Subjective satisfaction and quality of life in patients prior to listing for liver transplantation.
OBJECTIVE
Differences in health-related quality of life (HR-QoL) perception between alcohol abusing and non-substance-dependent subjects with liver cirrhosis could depend on differences in personality profile and influence management of patients awaiting liver transplant.


METHODS
We compared the perceptions of disease state in 78 male patients of similar disease severity divided into 2 groups based on etiology of cirrhosis: 47% had alcoholic cirrhosis, and 53% had hepatitis C virus(HCV)-related cirrhosis without alcohol abuse. Patients' perception of disease state was determined using the SAT-P questionnaire (a self-administered questionnaire that provides a global assessment of perceived HR-QoL and subjective well-being). The assessment yields 2 scales: an analytic scale based on 32 variables and a synthetic scale based on 5 factors.


RESULTS
In patients with alcohol-related disease, ''psychological function'' was found to be more impaired,while ''sleep, diet, and free time'' was less impaired compared with subjects with HCV-related cirrhosis, suggesting dysfunction related to substance abuse with personality disturbance.


CONCLUSIONS
The perception of disease state is different in alcohol-abusing patients with cirrhosis compared with those with cirrhosis unrelated to alcohol.
Minazzato
L
L
UOS Psychology and Psychotherapy Department, UOD Hepatobiliary and Liver Transplantation Unit, University Hospital of Padova, Università di Padova, Padova, Italy. Lina.minazzato@sanita.padova.it
Amodio
P
P
Cillo
U
U
Zanus
G
G
Schiff
S
S
Bombonato
G
G
Salari
A
A
Bianco
T
T
D000223:Adaptation, Psychological; D006526:Hepatitis C / Q000150:complications*; D006801:Humans; D008103:Liver Cirrhosis / Q000523:psychology* / Q000601:surgery / Q000821:virology; D008104:Liver Cirrhosis, Alcoholic / Q000523:psychology* / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010465:Perception; D010551:Personality; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012720:Severity of Illness Index; D014850:Waiting Lists