Sweet and sour after renal transplantation: A qualitative study about the positive and negative consequences of renal transplantation
Objectives This qualitative study investigated the renal patients' experience of positive and negative consequences of transplantation, as well as the strategies they use to adapt to the transplantation. Design and methods A qualitative design (30 participants in total), using individual interv...
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| Veröffentlicht in: | British journal of health psychology 2014-09, Vol.19 (3), p.580-591 |
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| container_title | British journal of health psychology |
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| creator | Schipper, Karen Abma, Tineke A. Koops, Carina Bakker, Ineke Sanderman, Robbert Schroevers, Maya J. |
| description | Objectives
This qualitative study investigated the renal patients' experience of positive and negative consequences of transplantation, as well as the strategies they use to adapt to the transplantation.
Design and methods
A qualitative design (30 participants in total), using individual interviews (18 participants) and two focus groups (12 participants in total), was used.
Results
The results showed that patients experienced a wide range of positive and negative emotions, in particular, guilt, gratefulness, and fear, partly as a result of their normative persuasions. Normative persuasions may transform inherent positive emotions into negative emotions and subsequent maladaptive behaviour. Not only physical limitations but also physical improvements were found to be related to the experience of negative emotions. Finally, the results indicated that patients mainly used adaptive coping strategies to adjust to life after transplantation, such as looking for opportunities, setting different priorities, making own choices, trying to maintain control, taking good care of oneself, and appreciating other things in life.
Conclusions
This study offers several new insights regarding the range of experiences of renal patients after transplantation. Health professionals are invited to pay more attention to the full range of positive and negative experiences following transplantation, including the existence of normative persuasions. Health professionals may assist renal patients by helping them to recognize and acknowledge both positive and negative emotions and to encourage the use of more beneficial coping strategies.
Statement of contribution
What is already known on this subject?
The quality of life (QoL) of renal patients significantly improves after transplantation but the post‐transplant QoL is lower compared with the QoL in healthy populations.
Patients on dialysis and those who have received a donor kidney tend to use mainly emotion‐focused coping strategies.
What does this study add?
This study offers several new insights regarding experiences of renal patients after transplantation:
Patients experience a range of positive and negative emotions like guilt, gratefulness, and fear.
Emotions are partly a result of normative persuasions.
Persuasions may transform positive emotions into negative emotions and maladaptive behaviour.
Physical limitations and improvements can due to the persuasions lead to negative emotions.
Patients mainly use adaptive coping strate |
| doi_str_mv | 10.1111/bjhp.12057 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1558988789</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1547542976</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5947-9af51db01992c60bbdcfb56c8c2d4013602f1b7822a013e242596c5402293b693</originalsourceid><addsrcrecordid>eNqNkdtqFTEUhoModtt64wNIQAQpTJtkcvSurdoDpSoqijchk8nY2Z09mSaZ1v0AvnezO7sVRMTchMX61r8OPwDPMNrB-e1W8_NhBxPExAMwI4jSQhIpHoIZLpkqMBLfNsCTGOcI4bJE7DHYIKUknFM0A78-XTuXoOlrGP0YoGmSCzC43nQwBdPHoTN9Mqn1_Wu4By9H07Wr8MrBmMZ6CU3lxwTTuYODj-1tYiXWux8TZX0f3eXoeusi9M3fpbfAo8Z00T1d_5vgy7u3nw-OitP3h8cHe6eFZYqKQpmG4bpCWCliOaqq2jYV41ZaUtO8HEekwZWQhJgcOUIJU9wyighRZcVVuQleTbpD8HmmmPSijdZ1eRDnx6gxY1JJKeT_oFQwSpTgGX3xBzrPp8xrRk0woVQiJWSmtifKBh9jcI0eQrswYakx0isf9cpHfetjhp-vJcdq4ep79M64DLxcAyZa0zX5nraNvznJhcjbZw5P3HXbueU_Wur9k6MPd82LqaaNyf28rzHhQnNRCqa_nh3qs_03Jx-xUPp7eQM8dMTd</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2124480978</pqid></control><display><type>article</type><title>Sweet and sour after renal transplantation: A qualitative study about the positive and negative consequences of renal transplantation</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Schipper, Karen ; Abma, Tineke A. ; Koops, Carina ; Bakker, Ineke ; Sanderman, Robbert ; Schroevers, Maya J.</creator><creatorcontrib>Schipper, Karen ; Abma, Tineke A. ; Koops, Carina ; Bakker, Ineke ; Sanderman, Robbert ; Schroevers, Maya J.</creatorcontrib><description>Objectives
This qualitative study investigated the renal patients' experience of positive and negative consequences of transplantation, as well as the strategies they use to adapt to the transplantation.
