Pathways of psychosocial factors, stress, and health outcomes after liver transplantation.
Pathways of psychosocial factors, stress, and health outcomes after liver transplantation.
复制标题
肝移植后心理社会因素、压力和健康结果的途径。
DOI：
10.1111/j.1399-0012.2011.01467.x
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发表时间：
2012
影响因子：
2.1
通讯作者：
deVera,MichaelE
中科院分区：
文献类型：
--
作者：
Stilley,CarolS;Flynn,WilliamB;Sereika,SusanM;Stimer,ErinD;DiMartini,AndreaF;deVera,MichaelE
Stilley CS, Flynn WB, Sereika SM, Stimer ED, DiMartini AF, deVera ME。肝移植后心理社会因素、应激和健康结局的途径
临床移植2011 DOI: 10.1111/j.1399‐0012.2011.01467.x。
©2011 John Wiley & Sons A/S摘要：应激和个体因素对普通医学和移植患者健康结果的影响已有文献记载。很少有研究者研究过这些构念之间的复杂关系。这项纵向研究评估了匹兹堡大学医学中心Starzl移植研究所130名成年肝移植受者的应对方式、自我调节能力、敌意和社会支持基线，并通过访谈和医疗记录数据跟踪这些受试者在移植后第一年的个人和移植相关压力、身体和心理健康结果。结果显示，移植后第一年下半年的应对方式、自我调节能力、敌意、照顾者关系和家庭环境、个人压力和移植相关压力与移植后12个月的健康（尤其是心理）结果之间存在很强的双向关系。压力介导心理社会因素与心理健康结果之间的关系。讨论了这些关系对研究人员和临床医生的重要性。
Stilley CS, Flynn WB, Sereika SM, Stimer ED, DiMartini AF, deVera ME. Pathways of psychosocial factors, stress, and health outcomes after liver transplantation.
Clin Transplant 2011 DOI: 10.1111/j.1399‐0012.2011.01467.x.
© 2011 John Wiley & Sons A/S.Abstract:The impact of stress and individual factors on health outcomes in general medicine and transplantation are well documented. Few researchers have investigated the complex relationships between these constructs. This longitudinal study assessed coping style, self‐regulatory ability, hostility, and social support at baseline among a cohort of 130 adult liver transplant recipients at the Starzl Transplant Institute, University of Pittsburgh Medical Center, and followed those subjects with interview and medical records data about personal and transplant‐related stress, physical and mental health outcomes throughout the first post‐transplant year. Results show a number of strong bidirectional relationships between coping style, self‐regulatory ability, hostility, the caregiver relationship and family environment, personal and transplant‐related stress over the second half of the first post‐transplant year, and health (especially mental) outcomes at 12 months post‐transplant. Stress mediates the relationship between psychosocial factors and mental health outcomes. The importance of those relationships to researchers and clinicians is discussed.