Quality of Life and Mental Health Comparisons Among Liver Transplant Recipients and Cirrhotic Patients with Different Self-Perceptions of Health

Pérez-San-Gregorio, María Ángeles; Martín-Rodríguez, Agustín; Domínguez-Cabello, E.; Fernández-Jiménez, E.; Bernardos-Rodríguez, A.

doi:10.1007/s10880-012-9309-0

Cited by 16 publications

(9 citation statements)

References 31 publications

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“…Liver transplantation is a therapeutic option which increases the patient’s quality of life, although not up to normative data (Fernández-Jiménez et al, 2012; Pérez-San-Gregorio et al, 2013). Such surgery forms part of a very stressful process which must be faced by the patients and their families.…”

Section: Introductionmentioning

confidence: 99%

Coping Strategies in Liver Transplant Recipients and Caregivers According to Patient Posttraumatic Growth

et al. 2017

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The purpose of this study was to analyze the differences in coping strategies employed by liver transplant recipients and their family members according to patient posttraumatic growth. Two matched groups of 214 liver transplant recipients and 214 family members were selected. The Posttraumatic Growth Inventory and Brief COPE were used. The most relevant results were: (1) Interactive effects in active coping, support (instrumental and emotional) and acceptance strategies, which were all used more by patients with higher growth levels, while their family members showed no differences in use of these strategies by patient growth level. Furthermore, while a low level of patient growth did not mark differences between them and their caregivers, a high level did, patients employing more active coping and support (instrumental and emotional), (2) In both groups a high level of patient growth was associated with more use of positive reframing and denial than a low one, and (3) Self-blame was employed by patients more than by their caregivers. It was concluded that a high level of posttraumatic growth in liver transplant recipients is associated with more use of healthy coping strategies, basically active coping, instrumental support, and emotional support.

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Section: Introductionmentioning

confidence: 99%

Coping Strategies in Liver Transplant Recipients and Caregivers According to Patient Posttraumatic Growth

et al. 2017

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“…Terminal liver disease is associated with severe physical and psychological decline. 1 The best medical option is liver transplantation, which provides longer survival and better quality of life. 2–4 However, even after liver transplantation, quality of life often remains below levels found in the general population, 5 because acute and chronic graft rejection, recurrence of liver disease or secondary effects of immunosuppressants are very stressful complications for patients and their families, 6–8 and may lead to the development of psychological disorders.…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic growth and its relationship to quality of life up to 9 years after liver transplantation: a cross-sectional study in Spain

et al. 2017

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ObjectiveLittle is known concerning post-traumatic growth (PTG) after liver transplantation. Against this backdrop the current study analysed the relationship between PTG and time since transplantation on quality of life. Furthermore, it compared PTG between liver transplant recipients and their caregivers.DesignCross-sectional case–control study.SettingUniversity Hospital in Spain.Participants240 adult liver transplant recipients who had undergone only one transplantation, with no severe mental disease, were the participants of the study. Specific additional analyses were conducted on the subset of 216 participants for whom caregiver data were available. Moreover, results were compared with a previously recruited general population sample.Outcome measuresAll participants completed the Posttraumatic Growth Inventory, and recipients also filled in the 12-Item Short-Form Health Survey. Relevant sociodemographic and clinical parameters were also assessed.ResultsIn the sample of 240 recipients, longer time since transplantation (>9 years) was associated with more pain symptoms (p=0.026). Regardless of duration, recipients showed lower scores on most quality of life dimensions than the general population. However, high PTG was associated with a significantly higher score on the vitality quality of life dimension (p=0.021). In recipients with high PTG, specific quality of life dimensions, such as bodily pain (p=0.307), vitality (p=0.890) and mental health (p=0.353), even equalled scores in the general population, whereas scores on general health surpassed them (p=0.006). Furthermore, liver transplant recipients (n=216) compared with their caregivers showed higher total PTG (p<0.001) and higher scores on the subscales relating to others (p<0.001), new possibilities (p<0.001) and appreciation of life (p<0.001).ConclusionsOur findings highlight the protective role of PTG in the long-term outcome of liver transplant recipients. Future studies should analyse and develop psychosocial interventions to strengthen PTG in transplant recipients and their caregivers.

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“…It is well-known that transplantation improves the HRQoL, as well as the mental status, when compared to those patients on an LT waiting list [7, 11]. However, there are currently only a few examinations that have focused on these particular outcome variables among Re-LT recipients [9, 12–14].…”

Section: Introductionmentioning

confidence: 99%

Primary liver transplantation and liver retransplantation: comparison of health-related quality of life and mental status – a cross-sectional study

Broschewitz

Wiltberger

Krezdorn

et al. 2017

Health Qual Life Outcomes

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BackgroundLiver Retransplantation (Re-LT) procedures are associated with an increased risk of morbidity and mortality. Up to date, there is no knowledge on the health-related quality of life and the mental status of these patients.MethodsHealth-Related Quality of Life (HRQoL) was assessed by using the Short Form 36 (SF-36) Health Survey and Mental Status was assessed by using the Hospital Anxiety and Depression Scale (HADS). The patients were examined in different assessments: During regular check-up examinations in the LT outpatient department in 2011 (Survey 1) and in a postal survey in 2013 (Survey 2). Their medical data was collected by using an established database.ResultsWe received eligible surveys of 383 patients (55.6%) with a history of LT, of which 15 (3.9%) had undergone Re-LT (Re-LT group). These patients were compared to a group of 60 patients who had undergone only one LT. With regard to their HRQoL, the Re-LT group had significantly lower scores on the scales of physical function (PF, p = 0.026), their role-physical (RP, p = 0.008), their vitality (VIT, p = 0.040), and their role-emotional (RE, p = 0.005). The scores for anxiety and depression did not differ significantly between the groups. In a multiple regression analysis, chronic kidney disease was found to be an independent risk factor for decreased scores of PF (p = 0.023).ConclusionsPatients who have to undergo Re-LT procedures are faceing impairments in physical aspects of a HRQoL. Together with clinical results from other studies, the findings of the present examination underline the need for an optimized organ distribution strategy since not all patients listed for Re-LT appear to benefit from it.

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Quality of Life and Mental Health Comparisons Among Liver Transplant Recipients and Cirrhotic Patients with Different Self-Perceptions of Health

Cited by 16 publications

References 31 publications

Coping Strategies in Liver Transplant Recipients and Caregivers According to Patient Posttraumatic Growth

Coping Strategies in Liver Transplant Recipients and Caregivers According to Patient Posttraumatic Growth

Post-traumatic growth and its relationship to quality of life up to 9 years after liver transplantation: a cross-sectional study in Spain

Primary liver transplantation and liver retransplantation: comparison of health-related quality of life and mental status – a cross-sectional study

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