{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:17:49Z","timestamp":1761290269060,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Fatigue is a troublesome symptom after heart transplantation and is poorly studied in a long\u2010term perspective. One hypothesis is that there is a strong relationship between fatigue, sleep problems, and self\u2010efficacy, and that fatigue decreases self\u2010efficacy. The aim of this study was to explore self\u2010reported fatigue from the time on the waiting list to 5 years after heart transplantation and its association with self\u2010efficacy and sleep problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this multicenter, longitudinal cohort study 48 heart recipients, 12 women and 36 men with a median age of 57 years, were followed from pre\u2010transplant to 5 years post\u2010transplant. Three instruments were used: (1) the transplant\u2010specific Organ Transplant Symptom and Well\u2010Being Instrument (OTSWI), (2) the Swedish version of the Multi\u2010Dimensional Fatigue Inventory (MFI), and (3) the Self\u2010Efficacy for Managing Chronic Disease 6\u2010Item Scale (SES6G).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sleep problems decreased after transplantation, but after 3\u20135 years, there were no differences in comparison with pre\u2010transplant. Self\u2010efficacy improved for the whole group from pre\u2010transplant up to 5 years after heart transplantation. General fatigue predicted self\u2010efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fatigue plays a pivotal role in self\u2010efficacy after heart transplantation. It reduces self\u2010efficacy due to causing uncertainty and should constitute a primary target for future interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70341","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T14:38:53Z","timestamp":1760452733000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fatigue, Sleep Problems, and Self\u2010Efficacy Before and After Heart Transplantation: A 5 Year Follow\u2010Up"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9775-2441","authenticated-orcid":false,"given":"Marita","family":"Dalvindt","sequence":"first","affiliation":[{"name":"Institute of Health Sciences Lund University  Lund Sweden"},{"name":"Department of Cardiothoracic Surgery Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah Lindahl","family":"Veungen","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences Lund University  Lund Sweden"},{"name":"Department of Cardiothoracic Surgery Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annika M.","family":"Kisch","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences Lund University  Lund Sweden"},{"name":"Department of Haematology at Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Lennerling","sequence":"additional","affiliation":[{"name":"The Transplant Centre Sahlgrenska University Hospital  Gothenburg Sweden"},{"name":"Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Hjorth","sequence":"additional","affiliation":[{"name":"Department of Public Health and Caring Sciences Uppsala University  Uppsala Sweden"},{"name":"Centre for Clinical Research in Dalarna  Falun Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5410-0723","authenticated-orcid":false,"given":"Anna","family":"Forsberg","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences Lund University  Lund Sweden"},{"name":"Department of Cardiothoracic Surgery Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.592"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105312454909"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17218052"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2009.04.020"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.15385"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00059\u2010018\u20104745\u20108"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13647"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12951"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2008.07.017"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2009.11.003"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000400"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17155434"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trre.2021.100650"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0185036"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874434601206010030"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103999(94)00125\u2010o"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/02841860601009430"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102753.2011.01764.x"},{"volume-title":"IBM SPSS Statistics for Windows (Version 28). 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