Coping strategies, anxiety and depression related to the COVID-19 pandemic in lung transplant candidates and recipients. Results from a monocenter series - 07/07/21

Doi : 10.1016/j.resmer.2021.100847

Alice Savary, MSc ¹, Malika Hammouda, RN ¹, Lucie Genet, RN ¹, Cendrine Godet, MD ^1,², Vincent Bunel, MD ^1,², Gaelle Weisenburger, MD ^1,², Tiphaine Goletto, MD ¹, Chahine Medraoui, MD ¹, Gilles Jebrak, MD ¹, Armelle Marceau, MD ¹, Alexy Tran-Dinh, MD, PhD ^2,³, Pierre Mordant, MD, PhD ^2,⁴, Yves Castier, MD, PhD ^2,⁴, Philippe Montravers, MD, PhD ^2,³, Herve Mal, MD, PhD ^1,², Jonathan Messika, MD, PhD ^1,^2,^5,^⁎
for the Bichat Lung Transplant Group
¹ APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018, Paris, France
² Université de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France
³ APHP, Hôpital Bichat, Département d'Anesthésie et Réanimation, F-75018, Paris, France
⁴ APHP, Hôpital Bichat, Chirurgie Vasculaire, Thoracique et Transplantation, F-75018, Paris, France
⁵ Paris Transplant Group, Paris, France

^⁎Corresponding author: Dr Jonathan Messika, Service de Pneumologie B et Transplantation Pulmonaire, Hôpital Bichat Claude Bernard, 46 rue Henri Huchard, 75018 Paris, Tel: +33 1 40 25 69 19, Fax: + 33 1 40 25 61 04Service de Pneumologie B et Transplantation PulmonaireHôpital Bichat Claude Bernard46 rue Henri HuchardParis75018

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Abstract

Background

The COVID-19 pandemic has been associated with an increase in anxiety and depression symptoms in people. We investigated the impact of the pandemic on coping strategies and anxiety and depression in lung transplantation (LT) recipients and patients with end-stage chronic lung disease awaiting LT.

Methods

We retrospectively investigated coping strategies by using the Coping Inventory for Stressful Situations questionnaire and anxiety and depression symptoms by the Hospital Anxiety and Depression scale in 115 LT candidates and recipients.

Results

Overall, 63 participants (20 women; median age 59 years [interquartile range 52-65]) answered one or both questionnaires (49 LT recipients and 14 LT candidates). The preferred coping strategy was task-focused for 51 (86.4%) participants, with no difference between LT recipients and candidates nor according to the main anamnestic and clinical data. Eleven patients had suspected or proven depression symptoms, and 18 had suspected or proven anxiety symptoms. Coping strategies related to COVID-19 did not differ by presence of anxiety or depression symptoms.

Conclusion

In the current pandemic, healthcare professionals should consider these results to provide relevant psychological help to these fragile populations and promote a systematic and wide multidisciplinary assessment of LT recipients and candidates.

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Abbreviations : COVID-19, CISS, HADS, LT

Keywords : Lung transplantation, COVID-19, Coping strategy, Anxiety, Depression

Plan

Medical and psychological management of LT candidates and recipients

COVID-19 pandemic in France

Statistical analysis

Results

Demographics of participants

Coping strategies related to the pandemic

Anxiety and depression

Discussion

Main findings

Coping strategies

Anxiety, depression and chronic respiratory diseases

Implication for clinical practice

Strengths and limitations

Conclusion

Uncited References:

	Funding: None
	Authors’ contributions AS designed the study, collected the data, analyzed the data, and wrote the paper; MH, LG, CG, VB, GW, TG, CM, GJ, AM, ATD, PM, YC, PhM, HM analyzed the data and critically reviewed the manuscript; JM designed the study, analyzed the data, and wrote the paper
	Investigators of the Bichat Lung Transplant Group Monique Ametis, Gwenn Frère, Agnès Abadie, Diego Ferreira, Sandrine Tissot, Linda Hajouji-Idrissi, Enora Atchade, Sebastien Tanaka, Aurélie Snauwert, Parvine Tashk, Sandrine Boudinet, Aurélie Gouel, Sylvain Jean-Baptiste, Brice Lortat-Jacob, Arnaud Roussel, Quentin Pellenc, Pierre Cerceau, Zohra Brouk