{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T19:36:34Z","timestamp":1786476994643,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009320","name":"American Association of Critical-Care Nurses","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009320","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Heart transplantation (HTx) offers life\u2010saving treatment for advanced heart failure. While physical recovery is well\u2010documented, psychological recovery and health\u2010related quality of life (HRQOL) during early post\u2010discharge remains less well understood. This mixed\u2010methods study aims to describe changes in depression, anxiety, and HRQOL in HTx recipients from hospital discharge to three months, integrated with qualitative perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study enrolled 18 HTx recipients. Patient Health Questionnaire\u20108 (PHQ\u20108), Generalized Anxiety Disorder\u20107 (GAD\u20107), and the 36\u2010Item Short Form Health Survey (SF\u201036) were administered at both time points. For scaled responses, change and associations were evaluated using paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and correlations; semi\u2010structured interviews were examined using thematic analysis. Findings were integrated with a convergent matrix approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants (mean age 49 \u00b1 15.2) reported no significant changes in depression or anxiety at 3 months. HRQOL improved significantly in SF\u201036 physical functioning (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001), physical role limitations (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007), bodily pain (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and social functioning (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Qualitative findings characterized emotional recovery as early vulnerability and gradual adjustment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HRQOL improved significantly after discharge, while psychological recovery was unchanged. Integrated findings identified medication\u2010induced mood changes and social isolation as barriers to the strengthening of emotional well\u2010being during early recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70624","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T04:21:13Z","timestamp":1784262073000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["More Than a New Heart: Psychological Adjustment and Quality of Life Following Heart Transplantation, a Mixed\u2010Methods Study"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3082-6922","authenticated-orcid":false,"given":"Tao","family":"Zheng","sequence":"first","affiliation":[{"name":"American Association of Critical\u2010Care Nurses  Aliso Viejo California USA"},{"name":"University of Washington Medical Center  Seattle Washington USA"},{"name":"School of Nursing Biobehavioral Nursing and Health Informatics University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9337-0104","authenticated-orcid":false,"given":"Elaine A.","family":"Thompson","sequence":"additional","affiliation":[{"name":"School of Nursing Biobehavioral Nursing and Health Informatics University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7657-923X","authenticated-orcid":false,"given":"Kristoffer","family":"Rhoads","sequence":"additional","affiliation":[{"name":"School of Medicine Department of Neurology University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9776-0473","authenticated-orcid":false,"given":"Michael V.","family":"Vitiello","sequence":"additional","affiliation":[{"name":"School of Medicine Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7190-4627","authenticated-orcid":false,"given":"Hyo Chan","family":"Park","sequence":"additional","affiliation":[{"name":"School of Nursing Biobehavioral Nursing and Health Informatics University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4087-5413","authenticated-orcid":false,"given":"Cynthia M.","family":"Dougherty","sequence":"additional","affiliation":[{"name":"School of Nursing Biobehavioral Nursing and Health Informatics University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"ISHLT Fast Facts.Default. 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