Design and methods
A qualitative design (30 participants in total), using individual interviews (18 participants) and two focus groups (12 participants in total), was used.
Results
The results showed that patients experienced a wide range of positive and negative emotions, in particular, guilt, gratefulness, and fear, partly as a result of their normative persuasions. Normative persuasions may transform inherent positive emotions into negative emotions and subsequent maladaptive behaviour. Not only physical limitations but also physical improvements were found to be related to the experience of negative emotions. Finally, the results indicated that patients mainly used adaptive coping strategies to adjust to life after transplantation, such as looking for opportunities, setting different priorities, making own choices, trying to maintain control, taking good care of oneself, and appreciating other things in life.
Conclusions
This study offers several new insights regarding the range of experiences of renal patients after transplantation. Health professionals are invited to pay more attention to the full range of positive and negative experiences following transplantation, including the existence of normative persuasions. Health professionals may assist renal patients by helping them to recognize and acknowledge both positive and negative emotions and to encourage the use of more beneficial coping strategies.
Statement of contribution
What is already known on this subject?
The quality of life (QoL) of renal patients significantly improves after transplantation but the post‐transplant QoL is lower compared with the QoL in healthy populations.
Patients on dialysis and those who have received a donor kidney tend to use mainly emotion‐focused coping strategies.
What does this study add?
This study offers several new insights regarding experiences of renal patients after transplantation:
Patients experience a range of positive and negative emotions like guilt, gratefulness, and fear.
Emotions are partly a result of normative persuasions.
Persuasions may transform positive emotions into negative emotions and maladaptive behaviour.
Physical limitations and improvements can due to the persuasions lead to negative emotions.
Patients mainly use adaptive coping strategies.</description><identifier>ISSN: 1359-107X</identifier><identifier>EISSN: 2044-8287</identifier><identifier>DOI: 10.1111/bjhp.12057</identifier><identifier>PMID: 23826640</identifier><identifier>CODEN: BJHPFP</identifier><language>eng</language><publisher>London: Blackwell Publishing Ltd</publisher><subject>adaptation ; Adaptation, Psychological ; Adult ; Aged ; Behavior problems ; Biological and medical sciences ; Consequences ; Coping strategies ; Dialysis ; Emotions ; Fear & phobias ; Female ; Focus Groups ; Fundamental and applied biological sciences. Psychology ; Guilt ; Humans ; Illness and personality ; Illness, stress and coping ; Interviews as Topic ; Kidney Transplantation - psychology ; Maladaptive behaviour ; Male ; Medical personnel ; Medical sciences ; Middle Aged ; Negative emotions ; Negative experiences ; Persuasion ; Positive emotions ; Prioritizing ; psychological consequences ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Qualitative Research ; Quality of Life ; renal transplantation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Surveys and Questionnaires ; Transplants & implants</subject><ispartof>British journal of health psychology, 2014-09, Vol.19 (3), p.580-591</ispartof><rights>2013 The British Psychological Society</rights><rights>2015 INIST-CNRS</rights><rights>2013 The British Psychological Society.</rights><rights>Copyright © 2014 The British Psychological Society All rights reserved</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5947-9af51db01992c60bbdcfb56c8c2d4013602f1b7822a013e242596c5402293b693</citedby><cites>FETCH-LOGICAL-c5947-9af51db01992c60bbdcfb56c8c2d4013602f1b7822a013e242596c5402293b693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbjhp.12057$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbjhp.12057$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,30977,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28677259$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23826640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schipper, Karen</creatorcontrib><creatorcontrib>Abma, Tineke A.</creatorcontrib><creatorcontrib>Koops, Carina</creatorcontrib><creatorcontrib>Bakker, Ineke</creatorcontrib><creatorcontrib>Sanderman, Robbert</creatorcontrib><creatorcontrib>Schroevers, Maya J.</creatorcontrib><title>Sweet and sour after renal transplantation: A qualitative study about the positive and negative consequences of renal transplantation</title><title>British journal of health psychology</title><addtitle>Br J Health Psychol</addtitle><description>Objectives
This qualitative study investigated the renal patients' experience of positive and negative consequences of transplantation, as well as the strategies they use to adapt to the transplantation.
Design and methods
A qualitative design (30 participants in total), using individual interviews (18 participants) and two focus groups (12 participants in total), was used.
