Psychosocial and Clinical Predictors of Post Traumatic Growth in Renal Transplant Recipients

Author: Shiza Sheerazi

Supervisor: Fatima Kamran, PhD

Degree: MS

Year: 2014-2016

University: Institute of Applied Psychology, Punjab University, Lahore, Pakistan

Abstract

The cross sectional study investigated the phenomenon and the level of manifestation of post traumatic growth (PTG) among renal transplant recipients (RTRs) with healthy graft functioning. The contribution of socio demographic, clinical and psychosocial factors in influencing PTG as a subjective construct was measured using post traumatic growth inventory (Tedeschi & Calhoun, 1996) including five sub domains: relating to others, new possibilities, personal strength, spiritual change and appreciation of life. Psychosocial factors included resilience, life orientation, and illness perceptions which were measured using the following scales: life orientation test revised (LOT-R) (Scheier, Carver & Bridges, 1994), Connor Davidson resilience scale (Connor & Davidson, 2003), and brief illness perception questionnaire (Broadbenta et al., 2006). All the measures were used in Urdu version. The sample comprised of 136 RTRs recruited from different government and private hospitals of Lahore. The results revealed that most RTRs experienced moderate level of PTG. Clinical factors including transplant related characteristics, renal functions, and general health indicators did not seem to predict PTG except, i.e. cholesterol level and type of transplant (from living related donor). Significant correlations were found between all the above mentioned psychosocial factors with the level of PTG however, resilience was found to be the only strongest predictor reflecting that recipients who were more resilient appeared to manifest increased level of PTG. Among the socio demographic covariates, being single, educated, currently working, and nuclear family system was related to higher levels of PTG. The findings of the study can be used to be dealt by the urology transplant team to be sensitive enough for the positive transformations that patients may encounter as a consequence of their experience of their renal leading towards a better perceived health status.

Keywords: Psychosocial and Clinical Predictors of Post Traumatic Growth, Renal Transplant Recipients.

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Corresponding Address: Department of Applied Psychology, University of the Punjab, Lahore, Pakistan. Email: chairperson@appsy.pu.edu.pk, Phone: 92-42-9231245

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