Psychosocial functioning in patients with alcohol-related liver disease post liver transplantation

Pegum, Nell; Connor, Jason P.; Young, Ross McD.; Feeney, Gerald F.X.

doi:10.1016/j.addbeh.2015.01.021

Cited by 11 publications

(5 citation statements)

References 29 publications

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“… 39 Following the transplantation surgery, significant improvements are generally seen in anxiety and depression symptoms. 40 However, patients may face mental distress and stress 41 associated with poor adherence. Life-long immunosuppressant therapy, medical monitoring, and the ever-present risk of graft rejection or failure are stress factors.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation

Moayed¹,

Ebadi²,

Mohammadi³

et al. 2018

PPA

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IntroductionLiver transplantation is the global treatment of end-stage liver diseases. Since the patients’ survival rate has been improved, the patient may experience reductions in physical, cognitive, and psychosocial functions after liver transplantation influencing their adherence to care and treatment. The transplant survival is complex and patients’ adherence to care and treatment should be considered when health care providers make decisions regarding treatment. This qualitative study aimed to explore factors influencing health self-management in adherence to care and treatment among the recipients of care and treatment.MethodsIn this study, 23 interview sessions were carried out with a total 18 patients, 2 family members and 3 transplantation team members from May to November 2017. The patients were selected using the purposive method from both genders, with a various age range and initial diseases leading to liver transplantation, and time passed from liver transplantation. A semi-structured interview guide was developed based on literature review and pilot interviews. The participants were asked to describe their experiences of self-management behaviors in adherence to treatment and care. The data were analyzed using a conventional content analysis method and managing via the MAXQDA-10 software.ResultsTwo themes were developed during data analysis as “self-regulation” and “self-care”. “Self-regulation” consisted of “intentionally changing”, “positively thinking”, “information seeking”, “problem-solving”, “past knowledge transferring”, and “self-controlling”. “Self-care” had three sub-themes “shift to independence”, “vigilance”, and “self-care support”.ConclusionThe participants perceived the health self-management in adherence to care as a set of factors related to “self-regulation” and “self-care” behaviors. “Self-regulation” is required to create a balance in life. Also, “self-care” efforts can help with maintaining and improving patients’ health.

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Section: Discussionmentioning

confidence: 99%

Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation

Moayed¹,

Ebadi²,

Mohammadi³

et al. 2018

PPA

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“…[23][24][25][26] However, a small number of patients posttransplant report the following disorders: major depression or recurrence of depression, [27][28][29][30][31][32] family dysfunction, 20,23,33 anxiety disorders, 34,35 and drug and/or alcohol abuse. [36][37][38][39][40] Therefore, the underlying conditions should be treated and will require close monitoring for emerging psychological symptoms before and after transplantation.…”

Section: Psychological Aspects In Transplantation Medicinementioning

confidence: 99%

“…Reviewing the patients' use of alcohol and exposure to illicit substances are an essential part of the evaluation process. [36][37][38][39][40] Careful review of consumption patterns, evidence of binge drinking, tolerance, adverse consequences of use, loss of control, and previous chemical dependence treatment is required. For patients with evidence of an abusive pattern of alcohol or substance use, chemical dependence treatment with ongoing participation in a sobriety program such as Alcoholics Anonymous provides the most comprehensive approach to support posttransplant sobriety.…”

Section: Substance Abusementioning

confidence: 99%

Preoperative psychological evaluation of transplant patients: challenges and solutions

Kumnig¹,

Jowsey‐Gregoire²

2015

TRRM

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Psychological assessments are crucial for the evaluation and optimization of the suitability of transplant patients. The interdisciplinary evaluation in modern transplantation medicine focuses on important psychosocial issues, such as assessing patients' characteristics that predict best postoperative outcome after solid organ transplantation. When assessing patients for reconstructive hand transplantation, the psychological evaluation should identify whether reconstructive hand transplantation is the best treatment option to regain functionality and sensation, to resolve body image concerns, and to improve health-related quality of life (HRQOL) for each patient. These psychosocial issues in transplantation medicine are receiving increased attention; however, standardized psychological evaluation and follow-up protocols are still being developed. Previously published reports in transplantation medicine have attempted to identify psychosocial factors important in the evaluation of transplant patients and that predict psychosocial outcomes. This review will provide an overview of recent investigations in solid organ and vascularized composite allotransplantation (VCA), including the domains of evaluation, pre-and posttransplant follow-up, psychiatric complications, evaluation of body image, and HRQOL. Recent work highlights the potential for a multicenter research approach utilizing standardized assessment strategies and emphasizing the need for a shared assessment approach to understand psychosocial outcomes. For example, the Chauvet Workgroup convened in 2014 in Paris with stakeholders in the assessment of psychosocial factors to discuss key areas and propose an ongoing shared effort across centers in addressing important questions related to psychosocial care of VCA. A successful transplantation requires a multistaged multidisciplinary psychosocial evaluation to identify those most suited to solid organ or reconstructive transplantation and minimize psychological morbidity. With this in place, current transplant psychosocial practices can be useful for solid organ transplantation and refined for VCA. This review will present potential challenges and solutions for guideline development in both solid organ and VCA.

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“…Several studies have been performed regarding the psychosocial factors of liver donors [25][26][27][28], but the psychosocial functioning of LT recipients with ALD has drawn little attention. Pegum et al found a decreased severity of depression and anxiety and improved quality of life among ALD patients after they received LT [26]. In a survey study, LT recipients with ALD demonstrated an obvious burden of substance use, mental health symptoms, and disability [29].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Psychosocial Factors in Liver Transplantation Candidates with Alcoholic Liver Disease before Transplantation: A Retrospective Study in a Single Center in Taiwan

Chen

Wang

et al. 2020

IJERPH

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Liver transplantation (LT) is an essential treatment for end-stage alcoholic liver disease (ALD). The patients’ psychosocial condition plays a vital role in post-transplantation prognosis. A survey of the candidates’ psychosocial wellbeing is necessary before LT. This study aims to investigate the psychosocial characteristics, including the depression degree, family function, alcohol use duration, and alcohol abstinence period, of LT candidates with ALD. In addition, 451 candidates for LT due to ALD were enrolled. They received psychosocial evaluations, including depression scale (Hamilton depression rating scale) and family functioning assessment (adaptability, partnership, growth, affection, resolve (APGAR) index). The test scores were analyzed according to age, alcohol use duration, and alcohol abstinence period. The Hamilton depression rating scale (HAM-D) score and the family APGAR index score differentiated significantly according to the age, alcohol use duration, and abstinence period of the LT candidates. The patients with shorter alcohol use duration tended to have more severe depressive symptoms and poorer family support. The younger patients showed a significantly shorter abstinence period, more severe depression, and poorer family functioning than older patients. The younger ALD patients and patients with shorter alcohol use duration showed an increased severity of depression before transplantation. They need more mental health care over time.

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Psychosocial functioning in patients with alcohol-related liver disease post liver transplantation

Abstract: Psychosocial adjustment also improved significantly post liver transplantation.

Cited by 11 publications

References 29 publications

Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation

Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation

Preoperative psychological evaluation of transplant patients: challenges and solutions

Characteristics of Psychosocial Factors in Liver Transplantation Candidates with Alcoholic Liver Disease before Transplantation: A Retrospective Study in a Single Center in Taiwan

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