Results
The results showed that patients experienced a wide range of positive and negative emotions, in particular, guilt, gratefulness, and fear, partly as a result of their normative persuasions. Normative persuasions may transform inherent positive emotions into negative emotions and subsequent maladaptive behaviour. Not only physical limitations but also physical improvements were found to be related to the experience of negative emotions. Finally, the results indicated that patients mainly used adaptive coping strategies to adjust to life after transplantation, such as looking for opportunities, setting different priorities, making own choices, trying to maintain control, taking good care of oneself, and appreciating other things in life.
Conclusions
This study offers several new insights regarding the range of experiences of renal patients after transplantation. Health professionals are invited to pay more attention to the full range of positive and negative experiences following transplantation, including the existence of normative persuasions. Health professionals may assist renal patients by helping them to recognize and acknowledge both positive and negative emotions and to encourage the use of more beneficial coping strategies.
Statement of contribution
What is already known on this subject?
The quality of life (QoL) of renal patients significantly improves after transplantation but the post‐transplant QoL is lower compared with the QoL in healthy populations.
Patients on dialysis and those who have received a donor kidney tend to use mainly emotion‐focused coping strategies.
What does this study add?
This study offers several new insights regarding experiences of renal patients after transplantation:
Patients experience a range of positive and negative emotions like guilt, gratefulness, and fear.
Emotions are partly a result of normative persuasions.
Persuasions may transform positive emotions into negative emotions and maladaptive behaviour.
Physical limitations and improvements can due to the persuasions lead to negative emotions.
Patients mainly use adaptive coping strategies.</description><subject>adaptation</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Behavior problems</subject><subject>Biological and medical sciences</subject><subject>Consequences</subject><subject>Coping strategies</subject><subject>Dialysis</subject><subject>Emotions</subject><subject>Fear & phobias</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Guilt</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Interviews as Topic</subject><subject>Kidney Transplantation - psychology</subject><subject>Maladaptive behaviour</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Negative emotions</subject><subject>Negative experiences</subject><subject>Persuasion</subject><subject>Positive emotions</subject><subject>Prioritizing</subject><subject>psychological consequences</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Qualitative Research</subject><subject>Quality of Life</subject><subject>renal transplantation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Surveys and Questionnaires</subject><subject>Transplants & implants</subject><issn>1359-107X</issn><issn>2044-8287</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkdtqFTEUhoModtt64wNIQAQpTJtkcvSurdoDpSoqijchk8nY2Z09mSaZ1v0AvnezO7sVRMTchMX61r8OPwDPMNrB-e1W8_NhBxPExAMwI4jSQhIpHoIZLpkqMBLfNsCTGOcI4bJE7DHYIKUknFM0A78-XTuXoOlrGP0YoGmSCzC43nQwBdPHoTN9Mqn1_Wu4By9H07Wr8MrBmMZ6CU3lxwTTuYODj-1tYiXWux8TZX0f3eXoeusi9M3fpbfAo8Z00T1d_5vgy7u3nw-OitP3h8cHe6eFZYqKQpmG4bpCWCliOaqq2jYV41ZaUtO8HEekwZWQhJgcOUIJU9wyighRZcVVuQleTbpD8HmmmPSijdZ1eRDnx6gxY1JJKeT_oFQwSpTgGX3xBzrPp8xrRk0woVQiJWSmtifKBh9jcI0eQrswYakx0isf9cpHfetjhp-vJcdq4ep79M64DLxcAyZa0zX5nraNvznJhcjbZw5P3HXbueU_Wur9k6MPd82LqaaNyf28rzHhQnNRCqa_nh3qs_03Jx-xUPp7eQM8dMTd</recordid><startdate>201409</startdate><enddate>201409</enddate><creator>Schipper, Karen</creator><creator>Abma, Tineke A.</creator><creator>Koops, Carina</creator><creator>Bakker, Ineke</creator><creator>Sanderman, Robbert</creator><creator>Schroevers, Maya J.</creator><general>Blackwell Publishing Ltd</general><general>British Psychological Society</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201409</creationdate><title>Sweet and sour after renal transplantation: A qualitative study about the positive and negative consequences of renal transplantation</title><author>Schipper, Karen ; Abma, Tineke A. ; Koops, Carina ; Bakker, Ineke ; Sanderman, Robbert ; Schroevers, Maya J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5947-9af51db01992c60bbdcfb56c8c2d4013602f1b7822a013e242596c5402293b693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>adaptation</topic><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Behavior problems</topic><topic>Biological and medical sciences</topic><topic>Consequences</topic><topic>Coping strategies</topic><topic>Dialysis</topic><topic>Emotions</topic><topic>Fear & phobias</topic><topic>Female</topic><topic>Focus Groups</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Guilt</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Interviews as Topic</topic><topic>Kidney Transplantation - psychology</topic><topic>Maladaptive behaviour</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Negative emotions</topic><topic>Negative experiences</topic><topic>Persuasion</topic><topic>Positive emotions</topic><topic>Prioritizing</topic><topic>psychological consequences</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Qualitative Research</topic><topic>Quality of Life</topic><topic>renal transplantation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Surveys and Questionnaires</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schipper, Karen</creatorcontrib><creatorcontrib>Abma, Tineke A.