Polish validation of the Transplant Effects Questionnaire
IntroductionThe Transplant Effects Questionnaire (TxEQ) assesses specific recipients’ reactions to receiving a transplanted organ, including worry about the transplant, Guilt regarding the donor, disclosure of having undergone transplantation, adherence to medical treatment, and responsibility to th...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2023-09-01
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Series: | Frontiers in Psychiatry |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1155672/full |
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author | Grażyna Dębska Irena Milaniak Alicja Dębska-Ślizień Filip Gołkowski |
author_facet | Grażyna Dębska Irena Milaniak Alicja Dębska-Ślizień Filip Gołkowski |
author_sort | Grażyna Dębska |
collection | DOAJ |
description | IntroductionThe Transplant Effects Questionnaire (TxEQ) assesses specific recipients’ reactions to receiving a transplanted organ, including worry about the transplant, Guilt regarding the donor, disclosure of having undergone transplantation, adherence to medical treatment, and responsibility to the donor, family, or medical staff. Poland has no standardized tool for evaluating the emotional reaction to transplantation. The study aimed to assess the basic psychometric properties, such as the reliability and validity of the Polish translation of TxEQ-PL.Materials and methodsThe study involved 84 patients after kidney transplantation. The average age of the subjects was 49.87 years (±15.27). The study used the diagnostic survey method, the Polish versions of the Revised Life Orientation Test (LOTR-R), the Mental Component Summary of the SF-36 (SF-36-MCS), and the Hospital Anxiety and Depression Scale (HADS). The Confirmatory Factor Analysis (CFA) was used to verify the factor structure of TxEQ -P.L. variables.ResultsThe TxEQ-PL version has satisfactory internal consistency for each subscale (Cronbach’s alpha > 0.7). The analysis showed a significant negative relationship between optimism (LOT-R) and the TxEQ-PL subscales: worry about transplant and disclosure of having undergone transplantation and a positive relationship in the subscale of adherence to medical treatment. In addition, a significant negative relationship was found between the subscale: adherence to medical treatment and the severity of depression and intensity of anxiety (HADS); also, a positive relationship with the Mental Component Summary of the SF-36 (SF-36-MCS). The intensity of anxiety and severity of depression were positively related to the TxEQ-PL subscale of disclosure of having undergone transplantation and negatively associated with the Mental Component Summary of the SF-36 (SF-36-MCS). The Confirmatory Factor Analysis confirmed the five-factor structure of the TXEQ-PL questionnaire (RMSEA = 0.083). Not the best fit is indicated by the value of comparative fit indexCFI = 0.813 and SRMR = 0.10. The result of the chi-squared test (220) = 340 was statistically significant; p < 0.001.ConclusionTxEQ-PL is useful for assessing emotional reactions to organ transplantation. The tool has a factor structure identical to the original English version and comparable psychometric properties. |
first_indexed | 2024-03-11T23:50:10Z |
format | Article |
id | doaj.art-6332788d44ed48efb27f415c026b6c13 |
institution | Directory Open Access Journal |
issn | 1664-0640 |
language | English |
last_indexed | 2024-03-11T23:50:10Z |
publishDate | 2023-09-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Psychiatry |
spelling | doaj.art-6332788d44ed48efb27f415c026b6c132023-09-19T07:36:51ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-09-011410.3389/fpsyt.2023.11556721155672Polish validation of the Transplant Effects QuestionnaireGrażyna Dębska0Irena Milaniak1Alicja Dębska-Ślizień2Filip Gołkowski3Faculty of Medicine and Health Sciences, Andrzej FryczModrzewski Krakow University, Krakow, PolandFaculty of Medicine and Health Sciences, Andrzej FryczModrzewski Krakow University, Krakow, PolandDepartment of Nephrology, Transplantology and Internal Medicine, Gdansk Medical University, Gdańsk, PolandFaculty of Medicine and Health Sciences, Andrzej FryczModrzewski Krakow University, Krakow, PolandIntroductionThe Transplant Effects Questionnaire (TxEQ) assesses specific recipients’ reactions to receiving a transplanted organ, including worry about the transplant, Guilt regarding the donor, disclosure of having undergone transplantation, adherence to medical treatment, and responsibility to the donor, family, or medical staff. Poland has no standardized tool for evaluating the emotional reaction to transplantation. The study aimed to assess the basic psychometric properties, such as the reliability and validity of the Polish translation of TxEQ-PL.Materials and methodsThe study involved 84 patients after kidney transplantation. The average age of the subjects was 49.87 years (±15.27). The study used the diagnostic survey method, the Polish versions of the Revised Life Orientation Test (LOTR-R), the Mental Component Summary of the SF-36 (SF-36-MCS), and the Hospital Anxiety and Depression Scale (HADS). The Confirmatory Factor Analysis (CFA) was used to verify the factor structure of TxEQ -P.L. variables.ResultsThe TxEQ-PL version has satisfactory internal consistency for each subscale (Cronbach’s alpha > 0.7). The analysis showed a significant negative relationship between optimism (LOT-R) and the TxEQ-PL subscales: worry about transplant and disclosure of having undergone transplantation and a positive relationship in the subscale of adherence to medical treatment. In addition, a significant negative relationship was found between the subscale: adherence to medical treatment and the severity of depression and intensity of anxiety (HADS); also, a positive relationship with the Mental Component Summary of the SF-36 (SF-36-MCS). The intensity of anxiety and severity of depression were positively related to the TxEQ-PL subscale of disclosure of having undergone transplantation and negatively associated with the Mental Component Summary of the SF-36 (SF-36-MCS). The Confirmatory Factor Analysis confirmed the five-factor structure of the TXEQ-PL questionnaire (RMSEA = 0.083). Not the best fit is indicated by the value of comparative fit indexCFI = 0.813 and SRMR = 0.10. The result of the chi-squared test (220) = 340 was statistically significant; p < 0.001.ConclusionTxEQ-PL is useful for assessing emotional reactions to organ transplantation. The tool has a factor structure identical to the original English version and comparable psychometric properties.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1155672/fullemotional responseTransplant Effects Questionnairevalidationkidneytransplant |
spellingShingle | Grażyna Dębska Irena Milaniak Alicja Dębska-Ślizień Filip Gołkowski Polish validation of the Transplant Effects Questionnaire Frontiers in Psychiatry emotional response Transplant Effects Questionnaire validation kidney transplant |
title | Polish validation of the Transplant Effects Questionnaire |
title_full | Polish validation of the Transplant Effects Questionnaire |
title_fullStr | Polish validation of the Transplant Effects Questionnaire |
title_full_unstemmed | Polish validation of the Transplant Effects Questionnaire |
title_short | Polish validation of the Transplant Effects Questionnaire |
title_sort | polish validation of the transplant effects questionnaire |
topic | emotional response Transplant Effects Questionnaire validation kidney transplant |
url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1155672/full |
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