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

Jesús Funuyet-Salas, María Ángeles Pérez-San-Gregorio, Agustín Martín-Rodríguez and Manuel Romero-Gómez
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Jesús Funuyet-Salas: Department of Personality, Assessment, and Psychological Treatment, Faculty of Psychology, University of Seville, 41018 Seville, Spain
María Ángeles Pérez-San-Gregorio: Department of Personality, Assessment, and Psychological Treatment, Faculty of Psychology, University of Seville, 41018 Seville, Spain
Agustín Martín-Rodríguez: Department of Personality, Assessment, and Psychological Treatment, Faculty of Psychology, University of Seville, 41018 Seville, Spain
Manuel Romero-Gómez: UCM Digestive Diseases and Ciberehd, Institute of Biomedicine of Seville, Virgen del Rocío University Hospital, University of Seville, 41013 Seville, Spain

IJERPH, 2021, vol. 18, issue 7, 1-15

Abstract: 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.

Keywords: NAFLD; quality of life; coping strategies; type 2 diabetes mellitus; obesity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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