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Published Online:https://doi.org/10.1024/1421-0185/a000079

Objective: While a number of studies have dealt with the psychosocial consequences of transplantation for patients, we know comparatively little about the strains faced by their spouses. The present study investigates the psychosocial health of transplant patients and their spouses, as well as the link between these groups’ physical and psychosocial status, on the one hand, and their degree of burnout and level of life satisfaction on the other. Design: In a cross-sectional study, 121 patients and their spouses are surveyed by questionnaire following heart, lung, liver, or kidney transplant. Methods: The psychosocial parameters investigated in both patients and spouses are sense of coherence, quality of life, quality of the relationship, life satisfaction, and burnout. Results: Patients rate the quality of the relationship higher than their partners do, and they are more satisfied with the relationship than their spouses are (p < .001). Regression analyses show that patients’ life satisfaction is associated with quality of the relationship. Evidence of a full burnout syndrome can be found in three of the patients and two of the spouses. Burnout in the case of both patients and their partners is associated with limitations in one’s own sense of coherence and in one’s mental and physical health (multiple R2 = 0.79 for patients and 0.76 for spouses). Conclusion: Because of the importance of the couple’s relationship, psychosocial counseling should pay more attention to relationship satisfaction. Psychotherapeutic techniques should be used to improve the sense of coherence in both patient and spouse.

References

  • Abel, T., Kohlmann, T. (2002). Der Fragebogen zum Kohärenzsinn [The questionnaire on sense of coherence]. In E. Brähler, J. Schumacher, B. Strauss (Eds.), Diagnostische Verfahren in der Psychotherapie (pp. 326–330). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Ahola, K., Kivimäki, M., Honkonen, T., Virtanen, M., Koskinen, S., Vahtera, J., Löhnqvist, J. (2008). Occupational burnout and medically certified sickness absence: A population-based study of Finnish employees. Journal of Psychosomatic Research, 64, 185–193. doi 10.1016/j.jpsychores.2007.06.022 First citation in articleCrossrefGoogle Scholar

  • Antonowsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco, CA: Jossey-Bass. First citation in articleGoogle Scholar

  • Beilby, S., Moss-Morris, R., Painter, L. (2003). Quality of life before and after heart, lung, and liver transplantation. New Zealand Medical Journal, 116, U381. doi 10.1016/j.jhep. 2007.12.013 First citation in articleGoogle Scholar

  • Bullinger, M., Kirchberger, I. (1998). SF-36. Fragebogen zum Gesundheitszustand. Handanweisung [Manual of the SF-36 questionnaire on health status]. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Burisch, M. (2006). Das Burnout-Syndrom (3. Aufl.) [The burnout syndrome (3rd ed.)]. Heidelberg, Germany: Springer-Verlag. First citation in articleGoogle Scholar

  • Cameron, J. I., Whiteside, C., Katz, J., Devins, G. M. (2000). Differences in quality of life across renal replacement therapies: A meta-analytic comparison. American Journal of Kidney Diseases, 35, 629–637. doi 10.1016/S0272-6386(00)70009-6 First citation in articleCrossrefGoogle Scholar

  • Campbell, L., Kashy, D. A. (2002). Estimating actor, partner, and interaction effects for dyadic data using PROC MIXED and HTML: A user-friendly guide. Personal Relationships, 9, 327–342. doi 10.1111/1475-6811.00023 First citation in articleCrossrefGoogle Scholar

  • Canning, R. D., Dew, M. A., Davidson, S. (1996). Psychological distress among caregivers to heart transplant recipients. Social Science & Medicine, 42, 599–608. doi 10.1016/0277-9536(95)00160-3 First citation in articleCrossrefGoogle Scholar

  • Daig, I., Herschbach, P., Lehmann, A., Knoll, N., Decker, O. (2009). Gender and age differences in domain-specific life satisfaction and the impact of depressive and anxiety symptoms: A general population survey from Germany. Quality of Life Research, 18, 669–678. doi 10.1007/s11136-009-9481-3 First citation in articleCrossrefGoogle Scholar

  • Dew, M. A., Goycoolea, J. M., Stukas, A. A., Switzer, G. E., Simmons, R. G., Roth, L. H., DiMartini, A. (1998). Temporal profiles of physical health in family members of heart transplant recipients: Predictors of health change during caregiving. Health Psychology, 17, 138–151. doi 10.1037/0278-6133.17.2.138 First citation in articleCrossrefGoogle Scholar

  • Dew, M. A., Myakowsky, L., DiMartini, A. F., Switzer, G. E., Schulberg, H. C., Kormos, R. L. (2004). Onset, timing and risk for depression and anxiety in family caregivers to heart transplant recipients. Psychological Medicine, 34, 1065–1082. doi 10.1017/S0033291703001387 First citation in articleCrossrefGoogle Scholar

  • Enzmann, S., Kleiber, D. (1989). Helfer-Leiden: Stress und Burnout in psychosozialen Berufen [Suffering of support-providers: Stress and burnout in psychosocial professions]. Heidelberg, Germany: Asanger. First citation in articleGoogle Scholar

