Body Image in Liver Transplantation Recipients

Zimbrean, Paula C.; Gan, Geliang; Deng, Yanhong; Emre, Sükrü

doi:10.1002/lt.25432

Cited by 16 publications

(7 citation statements)

References 52 publications

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“…(Yıldız, 2021). It has been reported that psychosocial problems are observed in individuals after transplantation, and there are many studies showing that these problems reduce the quality of life of LT recipients, and if not treated, may lead to problems progressing to rejection of the transplant (Calia et al, 2011; Dobbels et al, 2008; Miller et al, 2013; Rice et al, 2013; Zimbrean et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Effects of Illness Perception on Self-Care Agency and Hopelessness Levels in Liver Transplant Patients: A Descriptive Cross-Sectional Study

Demir

2021

Clin Nurs Res

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Individuals with liver transplantation (LT), hopelessness, and lack of self-care may occur and change in the illness perceptions; however, no study has examined the effects of the illness perceptions on self-care agency and hopelessness levels in individuals with LT. This study was conducted to examine the effects of the illness perceptions of patients who had received LT surgery on their self-care agency and hopelessness levels. A descriptive cross-sectional study with a convenience sample ( N = 120) was conducted at a center in eastern Turkey. The data were collected by using the “Brief Illness Perception Questionnaire” (B-IPQ), “Self-Care Agency Scale” (SCAS), “Beck Hopelessness Scale” (BHS). In the study, the mean total B-IPQ, SCAS, BHS scores was found as 57.50 ± 3.61, 83.83 ± 9.43, 10.19 ± 3.81, respectively. There was a positive and significant relationship between the B-IPQ and BHS total scores.

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Section: Introductionmentioning

confidence: 99%

Effects of Illness Perception on Self-Care Agency and Hopelessness Levels in Liver Transplant Patients: A Descriptive Cross-Sectional Study

Demir

2021

Clin Nurs Res

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“…Depression has been shown to affect patients with terminal cardiothoracic disease significantly more when compared with patients suffering from hepatic failure (35). Negative body image, which we observed to be the most pronounced in patients evaluated for HTx, has been correlated with anxiety and depression, suggestive of a role in the setting of organ transplantation (15,36). Lack of perceived social support has been correlated with increased occurrence of depression and reduced quality of life in lung transplant patients (34).…”

Section: Discussionmentioning

confidence: 80%

“…The scores can range from 0 to 21 and can be interpreted dimensionally as well as categorically. Established cutoffs are minimal (<5), mild (5)(6)(7)(8)(9), moderate (10)(11)(12)(13)(14), and severe (15)(16)(17)(18)(19)(20)(21). In our sample, the reliability was Cronbach α = .88.…”

Section: Questionnairesmentioning

confidence: 73%

“…Therefore, it is evaluated in the psychosocial evaluation process. Body Image has been linked to psychological organ integration after transplant, and organ-specific discrepancies have been reported (15). Changes in body image have mostly been measured after transplantation, so the question of pretransplantation differences is still not sufficiently answered.…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial Characteristics of Patients Evaluated for Kidney, Liver, or Heart Transplantation

