{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T02:27:10Z","timestamp":1789871230803,"version":"4.0.1"},"reference-count":63,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,4,21]],"date-time":"2014-04-21T00:00:00Z","timestamp":1398038400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although lung transplantation improves quality of life, most psychosocial research focuses on adverse psychological and social functioning outcomes. Positive effects, particularly in the late\u2010term years as physical morbidities increase, have received little attention. We provide the first data on a psychological benefit \u2013 post\u2010traumatic growth (<jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content>) \u2013 and we focused on long\u2010term (&gt;5\u00a0yr) survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 178 patients from a prospective study of mental health during the first two\u00a0yr post\u2010transplant, we recontacted survivors 6\u201311\u00a0yr post\u2010transplant. We assessed <jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content> (i.e., positive psychological change resulting from the transplant) and examined its relationship to other patient characteristics with multivariable regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010four patients (86% of survivors) were assessed (<jats:italic>M<\/jats:italic>\u00a0=\u00a08.1\u00a0yr post\u2010transplant, <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\u00a0=\u00a01.2). Mean <jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content> exceeded the scale's midpoint (<jats:italic>M<\/jats:italic>\u00a0=\u00a038.6, <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\u00a0=\u00a010.0; scale midpoint\u00a0=\u00a025). Recipients experiencing greater <jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content> were female (p\u00a0=\u00a00.022), less educated (p\u00a0=\u00a00.014), and had a history of post\u2010transplant panic disorder (p\u00a0=\u00a00.005), greater friend support (p\u00a0=\u00a00.048), and better perceived health (p\u00a0=\u00a00.032). Neither other pre\u2010 or post\u2010transplant mood and anxiety disorders nor transplant\u2010related morbidities (acute rejection, bronchiolitis obliterans syndrome) predicted <jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content> exceeded levels observed in other chronic disease populations, suggesting that lung transplantation may uniquely foster positive psychological change in long\u2010term survivors. <jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content> occurs despite physical and psychiatric morbidities. Whether <jats:styled-content style=\"fixed-case\">PTG<\/jats:styled-content> promotes other positive post\u2010transplant psychosocial outcomes deserves attention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.12301","type":"journal-article","created":{"date-parts":[[2014,4,21]],"date-time":"2014-04-21T11:31:29Z","timestamp":1398079889000},"page":"384-393","source":"Crossref","is-referenced-by-count":31,"title":["Predictors of post\u2010traumatic psychological growth in the late years after lung transplantation"],"prefix":"10.1111","volume":"28","author":[{"given":"Kristen R.","family":"Fox","sequence":"first","affiliation":[{"name":"Department of Psychology Ohio University Athens OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna M.","family":"Posluszny","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Pittsburgh Pittsburgh PA USA"},{"name":"University of Pittsburgh Cancer Institute Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea F.","family":"DiMartini","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh Pittsburgh PA USA"},{"name":"Department of Surgery University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette J.","family":"DeVito Dabbs","sequence":"additional","affiliation":[{"name":"Department of Acute and Tertiary Care (Nursing) University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily M.","family":"Rosenberger","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachelle A.","family":"Zomak","sequence":"additional","affiliation":[{"name":"Cardiothoracic Transplantation Program University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Bermudez","sequence":"additional","affiliation":[{"name":"Cardiothoracic Transplantation Program University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Amanda","family":"Dew","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh Pittsburgh PA USA"},{"name":"Department of Psychology University of Pittsburgh Pittsburgh PA USA"},{"name":"Department of Epidemiology University of Pittsburgh Pittsburgh PA USA"},{"name":"Department of Biostatistics University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2012.08.004"},{"key":"e_1_2_7_3_1","volume-title":"OPTN\/SRTR 2011 Annual Data 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