Prediction of pain self-efficacy in patients with liver transplant base on childhood trauma and resilience

Liver transplantation is the most effective treatment for many patients with acute or chronic liver disease from a variety of causes. Pain-related self-efficacy is an important resiliency factor impacting the influence of liver transplantation-related pain. The aim of this study was prediction of pain self-efficacy base on of childhood trauma (physical abuse, sexual abuse, emotional abuse and neglect) and resilience in liver transplant patients.

This study utilized a descriptive correlational design and statistical population of this study was included of all inpatients and patients who had who had referred to with liver transplant surgery to Emam Khomeini in the fall and winter of 2015. 85 patients with liver transplantation were selected through purposive sampling. Research instruments were the resiliency of Connor & Davidson (2003), pain self-efficacy of Nicholas (1989) and childhood trauma of Bernstein & Fink (1988). To analyze the data, multiple regressions were used.

Results of the analysis showed resilience in the 0.01 significant predicted pain self-efficacy in liver transplant patients. Among dimension of childhood trauma just childhood sexual abuse negatively and in the 0.01 significant predicted pain self-efficacy in liver transplant patients.

Cognitive factors such as childhood trauma and resilience during the period of growth influence development of self-efficacy in coping with pain.