Preoperative Psychological Factors Predicting Graft Rejection in Patients Undergoing Kidney Transplant: A Pilot Study

Calia, Rosaria; Lai, Carlo; Aceto, Paola; Luciani, Massimiliano; Saraceni, Carlo; Lai, Silvia; Gargiulo, Antonio R.; Citterio, Franco

doi:10.1016/j.transproceed.2011.01.158

Cited by 22 publications

(18 citation statements)

References 17 publications

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“…The results of this study suggest that evaluating the attachment style in adult patients who have received a kidney transplant might contribute to improve the psychological support programs for patients increasing compliance to treatment. 6,7 However, the small sample size and the cross-sectional nature of the study do not allow the generalization of the present findings. Moreover, longitudinal follow-up studies are undoubtedly desirable.…”

Section: Discussioncontrasting

confidence: 58%

Attachment style predict compliance, quality of life and renal function in adult patients after kidney transplant: preliminary results

et al. 2015

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Aim: Aim of this study was to evaluate the association between attachment style, compliance, quality of life and renal function in adult patients after kidney transplantation. Methods: A total of 43 adult patients who received a kidney transplant more than 3 months before were enrolled and were asked to complete two Self-Report questionnaires: Attachment Style Questionnaire (ASQ-40) and Short Form Health Survey (SF-36). Also compliance was measured using appropriate questions. Results: Linear regression analysis showed associations between the confidence in relationships Patients who exhibited avoidant attachment had a significantly better perception of their own general health than patients with anxious [F(2,37) ¼ 6.8; p50.05] or secure attachment; however, they had a worse perception regarding role limitations due to emotional problems, compared to patients with anxious attachment [F(2,37) ¼ 6.4; p50.05]. Discussion: The results of this study suggest that the evaluation of the attachment style in adult kidney transplant patients can contribute to plan a goal-directed psychological support program for these patients, in order to increase their compliance. The association between aspects of anxious attachment style and creatinine level needs more investigations.

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Section: Discussioncontrasting

confidence: 58%

Attachment style predict compliance, quality of life and renal function in adult patients after kidney transplant: preliminary results

et al. 2015

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“…In addition, there are a number of articles in literature that focus on the psychological aspects affecting graft survival and compliance that could also apply to living kidney donation. 20,21 We also noticed that trend but did not analyze it in our manuscript. Therefore, our findings require further validation by longer prospective studies involving a larger sample size across multiple clinical centers involving more donor-recipient pairings including father-to-child and mother-to-child parings, as well as preand postoperative psychological aspects of recipients.…”

Section: Discussionmentioning

confidence: 86%

Effect of donor age and parent-to-child transplant on living-related donor kidney transplantation: a single center's experience of 236 cases

et al. 2015

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To study the impact of parent-to-child transplant and older donor age on recipients' posttransplant creatinine levels, a total of 236 patients who received living donor kidney transplantation were evaluated for kidney viability based on creatinine (Cr) level. Of the 236 pairings, 113 (48%) were parent-to-child followed by sibling transplants (66, 30%). Recipient Cr levels were significantly higher at 6 months and 3 years post-transplant in the parent-to-child transplants compared to other donor-recipient relationships. In addition, donor age (average age: 44.1 ± 11.5; range: 19-66) contributed to higher recipient post-transplant Cr levels (p50.01). Pre-transplant donor and recipient Cr levels tended to result in higher post-transplant Cr levels in recipients (p50.05). Multivariate logistic regression analysis revealed that the presence of both parent-to-child transplant and older donor significantly increased the risk of elevated post-transplant Cr levels in recipients with an estimated odds ratios ranging from 3.46 (95% CI: 1.71-6.98) at 6 months to 8.04 (3.14-20.56) at 3 years post-transplant. Donor age significantly affected transplant survival as measured by higher recipient post-transplant Cr levels. In addition, parent-to-child transplant pairings, along with older donor age, significantly increased the risk of elevated post-transplant Cr levels in recipients.

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“…Many studies demonstrated the association between high alexithymia and low psychological health [6][7][8][9]; however, this is the first study that showed a relationship between alexithymia and compliance behavior. This important result could guide specific psychological treatment focused on alexithymic aspects of patients who have undergone kidney transplant in order to increase their compliance to immunosuppressive therapy [2,3,5,6]. It has been stated that patients affected by psychopathological conditions showed higher levels of alexithymia than control groups [6], but no studies investigated if alexithymia may affect compliance to immunosuppressive therapy.…”

Section: Discussionmentioning

confidence: 99%

“…e l s e v i e r . c o m / l o c a t e / p h b include psychological factors in addition to traditional medical criteria with focused intervention in selected cases [2][3][4]. Nowadays, about 40% of the adult patients who had undergone kidney transplant show low compliance with immunosuppressive therapy, increasing the risk of graft rejection and poor mental and physical recovery [5].…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%

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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

Calia

Lai

Aceto

et al. 2015

Physiology & Behavior

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Preoperative Psychological Factors Predicting Graft Rejection in Patients Undergoing Kidney Transplant: A Pilot Study

Cited by 22 publications

References 17 publications

Attachment style predict compliance, quality of life and renal function in adult patients after kidney transplant: preliminary results

Attachment style predict compliance, quality of life and renal function in adult patients after kidney transplant: preliminary results

Effect of donor age and parent-to-child transplant on living-related donor kidney transplantation: a single center's experience of 236 cases

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

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