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Attachment style predict compliance, quality of life and renal function in adult patients after kidney transplant: preliminary results
Open accessAbstract
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 (ASQ-40) and compliance [beta = -0.37; B = -0.02; t(41) = -2.51; p = 0.02]; aspects of anxious attachment style (ASQ-40) and creatinine levels [beta = 0.3; B = 0.13; t(41) = 2.03; p = 0.04]; aspects of avoidant attachment style (ASQ-40) and compliance [beta = -0.37; B = -3.15; t(41) = -2.35; p = 0.02]. Patients who exhibited avoidant attachment had a significantly better perception of their own general health than patients with anxious [F(2,37) = 6.8; p < 0.05] 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) = 6.4; p < 0.05]. 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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Younger age, depression and anxiety, using avoidance as an adaptation strategy, and inability to communicate emotions and emotional dysregulation are factors predisposing to poor medication adherence in transplant patients.
“Younger age, depression and anxiety, using avoidance as an adaptation strategy, and the inability to communicate emotions and emotional dysregulation represent some of the factors predisposing to poor medication adherence in transplant patients [3,11,12].”
From Effectiveness of Expressive Writing in Kidney Transplanted Patients: A Randomized Controlled Trial Study (2022) · cites this paper as [11]
The Discussion (page unavailable) associates avoidant and anxious attachment with worse compliance in adult kidney transplant recipients. It does not establish avoidance as an adaptation strategy, or identify younger age, depression, anxiety symptoms, inability to communicate emotions, or emotional dysregulation as causes of poor medication adherence. Its age finding concerns physical activity, pain, and vitality, and the study's cross-sectional design does not establish predisposition. (LLM, conf=0.86)
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Metadata
- Authors
- Calia, R., Lai, C., Aceto, P., Luciani, M., Camardese, G., Lai, S., Amato, G., Pietroni, V., Salerno, M. P., Pedroso, J. A., Romagnoli, J., & Citterio, F.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Sapienza University of Rome (IT)
- Department of Surgery, Transplantation Service, Catholic University of Sacred Heart
- Corresponding author
- Aceto, Paola
- ORCID
- Venue
- Renal Failure
- Publisher
- Informa UK Limited
- Published
- 2015-02-17
- Volume
- 37
- Issue
- 4
- Pages
- 678-680
- ISSN
- 0886-022X (ISSN-L)
- 1525-6049
- OpenAlex
- W2076791392
- Cited by
- 36
- References
- 7
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 5
- FWCI
- 9.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Renal Failure (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Health Sciences › Medicine › Transplantation › Renal Transplantation Outcomes and Treatments
- Health Sciences › Medicine › Transplantation › Organ and Tissue Transplantation Research
- Keywords
- attachment styles, kidney transplantation, medication adherence, quality of life, renal function, creatinine levels, attachment anxiety, attachment avoidance, secure attachment, psychological support, post-transplant patients
- MeSH terms
- Assessment of Medication Adherence, Anxiety, Cross-Sectional Studies, Female, Humans, Kidney Function Tests, Male, Middle Aged, Object Attachment, Quality of Life, Kidney Transplantation, Drug Monitoring, Medication Adherence
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