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COPING AND MENTAL HEALTH AMONG PATIENTS WITH END-STAGE PULMONARY DISEASE AND PRIMARY CAREGIVERS

Green, Marquisha R.
http://rave.ohiolink.edu/etdc/view?acc_num=osu1250706788

Abstract Details

2009, Doctor of Philosophy, Ohio State University, Psychology.
Lung transplant candidates frequently experience functional limitations leading them to depend on caregivers to assist in activities of daily living. However, few studies have examined psychological functioning and quality of life among caregivers of lung transplant candidates. A principal aim of the present study was to evaluate coping, particularly problem-focused, emotion-focused, humor, and religious/spiritual coping (RSC) styles, and mental health (e.g., psychological functioning, quality of life) among lung transplant candidates and their primary caregivers. In addition, numerous lung transplant candidates are placed “on hold” for remediable contraindications (e.g., tobacco use) until the contraindication has been resolved (e.g., discontinued tobacco use for 6 months). Although research suggests that patients placed “on hold” have worse survival outcomes than patients initially listed for transplant, there is only one study examining “on hold” and “listed” transplant candidates. Therefore, another primary aim of the current study was to examine differences in coping and mental health among “on hold” lung transplant candidates compared to “listed” lung transplant candidates. A third aim of the study included examining the association between coping with mental health among lung transplant candidates and primary caregivers. A longitudinal, single-cohort study design was employed with a 6-month follow-up. Results indicated that patients experienced greater psychological distress and poorer quality of life than primary caregivers. “On hold” lung transplant candidates experienced greater anxiety than “listed” lung transplant candidates, but the “on hold” and “listed” lung transplant candidates reported similar impairments in quality of life. Also, emotion-focused coping strategies were associated with greater stress and depression among patients, and emotion-focused coping and humor were associated with lower emotional quality of life among primary caregivers. In addition, negative religious coping was associated with greater depression among patients, and was associated with greater perceived stress among caregivers. This study highlights that both nonreligious coping styles and RSC styles can be conceptualized as adaptive or maladaptive. In addition, the study demonstrates that particular coping styles (emotion-focused coping, humor, and negative religious coping) are associated with poorer mental health outcomes among patients and primary caregivers during the lung transplant process. Thus, interventions may need to be directed towards reducing maladaptive coping strategies prior to transplant in order to improve quality of life.
Charles Emery, PhD (Advisor)
Barbara Andersen, PhD (Committee Member)
Steven Beck, PhD (Committee Member)
Kenneth Steinman, PhD (Committee Member)
233 p.
Psychology
coping; mental health; lung transplantation; caregivers

Recommended Citations

Citations

  • Green, M. R. (2009). COPING AND MENTAL HEALTH AMONG PATIENTS WITH END-STAGE PULMONARY DISEASE AND PRIMARY CAREGIVERS [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1250706788

    APA Style (7th edition)

  • Green, Marquisha. COPING AND MENTAL HEALTH AMONG PATIENTS WITH END-STAGE PULMONARY DISEASE AND PRIMARY CAREGIVERS. 2009. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1250706788.

    MLA Style (8th edition)

  • Green, Marquisha. "COPING AND MENTAL HEALTH AMONG PATIENTS WITH END-STAGE PULMONARY DISEASE AND PRIMARY CAREGIVERS." Doctoral dissertation, Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1250706788

    Chicago Manual of Style (17th edition)

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© 2009, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.