  • Enzmann, D., Schaufeli, W. B., Janssen, P., Rozeman, A. (1998). Dimensionality and validity of the Burnout Measure. Journal of Occupational and Organizational Psychology, 71, 331–351. doi 10.1111/j.2044-8325.1998.tb00680.x First citation in articleCrossrefGoogle Scholar

  • Goetzmann, L., Klaghofer, R., Wagner-Huber, R., Halter, J., Boehler, A., Muellhaupt, B., ... Buddeberg, C. (2006). Quality of life and psychosocial situation before and after a lung, liver or an allogeneic bone marrow transplant: Results from a prospective study. Swiss Medical Weekly, 136, 281–290. doi 2006/17/smw-11362 First citation in articleGoogle Scholar

  • Goetzmann, L., Klaghofer, R., Wagner-Huber, R., Halter, J., Boehler, A., Muellhaupt, B., ... Buddeberg, C. (2007). Psychosocial vulnerability predicts outcome after an organ transplant: Results of a prospective study with lung, liver and bone marrow patients. Journal of Psychosomatic Research, 62, 93–100. doi 10.1016/j.jpsychores.2006.07.023 First citation in articleCrossrefGoogle Scholar

  • Guerrero, L., La Valley, A. G., Farinelli, L. (2008). The experience and expression of anger, guilt, and sadness in marriage: An equity theory explanation. Journal of Social and Personal Relationships, 25, 699–724. doi 10.1177/0265407508093786 First citation in articleCrossrefGoogle Scholar

  • Gündel, H., Herschbach, P. (2000). Questions on Life Satisfaction (FLZ): A short questionnaire for assessing subjective quality of life. European Journal of Psychological Assessment, 16, 150–159. doi 10.1136/jnnp.2007.121699 First citation in articleLinkGoogle Scholar

  • Haley, W. E., LaMonde, L. A., Han, B., Burton, A. M., Schonwetter, R. (2003). Predictors of depression and life satisfaction among spousal caregivers in hospice: Application of a stress model. Journal of Palliative Medicine, 6, 215–224. doi 10.1089/109662103764978461 First citation in articleCrossrefGoogle Scholar

  • Hendrick, S. S., Dicke, A., Hendrick, C. (1998). The relationship assessment scale. Journal of Social and Personal Relationships, 15, 137–142. doi 10.1177/0265407598151009 First citation in articleCrossrefGoogle Scholar

  • Hubel, L., Hubbell, K. (2002). The burnout risk for male caregivers in providing care to spouses affected with Alzheimer’s disease. Journal of Health and Human Services Administration, 25(1), 115–132. First citation in articleGoogle Scholar

  • Jofre, R., López-Gómez, J. M., Moreno, F., Sanz-Guajardo, D., Valderrábano, F. (1998). Changes in quality of life after renal transplantation. American Journal of Kidney Diseases, 32, 93–100. doi 10.1053/ajkd.1998.v32.pm9669429 First citation in articleCrossrefGoogle Scholar

  • Karam, V., Castaing, D., Danet, C., Delvart, V., Gasquet, I., Adam, R., ... Bismuth, H. (2003). Longitudinal prospective evaluation of quality of life in adult patients before and one year after liver transplantation. Liver Transplantation, 9, 703–711. doi 10.1053/jlts.2003.50148 First citation in articleCrossrefGoogle Scholar

  • Kenny, D. A., Kashy, D. A., Cook, W. L. (2006). Dyadic data analysis. New York: Guilford. First citation in articleGoogle Scholar

  • Kiecolt-Glaser, J. K., Dura, J. R., Speicher, C. R., Trask, O. J., Glaser, R. (1991). Spousal caregivers of dementia victims: Longitudinal changes in immunity and health. Psychosomatic Medicine, 53, 345–362. doi 0033-3174/91/5304-0345$03.00/0 First citation in articleCrossrefGoogle Scholar

  • Krasnoff, J. B., Vintro, A. Q., Ascher, N. L., Bass, N. M., Dodd, M. J., Painter, P. L. (2005). Objective measures of health-related quality of life over 24 months postliver transplantation. Clinical Transplantation, 19, 1–9. doi 10.1111/j.1399-0012.2004.00306.x First citation in articleCrossrefGoogle Scholar

  • Kugler, C., Strueber, M., Tegtbur, U., Niedermeyer, J., Haverich, A. (2004). Quality of life 1 year after lung transplantation. Progress in Transplantation, 14, 331–336. First citation in articleCrossrefGoogle Scholar

  • Lindqvist, R., Carlsson, M., Sjödén, P. O. (2000). Coping strategies and health-related quality of life among spouses of continuous ambulatory peritoneal dialysis, hemodialysis, and transplant patients. Journal of Advanced Nursing, 31, 1398–1408. doi 10.1046/j.1365-2648.2000.01404.x First citation in articleCrossrefGoogle Scholar

