Coping strategies and quality of life among liver transplantation candidates

  1. Jurado Barba, Rosa
  2. Morales, Isabel
  3. Taboada, Diana
  4. Denia Ruiz, Francisca
  5. Mingote Adán, José Carlos
  6. Jiménez, Miguel Ángel
  7. Palomo Alvarez, Tomás
  8. Rubio, Gabriela
Revista:
Psicothema

ISSN: 0214-9915

Any de publicació: 2011

Volum: 23

Número: 1

Pàgines: 74-79

Tipus: Article

Altres publicacions en: Psicothema

Resum

Estrategias de afrontamiento y calidad de vida en candidatos para trasplante de hígado. El mantenimiento de la calidad de vida (CV) autopercibida en las personas en lista de espera para trasplante hepático es uno de los objetivos prioritarios de los equipos de trasplante. Aunque existen diferentes factores que determinan la CV, los resultados no son concluyentes. Nuestro objetivo fue evaluar la infl uencia de la etiología (cirrosis etílica y no-etílica) y las estrategias de afrontamiento empleadas sobre la CV. Seleccionamos una muestra de 93 pacientes, dividida en dos grupos: cirrosis etílica (CE) y cirrosis no-etílica (CNE). La CV se evaluó mediante la Escala de Salud SF-36 y las estrategias de afrontamiento con el Cuestionario Médico de Estrategias de Afrontamiento (MCMQ). Nuestros resultados indicaron que los sujetos con CE obtenían niveles de CV similares a los sujetos con CNE, en todas las escalas del SF-36 y MCMQ. Además, se encontraron correlaciones negativas entre las estrategias de afrontamiento de evitación y aceptación-resignación, con los componentes del SF- 36. Así, aceptación-resignación se asociaba con una peor percepción del funcionamiento físico, salud general y mental, vitalidad y rol-emocional. Estos resultados sugieren que la etiología de la cirrosis no es determinante de la CV, mientras que la aceptación-resignación como estrategia de afrontamiento conllevaría una autopercepción de la CV más baja.

