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PTSD in Heart Transplant Recipients and Their Primary Family Caregivers

Received June 16, 1998; revised September 10, 1998; accepted November 6, 1998. From the Departments of Psychiatry, Psychology, Epidemiology, Medicine, and Surgery, University of Pittsburgh School of Medicine and Medical Center. Address correspondence and reprint requests to Dr. Stukas, Department of Psychology, University of Northern Colorado, McKee Hall, Greeley, CO 80639; e-mail: aastuka{at}bentley.unco.edu

Posttraumatic stress disorder associated with transplantation (PTSD-T) is a complication for some heart transplant recipients. By using a structured, standardized interview and DSM-III-R criteria, the authors examined whether recipients (n=158) and their family caregivers (n=142) showed similar PTSD-T rates and clinical characteristics during the first year posttransplant. Among the recipients, 10.5% met full criteria for the disorder and an additional 5% were probable cases. Among the caregivers, 7.7% met full criteria and an additional 11.0% were probable cases. Severity and duration of disorder were similar across the groups. Being female, having a history of psychiatric illness, and having lower friend support were increased risks for PTSD-T.

Key Words: Posttraumatic Stress Disorder • Transplants

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