Abstract | OBJECTIVE: To determine whether differences in the coping strategies used by liver patients during the pretransplantation phase were a function of their relatives' level of anxiety. MATERIALS AND METHODS: We assessed 75 pre- liver transplantation patients and 75 relatives (one per patient). To assess relatives' anxiety status, we used the Hospital Anxiety and Depression Scale ( HADS), and the Questionnaire of Coping with Stress in Cancer Patients (CAEPO) to study patients' coping strategies. Three subgroups of relatives were established as a function of their scores on the HADS anxiety subscale: normal anxiety (G(1)), dubious anxiety (G2), and clinical anxiety (G(3)). To verify intergroup differences in the coping strategies used by the patients, we used the nonparametric Kruskal-Wallis H test. We also performed pairwise comparisons with nonparametric Mann-Whitney U test (with Bonferroni's correction) and Cohen's d as an effect size index. RESULTS: Focusing on the most relevant effect sizes, the pairwise contrasts indicated the following differences: a) normal anxiety (G(1)) and dubious anxiety (G(2)): seeking social support (d = 0.502); b) normal anxiety (G(1)) and clinical anxiety (G(3)): coping and active fighting (d = 0.607), self-control and emotional control (d = 0.658), and seeking social support (d = 0.944); and c) dubious anxiety (G(2)) and clinical anxiety (G(3)): coping and active fighting (d = 0.743), self-control and emotional control (d = 0.722), and seeking social support (d = 0.515). CONCLUSION: In general, during the pre- liver transplantation study, the liver patients whose relatives showed clinical levels of anxiety used these three healthy coping strategies to a lesser extent: coping and active fighting, self-control and emotional control, and seeking social support.
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Authors | E Domínguez-Cabello, A Martín-Rodríguez, M A Pérez-San-Gregorio, E Fernández-Jiménez, J M Sousa-Martín, A Bernardos-Rodríguez |
Journal | Transplantation proceedings
(Transplant Proc)
Vol. 44
Issue 9
Pg. 2616-8
(Nov 2012)
ISSN: 1873-2623 [Electronic] United States |
PMID | 23146473
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2012 Elsevier Inc. All rights reserved. |
Topics |
- Adaptation, Psychological
- Aggression
- Anxiety
(diagnosis, etiology, psychology)
- Caregivers
(psychology)
- Cross-Sectional Studies
- Depression
(diagnosis, etiology, psychology)
- Emotions
- Family
(psychology)
- Family Relations
- Hospitalization
- Humans
- Liver Diseases
(diagnosis, psychology, surgery)
- Liver Transplantation
(adverse effects, psychology)
- Patients
(psychology)
- Psychiatric Status Rating Scales
- Social Support
- Surveys and Questionnaires
- Waiting Lists
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