Life Satisfaction and Burnout among Heart , Lung , Liver and Kidney Transplant Patients and their Spouses Running head : Life Satisfaction and Burnout after Transplantation

Objective: While a number of studies have dealt with the psychosocial consequences of transplantation for patients, we know comparatively little about the strains faced by their spouses. The present study investigates the psychosocial health of transplant patients and their spouses, as well as the link between these groups’ physical and psychosocial status, on the one hand, and their degree of burnout and level of life satisfaction on the other. Design: In a cross-sectional study, 121 patients and their spouses are surveyed by questionnaire following heart, lung, liver, or kidney transplant. Methods: The psychosocial parameters investigated in both patients and spouses are sense of coherence, quality of life, quality of the relationship, life satisfaction, and burnout. Results: Patients rate the quality of the relationship higher than their partners do, and they are more satisfied with the relationship than their spouses are (p < .001). Regression analyses show that patients’ life satisfaction is associated with quality of the relationship. Evidence of a full burnout syndrome can be found in three of the patients and two of the spouses. Burnout in the case of both patients and their partners is associated with limitations in one’s own sense of coherence and in one’s mental and physical health (multiple R2 = 0.79 for patients and 0.76 for spouses). Conclusion: Because of the importance of the couple’s relationship, psychosocial counseling should pay more attention to relationship satisfaction. Psychotherapeutic techniques should be used to improve the sense of coherence in both patient and spouse. DOI: https://doi.org/10.1024/1421-0185/a000079 Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-64347 Accepted Version Originally published at: Goetzmann, Lutz; Scholz, Urte; Dux, Raphaela; Roellin, Michaela; Boehler, Annette; Muellhaupt, Beat; Noll, Georg; Wüthrich, Rudolf P; Klaghofer, Richard (2012). Life satisfaction and burnout among heart, lung, liver, and kidney transplant patients and their spouses. Swiss Journal of Psychology, 71(3):125-134. DOI: https://doi.org/10.1024/1421-0185/a000079 Life Satisfaction and Burnout after Transplantation 1 Manuscript (SJP 714_R) accepted for Publication in Swiss Journal of Psychology Date of acceptation: 2011/10/10 Life Satisfaction and Burnout among Heart, Lung, Liver and Kidney Transplant Patients and their Spouses Running head: Life Satisfaction and Burnout after Transplantation Lutz Goetzmann, Urte Scholz, Raphaela Dux, Michaela Roellin, Annette Boehler, Beat Muellhaupt, Georg Noll, Rudolf P. Wüthrich, Richard Klaghofer 1 Department of Psychosomatic Medicine and Psychotherapy, Segeberger Kliniken, Bad Segeberg 2 Institute of Psychology, University of Bern 3 Department of Psychology, University of Zurich 4 Division of Pulmonology, University Hospital Zurich 5 Division of Gastroenterology and Hepatology, University Hospital Zurich 6 Division of Cardiology, University Hospital Zurich 7 Division of Nephrology, University Hospital Zurich 8 Department of Psychiatry and Psychotherapy, University Hospital Zurich Life Satisfaction and Burnout after Transplantation