et al. 2022

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ObjectivePsychosocial parameters play a pivotal role in organ recipient evaluation before wait-listing for transplantation because of their impact on organ and patient outcome. Patients in need of heart (HTx), liver (LTx), or kidney transplantation (KTx) face distinct physical and psychological challenges. This study compares the psychosocial characteristics and preferences for additional therapy for patients undergoing assessment for these three types of organ transplantation to optimize patient-tailored psychological, social, and other supportive interventions.MethodsWe conducted a cross-sectional, observational study with 1110 potential transplantation candidates (LTx, n = 544; KTx, n = 330; HTx, n = 236), psychosocial status was determined for depressive symptoms (Patient Health Questionnaire Depression Scale), anxiety symptoms (seven-item Generalized Anxiety Disorder Screener), health-related quality of life (36-Item Short Form Health Survey), perceived social support (Perceived Social Support Questionnaire), sense of coherence (SoC; short form of the Sense of Coherence Scale), self-efficacy (General Self-Efficacy Short Scale), and body image (German Body Image Questionnaire-20). Preferences for additional supportive therapy were assessed dichotomously. Data were analyzed using multivariate analysis of covariance and χ2 tests.ResultsPatient groups differed significantly regarding depression (F(2,1107) = 35.283, p < .001, partial η2 = 0.01), anxiety (F(2,1107) = 15.027, p < .001, partial η2 = 0.03), health-related quality of life (physical: F(2,1107) = 96.772, p < .001, partial η2 = 0.15; mental: F(2,1107) = 11.442, p < .001, partial η2 = 0.02), perceived social support (F(2,1107) = 20.813, p < .001, partial η2 = 0.04), SoC (F(2,1107) = 12.920, p < .001, partial η2 = 0.02), self-efficacy (F(2,1107) = 17.308, p < .001, partial η2 = 0.03), and body image (rejecting body evaluation: F(2,1107) = 5.006, p = .007, partial η2 = 0.01; vital body dynamics: F(2,1107) = 40.216, p < .001, partial η2 = 0.07). Patients evaluated for HTx showed the highest psychosocial impairment and the highest inclination regarding additional supportive therapy.ConclusionsPatients evaluated for HTx, LTx, and KTx have distinct psychosocial characteristics and treatment preferences. HTx patients display the highest psychosocial impairment. We suggest psychocardiological treatment structures for optimal outcome.

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“…( 33 ) A cross‐sectional survey study of 61 liver transplant recipients found significant associations of negative self‐perceived body image with self‐reported sedentary physical activity and low QOL. ( 34 ) With respect to liver disease etiology, QOL was lowest for recipients transplanted for HCV and alcoholic liver disease. ( 32 )…”

Section: Physical Activity and Qol After Liver Transplantationmentioning

confidence: 99%

Physical Function, Physical Activity, and Quality of Life After Liver Transplantation

et al. 2020

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Robust physical activity after liver transplantation is an important determinant of longterm health, similar in its importance to the value of pretransplant activity for withstanding the immediate stress of transplantation. Although transplantation normally enables rapid recovery of liver synthetic and metabolic functions, the recovery of physical capacity and performance to normal levels is delayed and often incomplete. Anatomic measurements of sarcopenia and the physical performance indicators of frailty both tend to improve slowly, and they may, in fact, decrease further in the posttransplant period, especially when the common extrahepatic drivers of muscle loss, such as the elements of the metabolic syndrome, persist or intensify after transplantation. Posttransplant exercise improves fitness, which is a conclusion based on 2 observational studies and 3 randomized trials that assessed endpoints of strength testing, energy expenditure in metabolic equivalents, and peak or maximal oxygen uptake. Importantly, 1 controlled trial found that exercise also improved quality of life (QOL) measured by the Short Form 36 survey, consistent with multiple reports of the value of social support and engagement in sports activity for improving posttransplant QOL. Developing evidence-based standards for post-liver transplant physical activity baseline testing and sustainment of intensity and quality is a key unmet need in transplant hepatology. At present, it is reasonable for transplant teams to assess fitness and design a tailored exercise program when a recipient is first discharged, to record and reinforce progress at all posttransplant visits, and to set realistic longterm performance goals that will often achieve recommended standards for the healthy general population. Liver Transplantation 26 702-708 2020 AASLD. Dunn et Al.Abbreviations: HCV, hepatitis C virus; LFI, Liver Frailty Index; MET, metabolic equivalent; PTMS, posttransplant metabolic syndrome; QOL, quality of life; SMI, skeletal muscle index; VO 2 max, maximum oxygen consumption; VO 2 peak, peak oxygen consumption.Address reprint requests to Michael A. Dunn, M.D.

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Body Image in Liver Transplantation Recipients

Cited by 16 publications

References 52 publications

Effects of Illness Perception on Self-Care Agency and Hopelessness Levels in Liver Transplant Patients: A Descriptive Cross-Sectional Study

Effects of Illness Perception on Self-Care Agency and Hopelessness Levels in Liver Transplant Patients: A Descriptive Cross-Sectional Study

Psychosocial Characteristics of Patients Evaluated for Kidney, Liver, or Heart Transplantation

Physical Function, Physical Activity, and Quality of Life After Liver Transplantation

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