Referències bibliogràfiques

  • Aadahl, M., Hansen, B.A., Kirkegaard, P., & Groenvold, M. (2002). Fatigue and physical function after orthotopic liver transplantation. Liver Transplantation, 8, 251-259.
  • Alonso, Prieto, L., & Antó, J.M. (1995). La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Medicina Clinica (Barcelona), 104, 771-776.
  • Alonso, Regidor, E., Barrio, G., Prieto, L., Rodríguez, C., & de la Fuente, L. (1998). Valores poblacionales de referencia de la version Espanola del Cuestionario de Salud SF-36. Medicina Clínica (Barcelona), 111(11), 410-416.
  • Ashby, J.S., & Lenhart, R.S. (1994). Prayer as a coping strategy for chronic pain patients. Rehabilitation Psychology, 39, 205-209.
  • Bownik, H., & Saab, S. (2009). Health-related quality of life after liver transplantation for adult recipients. Liver Transpl, 15, Suppl. 2, S42-49.
  • Bravata, D.M., Olkin, I., Barnato, A.E., Keeffe, E.B., & Owens, D.K. (1999). Health-related quality of life after liver transplantation: A metaanalysis. Liver Transplantation Surgery, 5(4), 318-331.
  • Burra, P., De Bona, M., Canova, D., Feltrin, A., Ponton, A., Ermani, M., et al. (2005). Longitudinal prospective study on quality of life and psychological distress before and one year after liver transplantation. Acta Gastroenterologica Belgica, 68(1), 19-25.
  • Chung, T., Langenbucher, J., Labouvie, E., Pandina, R.J., & Moos, R.H. (2001). Changes in alcoholic patients' coping responses predict 12-month treatment outcomes. Journal of Consulting and Clinical Psychology, 69(1), 92-100.
  • Collins, C., & Labott, S. (2007). Psychological assessment of candidates for solid organ transplantation. Professional Psychology: Research and Practice, 38(2), 150-157.
  • Cowling, T., Jennings, L.W., Jung, G.S., Goldstein, R.M., Molmenti, E., Gonwa, T.A., et al. (2000). Comparing quality of life following liver transplantation for Laennec's versus non-Laennec's patients. Clinical Transplantation, 14(2), 115-120.
  • Estraviz, B., Quintana, J.M., Valdivieso, A., Bilbao, A., Padierna, A., de Urbina, J.O., et al. (2007a). Factors influencing change in health-related quality of life after liver transplantation. Clinical Transplantation, 21(4), 481-499.
  • Estraviz, B., Quintana, J.M., Valdivieso, A., Bilbao, A., Padierna, A., de Urbina, J.O., et al. (2007b). Factors influencing change in health-related quality of life after liver transplantation. Clin Transplant, 21(4), 481-499.
  • Feifel, H., Strack, S., & Nagy, V. T. (1987). Coping strategies and associated features of medically ill patients. Psychosomatic Medicine, 49(6), 616-625.
  • First, M.B., Spitzer, R.L., Gibbon, M., & Williams, J.B.W. (1995). Structured Clinical Interview for DSM-IV Axis I Disorders - Patient Edition (SCID-I/P v.2). New York: New York State Psychiatric Institute, Biometrics Research Department.
  • Forsberg, A., Backman, L., & Svensson, E. (2002). Liver transplant recipients' ability to cope during the first 12 months after transplantation- -a prospective study. Scandinavian Journal of Caring Science, 16(4), 345-352.
  • Garrido-Cantarero, G., & Matesanz-Acedos, R. (2007). Epidemiology of transplantation in Spain. Enfermedades Infecciosa y Microbiología Clínica, 25(1), 54-62.
  • Georgiou, G., Webb, K., Karen, G., Copello, A., James, N., & Day, E. (2003). First report of a psychosocial intervention for patients with alcohol-related liver disease undergoing liver transplantation. Liver Transplantation, 9(7), 772-775.
  • Gledhill, J., & Burroughs, A. (1999). Psychiatric and social outcome following liver transplantation for alcoholic liver disease: A controlled study. Journal of Psychosomatics Research 46, 359-368.
  • Gutteling, J.J., de Man, R.A., Busschbach, J.J., & Darlington, A.S. (2007a). Health-related quality of life and psychological correlates in patients listed for liver transplantation. Hepatol Int, 1(4), 437-443.
  • Gutteling, J.J., de Man, R.A., Busschbach, J.J., & Darlington, A.S. (2007b).Overview of research on health-related quality of life in patients with chronic liver disease. The Netherlands Journal of Medicine, 65(7), 227-234.
  • Holahan, C.J., & Moos, R.H. (1987). Personal and contextual determinants of coping strategies. Journal of Personality and Social Psychology, 52(5), 946-955.
  • Keown, P. (2001). Improving quality of life--the new target for transplantation. Transplantation, 72(12 Suppl.), S67-74.
