Abstract

MAGAN-UCEDA, Inés et al. Living with uncertainty: psychological intervention in a woman with an adjustment disorder waiting for a lung transplant. Clínica y Salud [online]. 2015, vol.26, n.3, pp.151-158. ISSN 2174-0550.  https://dx.doi.org/10.1016/j.clysa.2015.09.002.

The Spanish Model of Transplantation has achieved global recognition, because of its efficacy and efficiency levels. Almost always, organ transplant is the person's only chance of survival. So, organ transplantation could be considered a stage-process related to a stressful life event which individuals must cope with. The waiting list stage probably is associated to a higher psychological vulnerability, as it is usually a long process and a real risk to survival, characterized by high uncertainty. The case of a woman diagnosed with an adjustment disorder with mixed anxiety and depressed mood associated with being on a waiting list for two years is presented. A cognitive-behavioral intervention was applied to develop more adaptive coping-skills, to manage rumination, and to learn to live with uncertainty. Results showed significant clinical outcomes in those mechanisms and also in anxiety and depression levels. These changes were maintained in the follow-up stage, one month later.

Keywords : Mixed adaptive disorder; Intolerance to uncertainty; Organ transplant process; Lung transplant waiting list; Single case study.

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