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Article

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

Author/sFunuyet Salas, Jesús  
Pérez San Gregorio, María de los Ángeles              
Martín Rodríguez, Agustín              
Romero Gómez, Manuel                
DepartmentUniversidad de Sevilla. Departamento de Personalidad, Evaluación y Tratamiento Psicológicos
Universidad de Sevilla. Departamento de Medicina
Date2021
Published in International Journal of Environmental Research and Public Health, 18 (7), Article 3503.
AbstractOur 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’ ...
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.
Funding agenciesMinisterio de Ciencia e Innovación (MICIN). España
Ministerio de Educación y Formación Profesional. España
Project ID.PSI2017-83365-P  openaire
FPU16/03146FPU16/03146  openaire
CitationFunuyet Salas, J., Pérez San Gregorio, M.d.l.Á., Martín Rodríguez, A. y Romero Gómez, M. (2021). Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity. International Journal of Environmental Research and Public Health, 18 (7), Article 3503.
10.3390/ijerph18073503

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ijerph-18-03503.pdf1.598MbIcon   [PDF] View/Open  
Logo Handlehttps://hdl.handle.net/11441/107480
DOIhttps://doi.org/10.3390/ijerph18073503
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  • Artículos (Medicina)
  • Artículos (Personalidad, Evaluación y Tratamiento Psicológicos)

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