  • Littlefield, C., Abbey, S., Fiducia, D., Cardella, C., Greig, P., Levy, G. (1996). Quality of life following transplantation of the heart, liver, and lungs. General Hospital Psychiatry, 18, 36S–47S. doi 10.1016/S0163-8343(96)00082-5 First citation in articleGoogle Scholar

  • Myaskovsky, L., Dew, M. A., Switzer, G. E., McNulty, M. L., DiMartini, A. F., McCurry, K. R. (2005). Quality of life and coping strategies among lung transplant candidates and their family caregivers. Social Sciences and Medicine, 60, 2321–2332. doi 10.1016/j.socscimed.2004.10.001 First citation in articleCrossrefGoogle Scholar

  • Pines, A., Aronson, E., Kafry, D. (1981). Burnout: From tedium to personal growth. New York: Free Press. First citation in articleGoogle Scholar

  • Pinson, C. W., Feurer, I. D., Payne, J. L., Wise, P. E., Shockley, S., Speroff, T. (2000). Health-related quality of life after different types of solid organ transplantation. Annals of Surgery, 232, 597–607. doi 10.1097/00000658-200010000-00015 First citation in articleCrossrefGoogle Scholar

  • Rodrigue, J. R., Dimitri, N., Reed, A., Antonellis, T., Hanto, D. W., Curry, M. (2011). Quality of life and psychosocial functioning of spouse/partner caregivers before and after liver transplantation. Clinical Transplantation, 25, 239–247. doi 10.1111/j.1399-0012.2010.01224.x First citation in articleCrossrefGoogle Scholar

  • Rodrigue, J. R., Dimitri, N., Reed, A., Antonellis, T., Pavlakis, M., Johnson, S. R., Mandelbrot, D. A. (2010). Spouse caregivers of kidney transplant patients: Quality of life and psychosocial outcomes. Progress in Transplantation, 20, 335–342. First citation in articleCrossrefGoogle Scholar

  • Rossi Ferrario, S., Zotti, A. M., Baroni, A., Cavagnino, A., Fornara, R. (2002). Emotional reactions and practical problems of the caregivers of hemodialysed patients. Journal of Nephrology, 15(1), 54–60. First citation in articleGoogle Scholar

  • Sander, J., Böcker, S. (1993). Die Deutsche Form der Relationship Assessment Scale (RAS): Eine kurze Skala zur Messung der Zufriedenheit in einer Partnerschaft [The German version of the Relationship Assessment Scale (RAS): A short scale for the assessment of satisfaction in a romantic partnership]. Diagnostica, 39, 55–62. First citation in articleGoogle Scholar

  • Schoenmakers, B., Buntinx, F., De Lepeleire, J. (2009). The relation between care giving and the mental health of caregivers of demented relatives: A cross-sectional study. European Journal of General Practice, 15, 99–106. doi 10.1080/ 13814780903064455 First citation in articleCrossrefGoogle Scholar

  • Schulz, R., Beach, S. R. (1999). Caregiving as a risk factor for mortality: The caregiver health effects study. Journal of the American Medical Association, 282, 2215–2219. doi 10.1001/ jama.282.23.2215 First citation in articleCrossrefGoogle Scholar

  • Schumacher, J., Gunzelmann, T., Brähler, E. (2000). Deutsche Normierung der Sense of Coherence Scale von Antonovsky [Standardization of Antonovsky’s Sense of Coherence Scale in the German population]. Diagnostica, 46, 208–213. First citation in articleLinkGoogle Scholar

  • Singer, S., Brähler, E. (2007). Die “Sense of Coherence Scale”: Testhandbuch zur deutschen Version [The Sense of Coherence Scale: Test manual of the German version]. Göttingen, Germany: Vandenhoeck & Ruprecht. doi 10.1026//0012-1924.46.4.208 First citation in articleGoogle Scholar

  • Thompson, S. C., Pitts, J. S. (1992). In sickness and in health: Chronic illness, marriage, and spousal caregiving. In S. Spacapan, S. Oskamp (Eds.), Helping and being helped (pp. 115–151). Newbury Park, CA: Sage. First citation in articleGoogle Scholar

  • Ullrich, G., Jänsch, H., Schmidt, S., Strueber, M., Niedermeyer, J. (2004). The experience of the support person involved in a lung transplant programme: Results of a pilot study. European Journal of Medical Research, 9, 555–652. First citation in articleGoogle Scholar

  • Walster, E., Walster, W. G., Berscheid, E. (1978). Equity: Theory and research. Boston, MA: Allyn & Bacon. First citation in articleGoogle Scholar

  • Ware, J. (1994). SF-36 Physical & Mental Health Summary Scales: A user’s manual. New York: Medical Outcomes Trust. First citation in articleGoogle Scholar

  • Yilmaz, A., Turan, E., Gundogar, D. (2009). Predictors of burnout in the family caregivers of Alzheimer’s disease: Evidence from Turkey. Australian Journal of Ageing, 28, 16–121. doi 10.1111/j.1741-6612.2008.00319.x First citation in articleCrossrefGoogle Scholar