quality of life expectations and distress after kidney transplantation

T2 - A prospective study

AU - Schulz, Torben

AU - Niesing, Jan

AU - van der Heide, Jaap J. Homan

AU - Westerhuis, Ralf

AU - Ploeg, Rutger J.

AU - Ranchor, Adelita V.

PY - 2014/11

Y1 - 2014/11

N2 - ObjectivesPrevious research suggests that prior to kidney transplantation, patients overestimate their post-transplant quality of life (QoL). The current study aimed to corroborate these findings, identify determinants of QoL overestimation, examine its association with subsequent distress, and clarify the role of optimism.DesignProspective observational study.MethodsPhysical, psychological, and social QoL expectations, actual QoL, and distress (GHQ-12) of participants (56% male) were prospectively assessed before (T0; n=228) and 3 (T1; n=149), 6 (T2; n=146), and 12 (T3; n=114) months after successful transplantation.ResultsPatients who were treated with haemodialysis before transplantation reported greater physical QoL overestimation than those who received treatment with peritoneal dialysis. Neither physical nor social QoL overestimation at T1 was prospectively associated with increased distress at T2 or T3. The interaction between optimism and social QoL overestimation at T1 (=-.56, pConclusionsQoL overestimation is not associated with subsequent distress. Findings suggest that patients low in optimism are more vulnerable to distress following QoL overestimation.

AB - ObjectivesPrevious research suggests that prior to kidney transplantation, patients overestimate their post-transplant quality of life (QoL). The current study aimed to corroborate these findings, identify determinants of QoL overestimation, examine its association with subsequent distress, and clarify the role of optimism.DesignProspective observational study.MethodsPhysical, psychological, and social QoL expectations, actual QoL, and distress (GHQ-12) of participants (56% male) were prospectively assessed before (T0; n=228) and 3 (T1; n=149), 6 (T2; n=146), and 12 (T3; n=114) months after successful transplantation.ResultsPatients who were treated with haemodialysis before transplantation reported greater physical QoL overestimation than those who received treatment with peritoneal dialysis. Neither physical nor social QoL overestimation at T1 was prospectively associated with increased distress at T2 or T3. The interaction between optimism and social QoL overestimation at T1 (=-.56, pConclusionsQoL overestimation is not associated with subsequent distress. Findings suggest that patients low in optimism are more vulnerable to distress following QoL overestimation.

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KW - BREAST-CANCER

KW - HEALTH-CARE

KW - ILLNESS

KW - ADJUSTMENT

KW - RECIPIENTS

KW - CONSTRUCT

KW - VALIDITY

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DO - 10.1111/bjhp.12081

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