Emotional self-efficacy and alexithymia may affect compliance, renal function and quality of life in kidney transplant recipients: Results from a preliminary cross-sectional study

Calia, Rosaria; Lai, Carlo; Aceto, Paola; Luciani, Massimiliano; Camardese, Giovanni; Lai, Silvia; Fantozzi, Chiara; Pietroni, Valentina; Salerno, Maria Paola; Spagnoletti, Gionata; Pedroso, José Alberto Rodrigues; Romagnoli, Jacopo; Citterio, Franco

doi:10.1016/j.physbeh.2015.02.018

Cited by 39 publications

(30 citation statements)

References 16 publications

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“…One prior study in pediatric kidney transplant recipients demonstrated impairment in recognizing emotional states (14). A recent study in adult kidney transplant patients revealed that alexithymia (the inability to recognize and express emotions) is positively correlated with noncompliance (28), underscoring the importance of recognizing deficits in social cognition. These findings support further investigation and validation of the Penn CNB in CKD populations.…”

Section: Discussionmentioning

confidence: 98%

Evaluation of Neurocognition in Youth with CKD Using a Novel Computerized Neurocognitive Battery

Hartung¹,

Kim²,

Laney³

et al. 2016

Clinical Journal of the American Society of Nephrology

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Background and objectives Neurocognitive problems in CKD are well documented; time-efficient methods are needed to assess neurocognition in this population. We performed the first study of the efficient 1-hour Penn Computerized Neurocognitive Battery (CNB) in children and young adults with CKD.Design, setting, participants, & measurements We administered the Penn CNB cross-sectionally to individuals aged 8-25 years with stage 2-5 CKD (n=92, enrolled from three academic nephrology practices from 2011 to 2014) and matched healthy controls (n=69). We analyzed results from 12 tests in four domains: executive control, episodic memory, complex cognition, and social cognition. All tests measure accuracy and speed; we converted raw scores to age-specific z-scores on the basis of Philadelphia Neurodevelopmental Cohort (n=1790) norms. We analyzed each test in a linear regression with accuracy and speed z-scores as dependent variables and with (1) CKD versus control or (2) eGFR as explanatory variables, adjusted for race, sex, and maternal education. Conclusions CKD is associated with lower accuracy in tests of complex cognition, attention, memory, and emotion identification, which related to eGFR. These findings are consistent with traditional neurocognitive testing in previous studies.

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Section: Discussionmentioning

confidence: 98%

Evaluation of Neurocognition in Youth with CKD Using a Novel Computerized Neurocognitive Battery

Hartung¹,

Kim²,

Laney³

et al. 2016

Clinical Journal of the American Society of Nephrology

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“…12 Self-efficacy, 13 the self-belief that one can successfully carry out a specific behavior in a specific situation, has been shown to be predictive of improved health behaviors and outcomes broadly 14–16 and in CKD specifically. 4, 8 In the few studies of self-efficacy in CKD, 17–25 a broad range of scales have been used, ranging from generalized self-efficacy 19, 26 to self-efficacy in restricting dietary sodium. 20 Overall, the literature supports that self-efficacy in CKD is positively associated with medication adherence, quality of life, treatment adherence, education, and self-care behaviors, and negatively associated with depression, with gender and age having been shown to be modifying factors.…”

Section: Introductionmentioning

confidence: 99%

“…20 Overall, the literature supports that self-efficacy in CKD is positively associated with medication adherence, quality of life, treatment adherence, education, and self-care behaviors, and negatively associated with depression, with gender and age having been shown to be modifying factors. 21–25 …”

Section: Introductionmentioning

confidence: 99%

The Perceived Medical Condition Self-Management Scale can be applied to patients with chronic kidney disease

Wild

Wallston

Green

et al. 2017

Kidney International

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Chronic Kidney Disease (CKD) is a major burden on patients and the healthcare system. Treatment of CKD requires dedicated involvement from both caretakers and patients. Self-efficacy, also known as perceived competence, contributes to successful maintenance of patient’s CKD self-management behaviors such as medication adherence and dietary regulations. Despite a clear association between self-efficacy and improved CKD outcomes, there remains a lack of validated self-report measures of CKD self-efficacy. To address this gap, the Perceived Kidney/Dialysis Self-Management Scale (PKDSMS) was adapted from the previously validated Perceived Medical Condition Self-Management Scale. We then sought to validate this using data from two separate cohorts: a cross-sectional investigation of 146 patients with end-stage renal disease receiving maintenance hemodialysis and a longitudinal study of 237 patients with CKD not receiving dialysis. The PKDSMS was found to be positively and significantly correlated with self-management behaviors and medication adherence in both patient cohorts. The PKDSMS had acceptable reliability, was internally consistent, and exhibited predictive validity between baseline PKDSMS scores and self-management behaviors across multiple time points. Thus, the PKDSMS is a valid and reliable measure of CKD patient self-efficacy and supports the development of interventions enhancing perceived competence to improve CKD self-management.

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“…Moreover, other psychological variables had been highlighted to interfere with well-being in kidney transplant patients. For instance, high levels of alexithymia (Calia et al, 2015a) or insecure attachment dimensions (anxious or avoidant) had been positively associated with worse adherence to immunosuppressive treatment and negatively with health-related quality of life after kidney transplantation (Calia et al, 2015b). This study has some limitations that must be acknowledged.…”

Section: Discussionmentioning

confidence: 88%

Health-related behaviours after 1 year of renal transplantation

et al. 2016

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Health-related behaviours and psychological distress were examined after kidney transplantation. Patients were evaluated at 1 month, 6 months and 1 year after transplantation. Participants completed the Healthy Behaviours Questionnaire and the Hospital Anxiety and Depression Scale. No significant differences in Healthy Behaviours Questionnaire's total score and psychological comorbidity were observed at three time points. However, there was an increase in drug-consumer habits ( p < 0.05) and a reduction in sedentary lifestyle ( p < 0.05) at 6 months and 1 year. Moreover, at 1 year, post-transplant had increased the harmful health habits ( p < 0.05). In regression analysis, anxiety symptoms were significant predictors of Healthy Behaviours Questionnaire change at a year post-transplantation.

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Emotional self-efficacy and alexithymia may affect compliance, renal function and quality of life in kidney transplant recipients: Results from a preliminary cross-sectional study

Cited by 39 publications

References 16 publications

Evaluation of Neurocognition in Youth with CKD Using a Novel Computerized Neurocognitive Battery

Evaluation of Neurocognition in Youth with CKD Using a Novel Computerized Neurocognitive Battery

The Perceived Medical Condition Self-Management Scale can be applied to patients with chronic kidney disease

Health-related behaviours after 1 year of renal transplantation

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