{
  "abstract": "Background\n\nPsychological adaptation after solid organ transplantation extends beyond graft survival and includes transplant-specific emotional responses that may influence long-term health outcomes. However, factors associated with transplant-specific psychological adaptation remain insufficiently understood, particularly in Central European populations.Methods\n\nA multicentre cross-sectional study was conducted among 224 adult heart (n = 107) and kidney (n = 117) transplant recipients attending three Polish transplant centers. Participants completed the Transplant Effects Questionnaire (TxEQ), Hospital Anxiety and Depression Scale (HADS), General Self-Efficacy Scale (GSES), Life Orientation Test-Revised (LOT-R), and SF-36. We performed univariable and multivariable linear regression analyses separately for heart and kidney transplant recipients to identify factors associated with transplant-specific psychological adaptation.Results\n\nOverall psychological adaptation was favorable. Adherence demonstrated the highest TxEQ scores, whereas donor-related guilt and disclosure concerns were relatively low. Approximately 20.53% of participants reported clinically relevant anxiety symptoms and 14.2% reported depressive symptoms. In heart transplant recipients, better mental health-related quality of life was independently associated with greater adherence (β = 0.025, p = 0.003). Among kidney transplant recipients, higher donor-related guilt was associated with transplantation center, while greater disclosure was associated with male sex, transplantation center, and shorter time since transplantation (all p < 0.05). Several psychological variables were associated with selected domains of transplant-specific psychological adaptation, whereas demographic and clinical variables showed fewer significant associations.Conclusions\n\nThese findings indicate that several psychological variables were associated with transplant-specific psychological adaptation in long-term heart and kidney transplant recipients. Routine assessment of anxiety, mental health-related quality of life, and transplant-specific emotional responses may facilitate identification of recipients who could benefit from further psychosocial evaluation. Prospective studies are needed to determine whether these associations translate into improved long-term outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Faculty of Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-705 Kraków, Poland.",
    "Medical Institute, University of Applied Sciences in Nowy Targ, 34-400 Nowy Targ, Poland."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Irena Milaniak",
      "orcid": "0000-0002-6649-7545"
    },
    {
      "affs": [
        0
      ],
      "name": "Roksana Pawlikowska"
    },
    {
      "affs": [
        1
      ],
      "name": "Grażyna Dębska"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1y6jazfm402z6.bib",
  "cited_by": 0,
  "doi": "10.3390/healthcare14203551",
  "fulltext_url": "https://europepmc.org/articles/PMC13704155",
  "id": "1y6jazfm402z6",
  "issns": [
    "2227-9032"
  ],
  "landing_url": "https://europepmc.org/article/MED/42940595",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2747|Organ and Tissue Transplantation Research"
    ]
  ],
  "openalex": "W7223181716",
  "pdf_url": "https://europepmc.org/articles/PMC13704155?pdf=render",
  "pmcid": "PMC13704155",
  "pmid": "42940595",
  "published": "2026-10-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/1y6jazfm402z6.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:22:12Z",
      "native_id": "MED:42940595",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42940595"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2747|Organ and Tissue Transplantation Research",
      "subfield": "surgery"
    }
  ],
  "title": "Factors Associated with Transplant-Specific Psychological Adaptation Among Heart and Kidney Transplant Recipients.",
  "title_text": "Factors Associated with Transplant-Specific Psychological Adaptation Among Heart and Kidney Transplant Recipients.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:12Z",
  "url": "https://research.draconitic.com/paper/1y6jazfm402z6",
  "venue": "Healthcare (Basel, Switzerland)",
  "versions": []
}