Transplant-related trauma, personal growth and alcohol use outcomes in a cohort of patients receiving transplants for alcohol associated liver disease
| Autor: | Christopher Hughes, Katherine M. Kruckenberg, Galen E. Switzer, Mary Amanda Dew, Neeta Shenai, Andrea DiMartini |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study medicine.medical_treatment Alcohol Liver transplantation behavioral disciplines and activities Cohort Studies Stress Disorders Post-Traumatic Liver disease chemistry.chemical_compound Social support Internal medicine mental disorders Adaptation Psychological Medicine Humans Harmful use business.industry Liver Diseases medicine.disease Psychiatry and Mental health Cross-Sectional Studies chemistry Cohort business Posttraumatic Growth Psychological Psychological trauma |
| Zdroj: | General hospital psychiatry. 72 |
| ISSN: | 1873-7714 |
| Popis: | Background Liver transplantation (LT) is stressful experience which can cause psychological trauma but also positive growth. We examined the prevalence of transplant related post-traumatic stress disorder symptoms (PTSD) and post-traumatic growth (PTG) in a cohort of alcohol-associated liver disease (ALD) LT recipients. We also examined whether PTG or PTSD symptoms were associated with post-LT alcohol use. Methods Cross sectional survey of 51 ALD LT recipients one-year post-LT assessed PTSD symptoms, PTG, stress, self-efficacy, social support, and alcohol use. Results 18% endorsed symptoms of PTSD; 59% endorsed high PTG. PTSD symptoms and PTG were not associated. 18% drank alcohol; 10% returned to health harmful use. Neither PTSD symptoms nor PTG were associated with alcohol use. Less self-efficacy to abstain and thoughts of drinking were associated with alcohol use. Conclusions A substantial percentage of ALD LT patients had transplant-related PTSD symptoms and high PTG. Alcohol use was not associated with PTSD symptoms or PTG. Lower self-efficacy to abstain from alcohol use may provide a valuable clinical measure to assess risk for post-LT use. Clinical screening for PTSD would be beneficial as effective treatments for PTSD exist. Whether PTG can be facilitated in transplant recipients would be a valuable future line of inquiry. |
| Databáze: | OpenAIRE |
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