Identity and adjustment: experiences of the organ transplant recipient

Falk, Rachel E. (2015) Identity and adjustment: experiences of the organ transplant recipient. D.Clin.Psych. thesis, Canterbury Christ Church University.

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Abstract

Positive health-related behaviour is particularly important for liver transplant recipients’ (LTRs) recovery. However, non-adherence in adolescents post-transplant is thought to be greater than, or equal to, 50%. Literature searches have found limited research into the area of young adults’ experiences of having a donated liver. Knowing more of their experience seems important to help inform practice to improve adherence and ultimately save lives.
The present study aimed to construct a grounded theory of young adults’ experiences of having a liver transplant, in order to better understand how young adults may adjust following such experiences.
Semi-structured interviews were conducted with twelve liver transplant recipients (LTRs; five female, seven male). Data were analysed using constructivist grounded theory.
A model was constructed to capture the dynamic interactions between thirteen categories, resulting in four main themes: Finding Identity Post-Transplant, Carrying Responsibility, Unseen, Unspoken or Misunderstood Challenges and Adjusting to Life After Transplant.
The study highlights the importance of the themes in psychological adjustment post-transplant. Understanding this process is imperative in order to improve health-related behaviours in a cohort with traditionally poor adherence. Implications for further research and clinical practice are discussed, including educating LTRs to raise their levels of self-efficacy, which have a positive impact on adherence.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: Liver Transplant, Young Adult, Adjustment, Adherence, Identity
Subjects: B Philosophy. Psychology. Religion > BF Psychology > BF0697 Differential psychology. Individuality. Self
R Medicine > RD Surgery > RD0520 Surgery by region, system, or organ
R Medicine > RJ Pediatrics > RJ0550 Adolescent medicine. Adolescent health services
Divisions: Faculty of Social and Applied Sciences > School of Psychology, Politics and Sociology > Salomons Centre for Applied Psychology
Depositing User: Mrs Kathy Chaney
Date Deposited: 25 Nov 2015 09:39
Last Modified: 06 Nov 2017 16:54
URI: https://create.canterbury.ac.uk/id/eprint/14079

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Last edited: 29/06/2016 12:23:00