  • Kraus, M.R., Schafer, A., Csef, H., Scheurlen, M., & Faller, H. (2000). Emotional state, coping styles and somatic variables in patients with chronic hepatitis C. Psychosomatics, 41(5), 377-384.
  • Lazarus, R.S. (1993). Coping theory and research: Past, present and future. Psychosomatic Medicine, 55, 234-247.
  • Lenhart, R.S., & Ashby, J.S. (1996). Cognitive coping strategies and coping modes in relation to chronic pain disability. Journal of Applied Rehabilitation Counseling, 27, 15-18.
  • Liver transplantation. National Institutes of Health Consensus Development (1983). Natl Inst Health Consens Dev Conf Summ, 4(7), 15 p.
  • McHorney, C.A., Ware, J.E., Jr., & Raczek, A.E. (1993). The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care, 31(3), 247-263.
  • Minazzato, L., Amodio, P., Cillo, U., Zanus, G., Schiff, S., Bombonato, G., et al. (2009). Subjective satisfaction and quality of life in patients prior to listing for liver transplantation. Int J Artif Organs, 32(1), 39-42.
  • Monras, M., Marcos, V., & Rimola, A. (2004). Características de personalidad en pacientes alcohólicos candidatos a transplante hepático. Medicina Clínica (Barcelona), 122(20), 779-781.
  • Nancy, E., Colin, L., & Paul, R. (2008). The influence of psychosocial evaluation on candidacy for liver transplantation. Progress in Transplantation, 18(2), 89-96.
  • Nickel, R., Wunsch, A., Egle, U.T., Lohse, A.W., & Otto, G. (2002). The relevance of anxiety, depression and coping in patients after liver transplantation. Liver Transplantation, 8, 63-71.
  • Organización Nacional de Trasplantes (2009). Retrieved 3 Noviembre 2009, from www.ont.es.
  • Pereira, S.P., Howard, L.M., Muiesan, P., Rela, M., Heaton, N., & Williams, R. (2000). Quality of life after liver transplantation for alcoholic liver disease. Liver Transplantation, 6(6), 762-768.
  • Pérez-San Gregorio, M.A., Martín-Rodríguez, A., Asián-Chavez, E., Gallego-Corpa, A., & Pérez-Bernal, J. (2005). Psychological adaptation of liver transplant recipients. Transplantation Proceedings, 37, 1502-1504.
  • Rodrigue, J.R., Jackson, S.I., & Perri, M.G. (2000). Medical coping modes questionnaire: Factor structure for adult transplant candidates. International Journal of Behavioural Medicine, 7(2), 89-110.
  • Rodrigue, J.R., Kanasky Jr, W.F., Jackson, S.I., & Perri, M.G. (2000). The psychosocial adjustment to Illness Scale-Self-Report: Factor structure and item stability. Psychological Assessment, 12(4), 409-413.
  • Sainz-Barriga, M., Baccarani, U., Scudeller, L., Risaliti, A., Toniutto, P. L., Costa, M.G., et al. (2005). Quality-of-life assessment before and after liver transplantation. Transplantation Proceedings, 37(6), 2601-2604.
  • SPSS Inc (2006). Statistical Package Social Sciences v 15.0.
  • Sumskiene, J., Sumskas, L., Petrauskas, D., & Kupcinskas, L.(2006). Disease-specific health-related quality of life ans its determinants in liver cirrhosis patients in Lithuania. World Journal of Gastroenterology, 12(48), 7792-7797.
  • Telles-Correia, D., Barbosa, A., Mega, I., & Monteiro, E. (2009). Importance of depression and active coping in liver transplant candidates' quality of life. Prog Transplant, 19(1), 85-89.
  • Tomé, S., Wells, J.T., Said, A., & Lucey, M.R. (2008). Quality of life after liver transplantation. A systematic review. Journal of Hepatology, 48(4), 567-577.
  • Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J., et al. (2005). El Cuestionario de Salud SF-36 español: una década de experiencia y nuevos desarrollos. Gac. Sanit., 19(2), 135- 150.
  • Ware, J. (1994). SF-36 Physical and mental health summary scales: A user's manual. Boston: The Health Institute, New England Medical Center.
  • Wiesinger, G.F., Quittan, M., Zimmermann, K., Nuhr, M., Wichlas, M., Bodingbauer, M., et al. (2001). Physical performance and health-related quality of life in men on a liver transplantation waiting list. Journal of Rehabilitation Medicine, 33(6), 260-265.
  • Younossi, Z., McCormick, M., Lyn Price, L., Boparai, N., Farquhar, L., Henderson, J.M., et al. (2000). Impact of liver transplantation on healthrelated quality of life. Liver Transplantation, 6(6), 779-783.
  • Zhang, S.-J., Huang, L.-H., Wen, Y.-L., Hu, Z.-H., Jin, J., Shen, L.-H., et al. (2005). Impact of personality and coping mechanisms on healthrelatedquality of life in liver transplantation recipients. Hepatobiliary & Pancreatic Diseases International, 4(3), 356-359.