title: Childhood Abuse Is Associated With Worse Survival Following Lung Transplantation.
abstract: BACKGROUND
  Psychosocial factors can impact lung transplant outcomes. However, it is currently unknown whether abuse survivorship influences lung transplant survival.
  
  
  OBJECTIVE
  To characterize the abuse history of adult lung transplant patients and determine whether such history is associated with mortality.
  
  
  METHODS
  Adult lung transplant recipients evaluated from 2000 to 2004.
  
  
  METHODS
  The main outcome was post-lung transplantation survival. The secondary outcomes included demographic, transplantation, or psychological assessment differences between those with a history of abuse survivorship and those without.
  
  
  RESULTS
  Thirty-three lung transplant recipients (35.5% male, median age: 55 years) were included. A history of abuse survivorship was common (24.2%) and was associated with decreased survival following lung transplantation (P = .003). There was no difference in sex, marital status, or smoking history between abuse survivors and those who denied being the victim of abuse. Abuse survivors had a higher Personality Assessment Screener total score, a measure of maladaptive personality traits (P = .02).
  
  
  CONCLUSIONS
  Abuse survivorship is common in lung transplant patients and associated with increased posttransplant mortality and increased maladaptive personality traits. This preliminary evidence suggests that lung transplant patients should be screened for abuse history and provided with appropriate treatment of survivorship issues to potentially improve their health outcomes from transplantation.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
authors.forename: Cassie C
authors.initials: CC
authors.lastname: Kennedy
authors.affiliation: Mayo Medical School, Mayo Clinic, Rochester, MN, USA.
authors.forename: Adeel
authors.initials: A
authors.lastname: Zubair
authors.affiliation: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Clark
authors.affiliation: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA jowsey-gregoire.sheila@mayo.edu.
authors.forename: Sheila
authors.initials: S
authors.lastname: Jowsey-Gregoire
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D001007:Anxiety / Q000523:psychology; D016022:Case-Control Studies; D015331:Cohort Studies; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D009026:Mortality; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000523:psychology / Q000601:surgery*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate
keywords: adult survivors of child abuse; lung transplant; mortality