Explaining the Quality of Life of Organ Transplant Patients by Using Crisis Theory

Abstract

Context—

Ubiquitous findings regarding the quality of life (QOL) of transplant patients have yet to be explained from a theoretical perspective.

Objective—

To investigate transplant patients' QOL by using the conceptual framework of crisis theory.

Design—

Cross-sectional study to explore differences in transplant patients' experiences of stress, coping, and QOL. Regression analysis was used to test crisis theory in relation to QOL, stress, and coping.

Participants—

A total of 226 participants representing transplant candidates, transplant recipients, and nontransplant individuals participated via survey-based data collection.

Results—

Results showed that transplant candidates experience lower QOL than transplant recipients and nontransplant individuals. No significant differences were detected regarding stress levels or coping styles. Stress made a significant contribution to patients' QOL.

Conclusions—

Current findings suggest important QOL benefits of organ transplant. Using a theoretical model is an effective way to investigate the QOL of people experiencing chronic illness such as end-stage organ failure. Further investigation is required to reach a conclusive understanding of the complex interaction between transplant patients' QOL, stress, and coping.

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References

Dew

Switzer

Goycoolea

. Does transplantation produce quality of life benefits? A quantitative analysis of the literature. Transplantation. 1997;64(9):1261–1273.

Burra

Germani

. Long-term quality of life for transplant patients. Liver Transpl. 2013;19(suppl 2):S40–43.

Falger

Landolt

Latal

Ruth

Neuhaus

Laube

. Outcome after renal transplantation. Part II: quality of life and psychosocial adjustment. Pediatr Nephrol. 2008; 23(8):1347–1354. doi:10.1007/s00467-008-0798-x.

Diaz-Dominguez

Perez-Bernal

Perez-San-Gregorio

Martin-Rodriguez

. Quality of life in patients with kidney, liver or heart failure during the waiting list period. Transplant Proc. 2006;38(8):2459–2461.

Duffy

Kao

. Long-term patient outcome and quality of life after liver transplantation: analysis of 20-year survivors. Ann Surg. 2010;252(4):652–661.

Kugler

Gottlieb

Warnecke

. Health-related quality of life after solid organ transplantation: a prospective, multiorgan cohort study. Transplantation. 2013;96(3):316–323. doi:10.1097/TP.0b013e31829853eb.

Kugler

Fischer

Gottlieb

. Health-related quality of life in two hundred-eighty lung transplant recipients. J Heart Lung Transplant. 2005;24(12):2262–2268.

Painter

Luetkemeier

Moore

. Health-related fitness and quality of life in organ transplant recipients. Transplantation. 1997;64(12):1795–1800.

Aberg

Isoniemi

Hockerstedt

. Long-term results of liver transplantation. Scand J Surg. 2011;100(1):14–21.

10.

Denny

Kienhuis

. Using crisis theory to explain the quality of life of organ transplant patients. Prog Transplant. 2011;21(3):182–188.

11.

Moos

Schaefer

. Life transitions and crises: a conceptual overview. In: Moos

, ed. Coping With Life Crises: An Integrated Approach. New York, NY: Plenum; 1986.

12.

Sprangers

Tempelaar

van den Heuvel

de Haes

. Explaining quality of life with crisis theory. Psychooncology. 2002;11(5):419–426.

13.

Caplan

. Principles of Preventive Psychiatry. New York, NY: Basic Books; 1964.

14.

Holahan

Moos

Schaefer

. Coping, stress resistance, and growth: conceptualizing adaptive functioning. In: Zeidner

Endler

, eds. Handbook of Coping. New York, NY: John Wiley; 1996.

15.

Murphy

Vidgen

Sandford

Onyett

. Clinical psychologists working in crisis resolution and home treatment teams: a grounded theory exploration. J Mental Health Train Educ Pract. 2013;8(4):181–195. doi:10.1108/JMHTEP-11-2012-0037.

16.

Hobbs

. Crisis intervention in theory and practice: a selective review. Br J Med Psychol. 1984;57(pt 1):23–34.

17.

Sparks

. Coping with psychosocial stresses of oncology care. J Psychosoc Oncol. 1989;6(1-2):165–179.

18.

LaMontagne

Johnson

Hepworth

. Evolution of parental stress and coping processes: a framework for critical care practice. J Pediatr Nurs. 1995;10(4):212–218.

19.

Oleson

Shadick

. Application of Moos and Schaefer's (1986) model to nursing care of elderly persons relocating to a nursing home. J Adv Nurs. 1993;18(3):479–485.

20.

Bean

Wagner

. Self-transendence, illness distress, and quality of life among liver transplant recipients. J Theory Constr Test. 2006;10(2):47–53.

21.

Lefaiver

Keough

Letizia

Lanuza

. Using the Roy Adaptation Model to explore the dynamics of quality of life and the relationship between lung transplant candidates and their caregivers. ANS Adv Nurs Sci. 2007;30(3):266–274.

22.

Norris

. Applying Orem's theory to the long-term care of adolescent transplant recipients. ANNA J. 1991;18(1):45–47.

23.

Jowsey

Cutshall

Colligan

. Seligman's theory of attributional style: optimism, pessimism, and quality of life after heart transplant. Prog Transplant. 2012;22(1):49–55.

24.

Janssen

Spruit

Wouters

Schols

. Daily symptom burden in end-stage chronic organ failure: a systematic review. Palliat Med. 2008;22(8):938–948.

25.

Nilsson

Forsberg

Lennerling

Persson

. Coping in relation to perceived threat of the risk of graft rejection and Health-Related Quality of Life of organ transplant recipients. Scand J Caring Sci. 2013;27(4):935–944.

26.

