title: Emotional-type psychopathologic symptoms among patients with terminal chronic alcohol-induced liver cirrhosis.
abstract: BACKGROUND
  Patients with toxic substance abuse syndrome, such as alcohol abuse, have elevated psychopathologic morbidity and mortality such as mood disorders.
  
  
  OBJECTIVE
  To evaluate the emotional-type psychopathologic symptoms in patients with alcohol-induced hepatic cirrhosis on the liver transplant waiting list.
  
  
  METHODS
  Patients with alcoholic liver cirrhosis who were candidates for liver transplant (n = 41) completed the SA-45 questionnaire (González y Cuevas; 88), which assesses nine dimensions: somatizations, obsessive-compulsivity, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. A control group consisted of patients with chronic nonalcoholic terminal hepatopathies (n = 22).
  
  
  RESULTS
  Seventy-six percent of patients had some kind of psychopathologic symptom compared to 68% of the patients in the control group with other nonalcoholic etiologies (P > .05). The emotional-type clinical symptoms were: (1) somatizations: 37% of patients with alcoholic cirrhosis had this type of clinical symptoms compared to 32% of the control group (P > .05); (2) obsessive-compulsivity: 56% versus 46%, respectively (P > .05); (3) interpersonal sensitivity: 19% versus 9%, respectively (P > .05); (4) depression: 54% versus 27%, respectively (P = .045); (5) anxiety: 59% versus 46%, respectively (P > .05); (6) hostility: 29% versus 5%, respectively (P = .021); (7) phobic anxiety: 10% versus 14%, respectively (P > .05); (8) paranoid Ideation: 7% versus 5%, respectively (P > .05); (9) psychoticism: 5% versus 4%, respectively (P > .05).
  
  
  CONCLUSIONS
  The patients with alcoholic liver cirrhosis on the liver transplant waiting list had elevated psychopathologic symptoms. Depressive- and hostile-type emotional alterations were most frequent in this type of patients.
authors: Department of Psychology, Catholic University of San Antonio, Murcia, Spain.
authors: A
authors: A
authors: López-Navas
authors: A
authors: A
authors: Ríos
authors: F J
authors: FJ
authors: Moya-Faz
authors: B
authors: B
authors: Febrero
authors: M I
authors: MI
authors: Jiménez-Morales
authors: F J
authors: FJ
authors: Orteso
authors: A
authors: A
authors: Ros-Martínez
authors: L
authors: L
authors: Martínez-Alarcón
authors: J A
authors: JA
authors: Pons
authors: M
authors: M
authors: Miras
authors: P
authors: P
authors: Ramírez
authors: P
authors: P
authors: Parrilla
mesh_terms: D016022:Case-Control Studies; D016009:Chi-Square Distribution; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D004644:Emotions; D006791:Hostility; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000453:epidemiology / Q000523:psychology* / Q000601:surgery; D016031:Liver Transplantation; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D015999:Multivariate Analysis; D016017:Odds Ratio; D013030:Spain / Q000453:epidemiology; D014850:Waiting Lists