Anxiety and Stress Levels on Liver Transplantation Candidates

Teixeira, Hermínia; Marques, Daniella Maia; Lopes, Ana Elisa Ricci; Ziviani, L.C.; Magro, Jennifer Tatisa Jubileu; Mente, Ênio David; Castro‐e‐Silva, Orlando; Galvão, Cristina María; Mendes, Karina Dal Sasso

doi:10.1016/j.transproceed.2016.06.031

Cited by 15 publications

(12 citation statements)

References 19 publications

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“…Among 14 (77.8%) patient‐only quantitative studies, most assessed anxiety and/or depression (9, 64.3%) followed by quality of life (6, 42.9%). Eleven to 98% of patients reported clinical anxiety or depression (median 64.0%) 28,46,48,56,63,67 . Other studies reported mean anxiety: 14.7 (SD 8.6), 23.1 (SD 5.5), 8.6 (SD 4.6) or mean depression: 14.7 (SD 8.6), 11.8 (SD 3.3) 43,48,58 .…”

Section: Resultsmentioning

confidence: 96%

The psychological burden of waiting for procedures and patient‐centred strategies that could support the mental health of wait‐listed patients and caregivers during the COVID‐19 pandemic: A scoping review

Gagliardi

Yip

Irish

et al. 2021

Health Expectations

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Background Waiting for procedures delayed by COVID‐19 may cause anxiety and related adverse consequences. Objective To synthesize research on the mental health impact of waiting and patient‐centred mitigation strategies that could be applied in the COVID‐19 context. Methods Using a scoping review approach, we searched 9 databases for studies on waiting lists and mental health and reported study characteristics, impacts and intervention attributes and outcomes. Results We included 51 studies that focussed on organ transplant (60.8%), surgery (21.6%) or cancer management (13.7%). Most patients and caregivers reported anxiety, depression and poor quality of life, which deteriorated with increasing wait time. The impact of waiting on mental health was greater among women and new immigrants, and those of younger age, lower socio‐economic status, or with less‐positive coping ability. Six studies evaluated educational strategies to develop coping skills: 2 reduced depression (2 did not), 1 reduced anxiety (2 did not) and 2 improved quality of life (2 did not). In contrast, patients desired acknowledgement of concerns, peer support, and periodic communication about wait‐list position, prioritization criteria and anticipated procedure date. Conclusions Findings revealed patient‐centred strategies to alleviate the mental health impact of waiting for procedures. Ongoing research should explore how to optimize the impact of those strategies for diverse patients and caregivers, particularly in the COVID‐19 context. Patient or Public Contribution Six patients and four caregivers waiting for COVID‐19‐delayed procedures helped to establish eligibility criteria, plan data extraction and review a draft and final report.

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Section: Resultsmentioning

confidence: 96%

The psychological burden of waiting for procedures and patient‐centred strategies that could support the mental health of wait‐listed patients and caregivers during the COVID‐19 pandemic: A scoping review

Gagliardi

Yip

Irish

et al. 2021

Health Expectations

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“…The etiology of hepatic disease was ethylism and viral hepatitis with a frequency of 28% each, similar to that found in other reports [ 2 , 3 ]. Only 11% of the patients worked, differently from another Brazilian sample with a greater number of patients at work [ 25 ]. A World Health Organization [ 26 ] report showed a higher alcohol consumption among men with a consequent increase in cases of liver cirrhosis.…”

Section: Discussionmentioning

confidence: 99%

Social support for patients undergoing liver transplantation in a Public University Hospital

