Biopsychosocial functioning among cirrhotic patients in various stages of transplant process in comparison to liver transplant recipients
Supporting Agencies
- Esta investigación ha sido financiada por el Ministerio de Ciencia e Innovación (Expediente PSI2009-07713) y por el IV Plan Propio de Investigación de la Universidad de Sevilla.
Abstract
Background: Although assessment of pre- and post-transplant quality of life is a current scientific target; it has not yet been carried out throughout the entire transplant process.
Aims: 1) To analyze differences in mental health and quality of life at pre-waiting-list-study, waiting list, and post-transplant phases; 2) to analyze correlation between these quality-of-life and affective variables and Model for End-Stage Liver Disease (MELD) scores.
Methods: Two liver patient groups were recruited: 51 cirrhotic patients, who were assessed at two different stages (at pre-waiting-list-study and waiting-list phases), and 51 cadaveric liver transplant recipients; groups were homogeneous in gender and age variables by matching. Anxiety-depressive symptomatology and quality of life were assessed by HADS and SF-36 Health Survey, respectively.
Results: Pre-waiting-list-study patients self-perceived their global health status much worse than transplant recipients. Waiting-list patients displayed much higher anxiety, more role limitations due to physical problems, worse physical functioning, as well as perceiving their global health status much worse than transplant recipients. Statistically significant correlations were only found in waiting-list patients between MELD-Anxiety and MELD-Social Functioning subscales.
Conclusions: Waiting-list patients displayed the worst biopsychosocial well-being status; liver transplant recipients enjoyed the best status instead.
Downloads
The works published in this journal are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) retains the property rights (copyright) of published works, and encourages and enables the reuse of the same under the license specified in paragraph 2.
© Servicio de Publicaciones, Universidad de Murcia, 2022
2. The works are published in the online edition of the journal under a Creative Commons Reconocimiento-CompartirIgual 4.0 (legal text). You can copy, use, distribute, transmit and publicly display, provided that: i) you cite the author and the original source of publication (journal, editorial and URL of the work), ii) are not used for commercial purposes, iii ) mentions the existence and specifications of this license.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
3. Conditions of self-archiving. Is allowed and encouraged the authors to disseminate electronically pre-print versions (version before being evaluated and sent to the journal) and / or post-print (version reviewed and accepted for publication) of their works before publication, as it encourages its earliest circulation and diffusion and thus a possible increase in its citation and scope between the academic community. RoMEO Color: Green.