Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity

Our aim was to analyze how type 2 diabetes and obesity influence quality of life (QoL) and coping in patients with nonalcoholic fatty liver disease (NAFLD), and which coping strategies predict diabetic or obese participants’ QoL. QoL (SF-12, CLDQ-NAFLD) and coping strategies (COPE-28) were evaluated...

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Detalhes bibliográficos
Autores: Funuyet Salas, Jesús, Pérez San Gregorio, María de los Ángeles, Martín Rodríguez, Agustín, Romero Gómez, Manuel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/107480
Acesso em linha:https://hdl.handle.net/11441/107480
https://doi.org/10.3390/ijerph18073503
Access Level:acceso abierto
Palavra-chave:NAFLD
Quality of life
Coping strategies
Type 2 diabetes mellitus
Obesity
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spelling Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and ObesityFunuyet Salas, JesúsPérez San Gregorio, María de los ÁngelesMartín Rodríguez, AgustínRomero Gómez, ManuelNAFLDQuality of lifeCoping strategiesType 2 diabetes mellitusObesityOur aim was to analyze how type 2 diabetes and obesity influence quality of life (QoL) and coping in patients with nonalcoholic fatty liver disease (NAFLD), and which coping strategies predict diabetic or obese participants’ QoL. QoL (SF-12, CLDQ-NAFLD) and coping strategies (COPE-28) were evaluated in 307 biopsy-proven NAFLD patients with absence or presence of diabetes or obesity. QoL was compared with normality tables for the general Spanish population. Interactive effects were found in physical functioning (p = 0.008), role-physical (p = 0.016) and activity (p = 0.014). Diabetic patients reported worse scores when they were also obese and vice versa, that is, obese patients scored worse when they were also diabetic. Both diabetic and obese patients had lower QoL than those without metabolic pathology or the general population, and obese patients also reported more passive/avoidance coping. Active coping, positive reframing and acceptance predicted better QoL, while denial, self-blame, self-distraction, disengagement and religion predicted lower QoL. In conclusion, diabetes and obesity were associated with lower QoL in patients with NAFLD. Obesity was also associated with more passive/avoidance coping. Furthermore, passive/avoidance coping strategies predicted lower QoL than active, recommending modification of maladaptive coping strategies in future multidisciplinary NAFLD treatments.FEDER/Ministerio de Ciencia e Innovación – Agencia Estatal de Investigación PSI2017-83365-PMinisterio de Educación y Formación Profesional FPU16/03146Gilead Sciences, Inc.MDPIPersonalidad, Evaluación y Tratamiento PsicológicosMedicinaMinisterio de Ciencia e Innovación (MICIN). EspañaMinisterio de Educación y Formación Profesional. España2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/107480https://doi.org/10.3390/ijerph18073503reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésInternational Journal of Environmental Research and Public Health, 18 (7), Article 3503.PSI2017-83365-PFPU16/03146FPU16/03146https://doi.org/10.3390/ijerph18073503info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1074802026-06-17T12:51:07Z
dc.title.none.fl_str_mv Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
title Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
spellingShingle Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
Funuyet Salas, Jesús
NAFLD
Quality of life
Coping strategies
Type 2 diabetes mellitus
Obesity
title_short Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
title_full Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
title_fullStr Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
title_full_unstemmed Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
title_sort Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity
dc.creator.none.fl_str_mv Funuyet Salas, Jesús
Pérez San Gregorio, María de los Ángeles
Martín Rodríguez, Agustín
Romero Gómez, Manuel
author Funuyet Salas, Jesús
author_facet Funuyet Salas, Jesús
Pérez San Gregorio, María de los Ángeles
Martín Rodríguez, Agustín
Romero Gómez, Manuel
author_role author
author2 Pérez San Gregorio, María de los Ángeles
Martín Rodríguez, Agustín
Romero Gómez, Manuel
author2_role author
author
author
dc.contributor.none.fl_str_mv Personalidad, Evaluación y Tratamiento Psicológicos
Medicina
Ministerio de Ciencia e Innovación (MICIN). España
Ministerio de Educación y Formación Profesional. España
dc.subject.none.fl_str_mv NAFLD
Quality of life
Coping strategies
Type 2 diabetes mellitus
Obesity
topic NAFLD
Quality of life
Coping strategies
Type 2 diabetes mellitus
Obesity
description Our aim was to analyze how type 2 diabetes and obesity influence quality of life (QoL) and coping in patients with nonalcoholic fatty liver disease (NAFLD), and which coping strategies predict diabetic or obese participants’ QoL. QoL (SF-12, CLDQ-NAFLD) and coping strategies (COPE-28) were evaluated in 307 biopsy-proven NAFLD patients with absence or presence of diabetes or obesity. QoL was compared with normality tables for the general Spanish population. Interactive effects were found in physical functioning (p = 0.008), role-physical (p = 0.016) and activity (p = 0.014). Diabetic patients reported worse scores when they were also obese and vice versa, that is, obese patients scored worse when they were also diabetic. Both diabetic and obese patients had lower QoL than those without metabolic pathology or the general population, and obese patients also reported more passive/avoidance coping. Active coping, positive reframing and acceptance predicted better QoL, while denial, self-blame, self-distraction, disengagement and religion predicted lower QoL. In conclusion, diabetes and obesity were associated with lower QoL in patients with NAFLD. Obesity was also associated with more passive/avoidance coping. Furthermore, passive/avoidance coping strategies predicted lower QoL than active, recommending modification of maladaptive coping strategies in future multidisciplinary NAFLD treatments.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/107480
https://doi.org/10.3390/ijerph18073503
url https://hdl.handle.net/11441/107480
https://doi.org/10.3390/ijerph18073503
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Environmental Research and Public Health, 18 (7), Article 3503.
PSI2017-83365-P
FPU16/03146FPU16/03146
https://doi.org/10.3390/ijerph18073503
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300724

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