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Adherence correlates in liver transplant candidates
D Telles-Correia1, A Barbosa, I Mega
1Department of Psychiatry, Faculty of Medicine, Psychiatric Approach to Liver Transplanted Patients' Unit, Curry Cabral Hospital's Liver Transplantation Center, University of Lisbon, Lisbon, Portugal. tellesdiogo@gmail.com
Transplantation Proceedings
|June 24, 2009
Summary
This study found that liver transplant candidates with better adherence to treatment also exhibited positive personality traits, strong social support, and effective coping strategies. These factors are crucial for successful liver transplantation outcomes.
Area of Science:
- Transplantation Medicine
- Psychiatry
- Health Psychology
Background:
- Multidimensional adherence is critical for liver transplant success.
- Understanding psychiatric and psychosocial factors influencing adherence is essential for patient management.
Purpose of the Study:
- To investigate the psychiatric and psychosocial correlates of multidimensional adherence in liver transplant candidates.
- To identify factors associated with better treatment adherence in this population.
Main Methods:
- A sample of 100 liver transplant candidates was assessed.
- Utilized the Multidimensional Adherence Questionnaire (MAQ), DSM-IV-TR criteria, Toronto Alexithymia Scale (TAS), NEO Five-Factor Inventory (NEO-FFI), Hospital Anxiety and Depression Scale (HADS), Brief COPE, and PACT.
- Correlational analyses were performed to identify associations.
Main Results:
- Multidimensional adherence positively correlated with agreeableness (a personality trait).
- Higher levels of social support were associated with better adherence.
- Effective coping strategies, specifically planning, were linked to improved adherence.
Conclusions:
- Personality traits, social support, and coping strategies are significant correlates of multidimensional adherence in liver transplant candidates.
- These findings highlight the importance of a holistic approach to patient assessment and support.
- Interventions targeting these psychosocial factors may improve adherence and transplant outcomes.
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