Garcia

Lima

La-Rotta

et al. 2018

Health Qual Life Outcomes

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BackgroundSeveral diseases may lead to the need for liver transplantation due to progressive organ damage until the onset of cirrhosis, resulting in changes in interpersonal relationships. Social Support for transplant candidates is an important variable, providing them with psychological and social well-being. This study aims to assess social support in chronic hepatic patients, waiting for liver transplantation.MethodsA cross-sectional study was conducted with 119 patients, for convenience sampling, from the liver transplant waiting list at a Brazilian University Hospital Outpatients. The information was collected through semistructured questionnaires, in four stages: 1) socioeconomic and demographic information 2) clinical aspects 3) feelings 4) Social Support Network Inventory (SSNI), to Brazilian Portuguese. The statistical analysis was conducted using ANOVA and multivariate linear regression analysis to evaluate the relationship between the scales of social support and the collected co-variables.ResultsAverage age was 50.2 ± 11.6, and 87 (73.1%) were men. Patients with alcohol and virus liver disease etiology had the same frequency of 28%. The MELD, without extrapoints, was 16.7 ± 4.9. Global social support family score was 3.72 ± 0.39, and Cronbach’s alpha = 0.79. The multivariate analysis presented the following associations, age = [− 0.010 (95% CI = − 0.010 - -0.010); P = 0.001], etiology of hepatic disease = [− 0.212 (95% CI = − 0.37 - -0.05); P = 0.009], happiness = [− 0.214(95% CI = − 0.33 - -0.09) P = 0.001) and aggressiveness = [0.172 (95% CI = 0.040–0.030); P = 0.010).ConclusionsThe social support was greater when the patients were younger (18 to 30 years). Patients with alcoholic cirrhosis, regardless of whether or not they were associated with virus, had less social support. As for feelings, the absence of happiness and the presence of aggressiveness showed a negative effect on social support.

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“…The waiting period for a liver transplant is difficult, fraught with uncertainty and associated with significant morbidity and mortality (Golfieri et al, 2019; Pérez-San-Gregorio et al, 2012). Patients reported the waiting period as the most stressful time of their lives (Teixeira et al, 2016). One study ( n = 96) examined differences in illness uncertainty experienced by women waiting for liver transplant ( n = 24) compared to post-transplant women ( n = 72; Lasker et al, 2010).…”

Section: Illness Uncertainty and Waiting For A Transplantmentioning

confidence: 99%

“…Patients are told that, without a liver transplant, they may die making the wait for a donor even more intolerable (Larson, 2015).The waiting period for a liver transplant is difficult, fraught with uncertainty and associated with significant morbidity and mortality (Golfieri et al, 2019;Pérez-San-Gregorio et al, 2012). Patients reported the waiting period as the most stressful time of their lives (Teixeira et al, 2016). One study (n = 96) examined differences in illness uncertainty experienced by women waiting for liver 952059WJ NXXX10.…”

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confidence: 99%

Illness Uncertainty in Patients Awaiting Liver Transplant

2020

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Illness uncertainty is prevalent in patients awaiting liver transplant. We described high levels of illness uncertainty in these patients and examined relationships between uncertainty and person factors and the antecedents of uncertainty. Mishel uncertainty in illness scale was used to measure illness uncertainty. We used modes and interquartile range (IQR) to describe illness uncertainty levels in 115 patients. Multiple logistic and linear regression models estimated the associations of uncertainty with hypothesized antecedents. High total illness uncertainty score was reported by 15.6% of the patients. After adjusting for all variables, illness uncertainty was associated with two antecedents of uncertainty, low social well-being (OR = 0.816; p = .025) and low self-efficacy (OR = 0.931; p = .013). Complexity was negatively associated with social well-being; ambiguity and inconsistency were negatively associated with self-efficacy. One in seven patients experienced high illness uncertainty. Social well-being and self-efficacy were negatively related to illness uncertainty.

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Anxiety and Stress Levels on Liver Transplantation Candidates

Cited by 15 publications

References 19 publications

The psychological burden of waiting for procedures and patient‐centred strategies that could support the mental health of wait‐listed patients and caregivers during the COVID‐19 pandemic: A scoping review

The psychological burden of waiting for procedures and patient‐centred strategies that could support the mental health of wait‐listed patients and caregivers during the COVID‐19 pandemic: A scoping review

Social support for patients undergoing liver transplantation in a Public University Hospital

Illness Uncertainty in Patients Awaiting Liver Transplant

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