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Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis

Although kidney transplant can lead to psychiatric disorders, psychosocial syndromes and demoralization, a positive post-traumatic growth (PTG) can occur in kidney transplant recipients (KTRs). However, the PTG-Inventory (PTGI), a reliable tool to measure PTG is scarcely used to explore the effect o...

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Autores principales: Battaglia, Yuri, Zerbinati, Luigi, Belvederi Murri, Martino, Provenzano, Michele, Esposito, Pasquale, Andreucci, Michele, Storari, Alda, Grassi, Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8540707/
https://www.ncbi.nlm.nih.gov/pubmed/34682870
http://dx.doi.org/10.3390/jcm10204747
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author Battaglia, Yuri
Zerbinati, Luigi
Belvederi Murri, Martino
Provenzano, Michele
Esposito, Pasquale
Andreucci, Michele
Storari, Alda
Grassi, Luigi
author_facet Battaglia, Yuri
Zerbinati, Luigi
Belvederi Murri, Martino
Provenzano, Michele
Esposito, Pasquale
Andreucci, Michele
Storari, Alda
Grassi, Luigi
author_sort Battaglia, Yuri
collection PubMed
description Although kidney transplant can lead to psychiatric disorders, psychosocial syndromes and demoralization, a positive post-traumatic growth (PTG) can occur in kidney transplant recipients (KTRs). However, the PTG-Inventory (PTGI), a reliable tool to measure PTG is scarcely used to explore the effect of this stressful event in KTRs. Thus, the purpose of our study was to assess the level of PTG and its correlation with demoralization, physical and emotional symptoms or problems via network analysis in KTRs. Additionally, we aimed at exploring the association of PTG with psychiatric diagnoses, Diagnostic Criteria for Psychosomatic Research (DCPR) conditions, and medical variables. A total of 134 KTRs were tested using MINI International Neuropsychiatric Interview 6.0 (MINI 6.0), DCPR interview, PTGI, Edmonton Symptom Assessment System (ESAS), Canadian Problem Checklist (CPC) and Demoralization scale (DS-IT). PTGI was used to investigate the positive psychological experience of patients after KT. It consists of 21 items divided in five factors. Routine biochemistry, immunosuppressive agents, socio-demographic and clinical data were collected. A symptom network analysis was conducted among PTGI, ESAS and DS-IT. Mean score of PTGI total of sample was 52.81 ± 19.81 with higher scores in women (58.53 ± 21.57) than in men (50.04 ± 18.39) (p < 0.05). PTGI-Relating to Others (16.50 ± 7.99) sub-score was markedly higher than other PTGI factor sub-scores. KTRs with DCPR-alexithymia or International Classification of Diseases, tenth revision (ICD-10) anxiety disorders diagnosis had lower PTGI total score and higher PTGI-Personal Strength sub-score, respectively (p < 0.05). The network analysis identified two communities: PTGI and ESAS with DS-IT. DS-IT Disheartenment, DS-IT Hopelessness and PTGI Relating to Others were the most central items in the network. After 1000 bootstrap procedures, the Exploratory graph analysis revealed the presence of a median of two communities in the network in 97.5% of the bootstrap iterations. A more extensive use of PTGI should be encouraged to identify and enhance the positive psychological changes after KT.
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spelling pubmed-85407072021-10-24 Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis Battaglia, Yuri Zerbinati, Luigi Belvederi Murri, Martino Provenzano, Michele Esposito, Pasquale Andreucci, Michele Storari, Alda Grassi, Luigi J Clin Med Article Although kidney transplant can lead to psychiatric disorders, psychosocial syndromes and demoralization, a positive post-traumatic growth (PTG) can occur in kidney transplant recipients (KTRs). However, the PTG-Inventory (PTGI), a reliable tool to measure PTG is scarcely used to explore the effect of this stressful event in KTRs. Thus, the purpose of our study was to assess the level of PTG and its correlation with demoralization, physical and emotional symptoms or problems via network analysis in KTRs. Additionally, we aimed at exploring the association of PTG with psychiatric diagnoses, Diagnostic Criteria for Psychosomatic Research (DCPR) conditions, and medical variables. A total of 134 KTRs were tested using MINI International Neuropsychiatric Interview 6.0 (MINI 6.0), DCPR interview, PTGI, Edmonton Symptom Assessment System (ESAS), Canadian Problem Checklist (CPC) and Demoralization scale (DS-IT). PTGI was used to investigate the positive psychological experience of patients after KT. It consists of 21 items divided in five factors. Routine biochemistry, immunosuppressive agents, socio-demographic and clinical data were collected. A symptom network analysis was conducted among PTGI, ESAS and DS-IT. Mean score of PTGI total of sample was 52.81 ± 19.81 with higher scores in women (58.53 ± 21.57) than in men (50.04 ± 18.39) (p < 0.05). PTGI-Relating to Others (16.50 ± 7.99) sub-score was markedly higher than other PTGI factor sub-scores. KTRs with DCPR-alexithymia or International Classification of Diseases, tenth revision (ICD-10) anxiety disorders diagnosis had lower PTGI total score and higher PTGI-Personal Strength sub-score, respectively (p < 0.05). The network analysis identified two communities: PTGI and ESAS with DS-IT. DS-IT Disheartenment, DS-IT Hopelessness and PTGI Relating to Others were the most central items in the network. After 1000 bootstrap procedures, the Exploratory graph analysis revealed the presence of a median of two communities in the network in 97.5% of the bootstrap iterations. A more extensive use of PTGI should be encouraged to identify and enhance the positive psychological changes after KT. MDPI 2021-10-16 /pmc/articles/PMC8540707/ /pubmed/34682870 http://dx.doi.org/10.3390/jcm10204747 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Battaglia, Yuri
Zerbinati, Luigi
Belvederi Murri, Martino
Provenzano, Michele
Esposito, Pasquale
Andreucci, Michele
Storari, Alda
Grassi, Luigi
Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis
title Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis
title_full Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis
title_fullStr Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis
title_full_unstemmed Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis
title_short Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis
title_sort exploring the level of post traumatic growth in kidney transplant recipients via network analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8540707/
https://www.ncbi.nlm.nih.gov/pubmed/34682870
http://dx.doi.org/10.3390/jcm10204747
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