</creatorcontrib><creatorcontrib>Koops, Carina</creatorcontrib><creatorcontrib>Bakker, Ineke</creatorcontrib><creatorcontrib>Sanderman, Robbert</creatorcontrib><creatorcontrib>Schroevers, Maya J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of health psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schipper, Karen</au><au>Abma, Tineke A.</au><au>Koops, Carina</au><au>Bakker, Ineke</au><au>Sanderman, Robbert</au><au>Schroevers, Maya J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sweet and sour after renal transplantation: A qualitative study about the positive and negative consequences of renal transplantation</atitle><jtitle>British journal of health psychology</jtitle><addtitle>Br J Health Psychol</addtitle><date>2014-09</date><risdate>2014</risdate><volume>19</volume><issue>3</issue><spage>580</spage><epage>591</epage><pages>580-591</pages><issn>1359-107X</issn><eissn>2044-8287</eissn><coden>BJHPFP</coden><abstract>Objectives
This qualitative study investigated the renal patients' experience of positive and negative consequences of transplantation, as well as the strategies they use to adapt to the transplantation.
Design and methods
A qualitative design (30 participants in total), using individual interviews (18 participants) and two focus groups (12 participants in total), was used.
Results
The results showed that patients experienced a wide range of positive and negative emotions, in particular, guilt, gratefulness, and fear, partly as a result of their normative persuasions. Normative persuasions may transform inherent positive emotions into negative emotions and subsequent maladaptive behaviour. Not only physical limitations but also physical improvements were found to be related to the experience of negative emotions. Finally, the results indicated that patients mainly used adaptive coping strategies to adjust to life after transplantation, such as looking for opportunities, setting different priorities, making own choices, trying to maintain control, taking good care of oneself, and appreciating other things in life.
Conclusions
This study offers several new insights regarding the range of experiences of renal patients after transplantation. Health professionals are invited to pay more attention to the full range of positive and negative experiences following transplantation, including the existence of normative persuasions. Health professionals may assist renal patients by helping them to recognize and acknowledge both positive and negative emotions and to encourage the use of more beneficial coping strategies.
Statement of contribution
What is already known on this subject?
The quality of life (QoL) of renal patients significantly improves after transplantation but the post‐transplant QoL is lower compared with the QoL in healthy populations.
Patients on dialysis and those who have received a donor kidney tend to use mainly emotion‐focused coping strategies.
What does this study add?
This study offers several new insights regarding experiences of renal patients after transplantation:
Patients experience a range of positive and negative emotions like guilt, gratefulness, and fear.
Emotions are partly a result of normative persuasions.
Persuasions may transform positive emotions into negative emotions and maladaptive behaviour.
Physical limitations and improvements can due to the persuasions lead to negative emotions.
Patients mainly use adaptive coping strategies.</abstract><cop>London</cop><pub>Blackwell Publishing Ltd</pub><pmid>23826640</pmid><doi>10.1111/bjhp.12057</doi><tpages>12</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | adaptation Adaptation, Psychological Adult Aged Behavior problems Biological and medical sciences Consequences Coping strategies Dialysis Emotions Fear & phobias Female Focus Groups Fundamental and applied biological sciences. Psychology Guilt Humans Illness and personality Illness, stress and coping Interviews as Topic Kidney Transplantation - psychology Maladaptive behaviour Male Medical personnel Medical sciences Middle Aged Negative emotions Negative experiences Persuasion Positive emotions Prioritizing psychological consequences Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Qualitative Research Quality of Life renal transplantation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Surveys and Questionnaires Transplants & implants |
| title | Sweet and sour after renal transplantation: A qualitative study about the positive and negative consequences of renal transplantation |
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