Coping strategies and quality of life among liver transplantation candidates.
The maintenance of self-reported quality of life (QL) among people on the liver transplantation waiting list is one of the priority objectives of transplantation teams. Although there are different determinant factors of QL, results are not conclusive. In our study, the goal was to evaluate both the influence of cirrhosis etiology (ethylic and non-ethylic) and the coping strategies used concerning QL. A sample of 93 patients was selected, divided into two groups: ethylic cirrhosis (EC) and non-ethylic cirrhosis (NEC). QL was evaluated through the SF-36 Health Survey, and coping strategies through the Medical Coping Modes Questionnaire (MCMQ). Our results indicated that subjects with EC obtained similar QL levels to subjects with NEC, on all the SF-36 and MCMQ subscales. Furthermore, negative correlations were found between avoidance and acceptance-resignation coping strategies with the SF-36 components. Consequently, the acceptance-resignation strategy was associated with a worse perception of physical functioning, general and mental health, and vitality and role-emotional. Overall, these results suggest that cirrhosis etiology is not a determinant factor of QL, whereas the acceptance-resignation coping strategy might lead to lower self-perception of QL.
Servicio de Psiquiatría, Hospital Universitario 12 de Octubre, Madrid, Spain. rosa.jurado@gmail.com
Rosa
R
Jurado
Isabel
I
Morales
Diana
D
Taboada
Francisca
F
Denia
José Carlos
JC
Mingote
Miguel Ángel
MÁ
Jiménez
Tomás
T
Palomo
Gabriel
G
Rubio
D000223:Adaptation, Psychological; D000328:Adult; D001290:Attitude; D003863:Depression / Q000453:epidemiology / Q000209:etiology; D004522:Educational Status; D004644:Emotions; D005260:Female; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000523:psychology / Q000601:surgery; D008107:Liver Diseases / Q000453:epidemiology / Q000523:psychology* / Q000601:surgery; D016031:Liver Transplantation / Q000523:psychology*; D008297:Male; D010342:Patient Acceptance of Health Care; D011788:Quality of Life; D013030:Spain / Q000453:epidemiology; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D014850:Waiting Lists