Psychosocial functioning in patients with alcohol-related liver disease post liver transplantation.

Abstract:

:Emotional and role functioning difficulties are associated with chronic alcohol use and liver disease. Little is known about prospective changes in psychological and psychosocial functioning following orthotopic liver transplantation (OLT) amongst patients with alcoholic liver disease (ALD). We aimed to assess the functioning of this patient group post liver transplantation. Comprehensive psychosocial assessment of depression (Beck Depression Inventory [BDI]), anxiety (State-Trait Anxiety Inventory-Form X [STAI]) and psychosocial adjustment (Psychosocial Adjustment to Illness Scale-Self-Report version [PAIS-SR]) was conducted with 42 ALD patients available for pre and post OLT testing. Dependence severity was assessed by the Brief Michigan Alcoholism Screening Test (bMAST). Significant reductions in average anxiety and depression symptoms were observed 12-months post-OLT. Significant improvements in psychosocial adjustment to illness were also reported. Patients with higher levels of alcohol dependence severity pre transplant assessment improved comparably to those with lower levels of dependence. In summary, the study found that OLT contributed to reducing overall levels of mood and anxiety symptoms in ALD patients, approximating general (non-clinical) population norms. Psychosocial adjustment also improved significantly post liver transplantation.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Pegum N,Connor JP,Young RM,Feeney GF

doi

10.1016/j.addbeh.2015.01.021

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

70-3

eissn

0306-4603

issn

1873-6327

pii

S0306-4603(15)00022-2

journal_volume

45

pub_type

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