Active coping, resilience, post-traumatic growth, and psychiatric symptoms among early and late liver transplant survivors

作者：Sarah R. Lieber, Luke Baldelli, Hannah P. Kim, Rebekah P. Nash, Alvaro Noriega Ramirez, Gabrielle Magee, Alfred Sidney Barritt, Donna M. Evon, Amit G. Singal · 发表于：Liver Transplantation · 年份：2023 · DOI：10.1097/lvt.0000000000000009 · 被引用次数：20 · 研究领域：Migration, Health and Trauma、Family Support in Illness、Resilience and Mental Health

Understanding survivorship experiences at different stages postliver transplantation (poat-LT) is essential to improving care. Patient-reported concepts including coping, resilience, post-traumatic growth (PTG), and anxiety/depression, have been implicated as important predictors of quality of life and health behaviors after LT. We aimed to descriptively characterize these concepts at different post-LT survivorship stages. This cross-sectional study featured self-reported surveys measuring sociodemographic, clinical characteristics, and patient-reported concepts including coping, resilience, PTG, anxiety, and depression. Survivorship periods were categorized as early (1 y or below), mid (1-5 y), late (5-10 y), and advanced (10 y or above). Univariable and multivariable logistic and linear regression modeling examined factors associated with patient-reported concepts. Among 191 adult LT survivors, the median survivorship stage was 7.7 years (interquartile range: 3.1-14.4) and median age was 63 years (range: 28-83); most were male (64.2%) and Caucasian (84.0%). High PTG was more prevalent in the early survivorship period (85.0%) than late survivorship (15.2%). High trait resilience was only reported by 33% of survivors and associated with higher income. Lower resilience was seen among patients with longer LT hospitalization stays and late survivorship stages. About 25% of survivors had clinically significant anxiety and depression, which was more frequent among early survivors ...