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

Pegum, Nell, Connor, Jason P., Young, Ross McD., & Feeney, Gerald F.X. (2015) Psychosocial functioning in patients with alcohol-related liver disease post liver transplantation. Addictive Behaviors, 45, pp. 70-73.

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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.

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ID Code: 83843
Item Type: Journal Article
Refereed: Yes
Keywords: Psychosocial functioning, Alcoholic liver disease, Liver transplantation
DOI: 10.1016/j.addbeh.2015.01.021
ISSN: 0306-4603
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2015 Elsevier Ltd.
Copyright Statement: NOTICE: this is the author’s version of a work that was accepted for publication in Addictive Behaviors. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Addictive Behaviors, Volume 45, (June 2015), DOI: 10.1016/j.addbeh.2015.01.021
Deposited On: 03 May 2015 23:05
Last Modified: 14 Dec 2015 05:57

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