Rodrigue

Mandelbrot

Pavlakis

. A psychological intervention to improve quality of life and reduce psychological distress in adults awaiting kidney transplantation. Nephrol Dial Transplant. 2012;26(2):709–715.

27.

Burker

Evon

Marroquin Loiselle

Finkel

Mill

. Coping predicts depression and disability in heart transplant candidates. J Psychosom Res. 2005;59(4):215–222.

28.

Vermeulen

Bosma

Bij

Koeter

Tenvergert

. Stress, psychological distress, and coping in patients on the waiting list for lung transplantation: an exploratory study. Transpl Int. 2005;18(8):954–959.

29.

Lenfant

. Shattuck lecture—clinical research to clinical practice—lost in translation? N Engl J Med. 2003;349(9):868–874.

30.

Abt

Marsh

Dunn

. Challenges to research and innovation to optimize deceased donor organ quality and quantity. Am J Transplant. 2013;13(6):1400–1404. doi: 10.1111/ajt.12243.

31.

Simpson

. What are the issues in organ donation in 2012? Br J Anaesth. 2012;108(suppl 1):i3–i6.

32.

Malpus

Horan

Yonan

. Prevalance of psychological distress and stress moderators in UK transplant candidates. J Heart Lung Transplant. 2013;32(4):S127.

33.

Weber

Faravardeh

Jackson

. Quality of life in elderly kidney transplant recipients. J Am Geriatr Soc. 2014; 62(10): 1877–1882. doi:10.1111/jgs.13065

34.

Tjaden

Vogelzang

Jager

. Long-term quality of life and social outcome of childhood end-stage renal disease. J Pediatr. 2014;165(2):336–342.

35.

Murphy

Herrman

Hawthorne

Pinzone

Evert

. Australian WHOQOL Instruments: User's Manual and Interpretation Guide. Melbourne, Australia: Australian WHOQOL Field Study Centre; 2000.

36.

Lazzaretti

Carvalho

Mulinari

Rasia

. Kidney transplantation improves the multidimensional quality of life. Transplant Proc. 2004;36(4):872–873.

37.

Hsu

Hwang

Lee

Chen

. Impact of liver donation on quality of life and physical and psychological distress. Transplant Proc. 2006;38(7):2102–2105.

38.

Cohen

Kamarck

Mermelstein

. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–396.

39.

Carver

. You want to measure coping but your protocol's too long: consider the brief COPE. Int J Behav Med. 1997; 4(1):92–100.

40.

Telles-Correia

Barbosa

Mega

Monteiro

. Importance of depression and active coping in liver transplant candidates' quality of life. Prog Transplant. 2009;19(1):85–89.

41.

Carver

Scheier

Weintraub

. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989;56(2):267–283.

42.

Burra

De Bona

. Quality of life following organ transplantation. Transpl Int. 2007;20(5):397–409.

43.

Nickel

Wunsch

Egle

Lohse

Otto

. The relevance of anxiety, depression, and coping in patients after liver transplantation. Liver Transpl. 2002;8(1):63–71.

44.

Kousoulas

Neipp

Barg-Hock

. Health-related quality of life in adult transplant recipients more than 15 years after orthotopic liver transplantation. Transpl Int. 2008;21(11): 1052–1058.

45.

Kugler

Tegtbur

Gottlieb

. Health-related quality of life in long-term survivors after heart and lung transplantation: a prospective cohort study. Transplantation. 2010;90(4): 451–457. doi:10.1097/TP.0b013e3181e72863.

46.

Bravata

Olkin

Barnato

Keeffe

Owens

. Health-related quality of life after liver transplantation: a meta-analysis. Liver Transpl Surg. 1999;5(4):318–331.

47.

Da Silva-Gane

Wellsted

Greenshields

Norton

Chandna

Farrington

. Quality of life and survival in patients with advanced kidney failure managed conservatively or by dialysis. Clin JAm Soc Nephrol. 2012;7(12):2002–2009. doi:10.2215/CJN.01130112.

48.

Costanzo

Stawski

Ryff

Coe

Almeida

. Cancer survivors' responses to daily stressors: implications for quality of life. Health Psychol. 2012;31(3):360–730.

49.

Golfieri

Lauro

Tossani

. Coping strategies in intestinal transplantation. Transplant Proc. 2007;39(6):1992–1994.

50.

Myaskovsky

Dew

Switzer

. Avoidant coping with health problems is related to poorer quality of life among lung transplant candidates. Prog Transplant. 2003;13(3):183–192.

51.

Lazarus

Folkman

. Stress, Appraisal, and Coping. New York, NY: Springer; 1984.

52.

Levenson

Olbrisch

. Psychiatric aspects of heart transplantation. Psychosomatics. 1993;34(2):114–123.

53.

Stilley

Miller

Manzetti

Marino

Keenan

. Optimism and coping styles: a comparison of candidates for liver transplantation with candidates for lung transplantation. Psychother Psychosom. 1999;68(6):299–303.

54.

Yang

Shan

Saxena

Morris

. Liver transplantation: a systematic review of long-term quality of life. Liver Int. 2014;34(9):1298–1313. doi:10.1111/liv.12553.

55.

Grace

Hurst

McDonald

Clayton

. ANZOD Registry Report 2013. Adelaide, South Australia: Australia and New Zealand Organ Donation Registry; 2014.

56.

Hafliger

. A primer on solid organ transplant psychiatry. In: Wyszynski

Wyszynski

, eds. Manual of Psychiatric Care for the Medically Ill. Arlington, VA: American Psychiatric Publishing; 2005.

57.

Devine

Reed-Knight

Loiselle

Simons

Mee

Blount

. Predictors of long-term health related quality of life in adolescent solid organ transplant recipients. J Pediatr Psychol. 2011;36(8):891–901.