Psychological Risk Factors for Graft Rejection Among Liver Transplant Recipients

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

“…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.…”

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

“…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.…”

“…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].…”

“…Previous studies in patients undergoing liver and kidney transplant showed that emotions and psychological aspects may predict an acute graft rejection episode [2,3]. Higher levels of insecure attachment dimensions (anxious or avoidant) were significantly associated with a worse compliance level and low quality of life (QoL) [4].…”

Postoperative cognitive dysfunction after liver transplantation

“…Many factors may affect QoL after LT [66,67], including pretransplant psychological status, successful transplant, compliance to immunosuppressive treatment, recurrence of liver disease, anxiety about recurrence, inability to resume work with the ensuing economic restraints and changes in social relationships. It is difficult to establish the contribution of POCD to longterm QoL after LT, even if it remains an intriguing issue.…”