Coping and quality of life in patients awaiting lung transplantation

Abstract

Objective Patients with end-stage lung disease experience significant decrements in quality of life (QOL). Although coping strategies are related to QOL in patients with end-stage lung disease, the extent to which specific native lung disease moderates this relationship is unknown. Methods We investigated the relationship between coping, native lung disease, and QOL among 187 patients awaiting lung transplantation, including 139 patients with chronic obstructive pulmonary disease (COPD) and 48 patients with cystic fibrosis (CF). Participants completed a psychosocial battery assessing psychological QOL, physical QOL, and coping strategies. Results For both COPD and CF patients, higher levels of Active Coping (P < .0001) and lower levels of Disengagement (P < .0001) were associated with better psychological QOL. For physical QOL, we observed a native disease by coping interaction (P = .01) such that Active Coping was associated with better physical QOL in patients with COPD but not in patients with CF. Conclusion The relationship between coping and QOL may vary as a function of native lung disease. In order to develop effective interventions to help patients cope successfully with end stage lung disease, patients’ native disease may need to be considered.

Quality of life in women with urinary incontinence

“…24 Studies found that the following coping strategies: active coping, 25 acceptance of the disease, being optimistic, 26 expression of feelings, 27 positive religious coping, 28 were associated with better quality of life. 29 Other studies revealed that behavioral disengagement, 25 self-blame, 30 high distraction, 26 and negative religious coping, such as a pessimistic view of the world and spiritual discomfort 28 were associated with worse quality of life, in patients with chronic diseases.…”

Emotions while awaiting lung transplantation: A comprehensive qualitative analysis

“…Anxiety (35%), depression (19%) and panic attacks (63%) are reported to be higher in patients with chronic obstructive pulmonary disease (COPD) as they suffer from more disruptive respiratory symptoms. Consequently, a thorough evaluation of the combined effects of physical and psychological aspects should be part of the pre-transplantation follow-up (Taylor et al, 2008). …”

“…In lung patients, disengagement is associated with depression, anxiety and stress (Taylor et al, 2008). In heart-transplant-awaiting patients, denial and depression correlate with poor adaptive ability (Burker et al, 2005).…”

Factores psicosociales predictores de la calidad de vida en personas en situación de discapacidad física.

“…Tal es el caso de las investigaciones realizadas en pacientes con epilepsia (Endermann & Zimmermann, 2009), diversos tipos de cáncer (Gaviria et al, 2007;Costa Neto, & Cavalcanti, 2005); enfermedad pulmonar obstructiva crónica EPOC (Taylor et al, 2008;Vinaccia et al, 2006b;Pérez et al, 2005); insuficiencia renal crónica (Contreras et al, 2007;Pucheu, et al, 2004); pacientes con fallas cardiacas y enfermedades cardiovasculares crónicas (Krethong et al, 2007); hiperplasia prostática (Vinaccia et al, 2006a); dispepsia no ulcerosa (Cano et al, 2006); fibrosis quística (Abbott et al, 2008); diabetes mellitus tipo 2 (Pirkola et al, 2009), y pacientes con dolor crónico (Taylor, Dean, & Siegert, 2006). En el campo de la salud mental se ha estudiado la calidad de vida y la calidad de vida relacionada con la salud en pacientes diagnosticados con esquizofrenia (Awad, Voruganti, & Heslegrave, 1997;Caqueo & Lemos, 2008;Narváez et al, 2008); desorden obsesivo compulsivo (Albert et al, 2009), y diagnóstico de depresión (Gallegos et al, 2009).…”

“…En relación con variables psicológicas se ha encontrado que el afrontamiento es un factor que determina significativamente la calidad de vida en personas con discapacidad o en condiciones crónicas de enfermedad (Abbott et al, 2008;Cano et al, 2006;Contreras et al, 2007;Gaviria et al, 2007;Groot & Van Den Brink, 2007;Desmond & MacLachlan, 2006;Taylor et al, 2008;Velasco & Londoño, 2010;Vinaccia, et al, 2006b). En las personas con discapacidad física, así como en otros grupos poblacionales, pueden existir diferencias importantes en los estilos de afrontamiento utilizados para adaptarse a problemas y dificultades relacionadas con la discapacidad y con la vida diaria.…”