부산대학교 도서관

To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1432-2277.2007.00503.x Byline: Heike Spaderna (1), Jacqueline M. A. Smits (2), Axel O. Rahmel (2), Gerdi Weidner (3) Keywords: depression; heart failure; heart transplant candidates; nutrition; physical activity; social isolation Abstract: Summary Mortality among heart transplant (HTX) candidates remains high. This review of the literature shows that psychosocial characteristics like depression, social isolation and coping strategies contribute to morbidity and mortality in heart failure (HF) patients, and may also be relevant to the prognosis of HTX candidates. Based on the research to date, physical activity favourably affects subjective and objective parameters not only in HF patients, but also in HTX candidates. Depression is prevalent among HTX candidates, especially in ischaemic patients, and seems to be related to earlier transplantation. Findings on the effects of depression on pretransplant mortality are conflicting. Not much is known concerning social isolation, coping, nutrition, or weight loss in this patient group. Identification of modifiable psychosocial and behavioural variables related to clinical status in this patient group is clearly needed and will aid the development of behavioural interventions to supplement medical therapies. Author Affiliation: (1) Psychological Institute, Johannes Gutenberg-University, Mainz, Germany (2) Eurotransplant International Foundation, Leiden, The Netherlands (3) Preventive Medicine Research Institute, Sausalito, CA, USA Article History: Received: 3 November 2006 Revision requested: 9 January 2007 Accepted: 30 April 2007 Article note: Dr Heike Spaderna, Psychologisches Institut, Johannes Gutenberg-Universitat, Staudingerweg 9, 5512 Mainz, Germany. Tel.: +49 6131 39 22683; fax: +49 6131 39 22483; e-mail: spaderna@uni-mainz.de