The influence of sense of coherence on emotional response in heart transplant recipients - a preliminary report.
BACKGROUND
The success of heart transplantation in prolonging life and well-being must be considered in reference to its psycho-social outcomes, which intrinsically affect the long-term post-transplant morbidity. Sense of coherence and emotional response to organ reception are important factors in this group of patients.


OBJECTIVE
The aim of this study was to assess the contribution of sense of coherence to emotional response to transplantation in heart transplant recipients.


METHODS
The study was conducted on a group of 46 heart transplant recipients. The following research tools were applied in the assessment of personal resources (sense of coherence) and emotional response to heart transplant surgery: the Sense of Coherence Questionnaire developed by Antonovsky (SOC-29) and the Transplant Effects Questionnaire (TxEQ). The data were analyzed statistically.


RESULTS
Heart transplant recipients do not experience guilt toward the donors and have no difficulties in disclosing their identities as heart transplant recipients. The study reports good adherence to immunosuppressive treatment recommendations and both a moderate concern about and a sense of responsibility for the transplanted organs among the patients. Global SOC was associated with guilt toward the donor, concern about the transplanted heart, and disclosure of the recipient's identity.


CONCLUSIONS
The strength of the patients' global sense of coherence is related to the level of their emotional response to the heart transplant surgery.
Department of Cardiovascular Surgery and Transplantation, John Paul II Hospital, Krakow, Poland ; Faculty of Health and Medical Science, Andrzej Frycz Modrzewski Krakow University, Poland.
Irena
I
Milaniak
Faculty of Psychology and Humanities, Andrzej Frycz Modrzewski Krakow University, Poland.
Ewa
E
Wilczek-Rużyczka
Department of Cardiovascular Surgery and Transplantation, John Paul II Hospital, Krakow, Poland ; Jagiellonian University, Collegium Medicum, Krakow, Poland.
Karol
K
Wierzbicki
Department of Cardiovascular Surgery and Transplantation, John Paul II Hospital, Krakow, Poland ; Jagiellonian University, Collegium Medicum, Krakow, Poland.
Jerzy
J
Sadowski
Department of Cardiovascular Surgery and Transplantation, John Paul II Hospital, Krakow, Poland.
Piotr
P
Przybyłowski
emotional response; heart transplantation; sense of coherence