Psychosocial factors in noncompliance during liver transplant selection.

Journal of Clinical Psychology in Medical Settings
R G HarperR C Chacko

Abstract

This exploratory study attempted to identify characteristics of patients selected for transplant compared to those who had not demonstrated 6 months alcohol, drug and tobacco abstinence at the time of candidacy assessment. In a consecutive sample of 112 patients referred for liver transplant, almost half failed this criteria. Comparisons on psychometric measures of coping, social support, and health status revealed noncompliant patients to be significantly less authority abiding, less concerned about their illness, and less spiritually-oriented. Persisting alcohol use was paradoxically associated with greater psychosocial support whereas depression was related to smoking. Prior drug use was associated with more cognitive symptom complaints, emotional constriction, a vulnerability to feel dejection and a proneness to abuse medications These findings were discussed as a possible opportunity to identify and address characteristics of transplant candidates to reduce their risk of perpetuating noncompliance while competing for a life saving intervention.

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Citations

May 25, 2012·Journal of Clinical Psychology in Medical Settings·M Ángeles Pérez-San-GregorioÁngel Bernardos-Rodríguez
Sep 12, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Vidya A FleetwoodEdie Yee Chan
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Feb 26, 2020·Family Process·Elizabeth D'Arrigo-PatrickCarmen Knudson-Martin
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Jan 23, 2019·Pediatric Blood & Cancer·Meredith C WinterLouis P Voigt
Feb 20, 2018·British Journal of Nursing : BJN·Iyoni RanasingheMargaret Lau-Walker

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