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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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[Coping in transplantated patients].

Diogo Telles-Correia¹, Inês Mega, António Barbosa

¹Unidade de Apoio Psiquiátrico ao Transplante, Centro Hepato-Bilio-Pancreático e de Transplantação, Hospital Curry Cabral, Lisboa.

Acta Medica Portuguesa

|July 16, 2008

Summary

Coping mechanisms (CM) significantly impact transplant patient outcomes. Pre-transplant, acceptance and active coping are common, while post-transplant, active coping, support seeking, and problem-focused strategies prevail, influencing quality of life and adherence.

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Area of Science:

Psychology
Health Psychology
Medical Psychology

Background:

Coping mechanisms (CM) are crucial for managing stress and influencing health outcomes.
Existing classifications of CM often differentiate between emotion-focused and problem-focused strategies.
Understanding the interplay between dispositional traits and situational factors in CM is essential.

Purpose of the Study:

To systematically review and analyze coping mechanisms (CM) in pre- and post-transplantation periods.
To identify prevalent CM and their association with patient-reported outcomes.
To explore how CM influence health through various physiological and behavioral pathways.

Main Methods:

Systematic literature review of studies on coping mechanisms in transplantation.
Analysis of theoretical models of CM, including dispositional and situational approaches.
Evaluation of instruments used to assess CM in clinical settings.

Main Results:

Pre-transplantation: Acceptance, active coping, and seeking support were prevalent; self-blame and avoidance were less common.
Post-transplantation: Active coping, seeking support, confrontation, and problem-focused CM increased.
Evasive, emotive, and fatalistic CM correlated with lower perceived control; confrontation with better quality of life; avoidance with reduced quality of life and increased depression.

Conclusions:

Coping mechanisms evolve throughout the transplantation process, with a shift towards more adaptive strategies post-transplant.
Specific CM, such as confrontation and problem-focused coping, are linked to improved quality of life and adherence.
Patient-perceived control and emotional expression are dynamic and influenced by clinical progression in transplant patients.