Role of “Self-Efficacy” in the Process of Long-Term Care in Kidney Transplant Recipients

Pasquale, Concetta De; Pistorio, Maria Luisa; Corona, Daniela; Sinagra, N.; Giaquinta, Alessia; Zerbo, D.; Veroux, Massimiliano

doi:10.1016/j.transproceed.2014.07.035

Cited by 19 publications

(11 citation statements)

References 24 publications

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“…Future directions of research should focus on deepening all those factors (self-efficacy, awareness disease, social and family support, health education) that influence the transplant preparation pathway and post-transplant results (32,80). Furthermore, the development of interdisciplinary interventions with the various specialists (surgeon, nephrologist, psychiatrist and psychologist) would be desirable to identify shared operational protocols for integrated care of the transplanted patient and also plan training and updating courses for the "health team" with particular attention to psychological, communicative and relational aspects (24,62,64,67,68,70,(75)(76)(77).…”

Section: Discussionmentioning

confidence: 99%

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Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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Kidney transplantation is a serious event that involves profound psychological, relational and social changes both for the patient and his family context. Assessment of personality profile, awareness of disease, family and social support of the patient candidate for kidney transplantation are necessary because factors not adequately considered, can influence the success of the transplant and alter the psychological stability of the patient. The present study aims to provide a systematic review of the literature of the last twelve years (2006-2018), focusing in particular on patient's readiness level and illness management and on possible psychopathology. Sixty-two studies were examined. Based on the Downs and Black checklist, most studies (n = 32) were of high quality; 15 of which related to lifestyle, health education, and therapeutic adherence in post-renal transplantation, 17 studies concerned the possible existence of psychopathology and cognitive impairment of renal deceased transplanted subjects. The literature used has shown that the population of kidney transplant patients is exposed to a high risk of psychiatric disorders with repercussions on the quality of life and the risk of rejection. Therefore, an adequate pre-transplant psychosocial assessment is necessary, which allows a more indepth knowledge of the candidate to plan coping strategies and possible posttransplant psychotherapy.

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Section: Discussionmentioning

confidence: 99%

“…De Pasquale et al (32) studied psychopathology, self-efficacy and quality of life in 120 kidney transplant subjects. The "Symptom Checklist 90 Revised" (SCL-90 R) was used to assess psychopathology.…”

Section: Mental Distress and Psychological Symptomsmentioning

confidence: 99%

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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“…A crucial psychological factor in this context appears to be self-efficacy [9], i.e., the KTR's belief in their own capacity to successfully deal with a challenging situation, besides other aspects such as effective post-transplant adaptation [10] and nursing social contacts [11]. Higher self-efficacy can positively influence mental health and QoL [12] in KTRs and was identified as a protective factor in regard to stress, anxiety, depression and somatization [13]. KTRs with high self-efficacy showed better adherence to therapy [14] and improved functional coping behavior, leading to more favorable outcomes post-KTx [13].…”

Section: Introductionmentioning

confidence: 99%

“…Higher self-efficacy can positively influence mental health and QoL [12] in KTRs and was identified as a protective factor in regard to stress, anxiety, depression and somatization [13]. KTRs with high self-efficacy showed better adherence to therapy [14] and improved functional coping behavior, leading to more favorable outcomes post-KTx [13]. It is important to note that mental health is not only directly linked to QoL [6] but may also impact post-transplant morbidities associated with unemployment post-KTx, e.g., fatigue [15,16].…”

Section: Introductionmentioning

confidence: 99%

Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria

Jordakieva

Grabovac

Steiner

et al. 2020

IJERPH

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Kidney transplantation (KTx) in end-stage renal disease is associated with a significant increase in quality of life (QoL) and self-perceived health, optimally leading to the maintenance of employment or return to work (RTW) in working-age patients. The aim of this study was to assess individual factors including the QoL and mental health of kidney transplant recipients (KTRs) associated with employment after transplantation. A cross-sectional study including working-age patients with a history of KTx after 2012 was conducted at two Austrian study centers (Vienna and Graz). Brief Symptom Inventory (BSI-18), World Health Organization Quality of Life (WHOQOL-Bref) and Workability Index (WAI) were assessed along with detailed questionnaires on employment status. Out of n = 139 KTRs (43.2 ± 9.07 years; 57.6% male), 72 (51.8%) were employed. Employed patients were more frequently in a partnership (p = 0.018) and had higher education levels (p = 0.01) and QoL scores (<0.001). Unemployed KTRs reported fatigue and mental health issues more often (p < 0.001), and had significantly higher anxiety, depression and somatization scores (BSI-18). In unadjusted logistical regression, workability score (WAS; odds ratio (OR) = 3.39; 95% confidence interval (CI) = 1.97–5.82; p < 0.001), partnership (OR = 5.47; 95% CI 1.43–20.91; p = 0.013) and no psychological counseling after KTx (OR = 0.06; 95% CI = 0.003–0.969; p = 0.048) were independently associated with employment. Self-assessed mental health, workability and QoL were significantly associated with employment status after KTx. Thus, in order to facilitate RTW after KTx in Austria, vocational rehabilitation and RTW programs addressing KTRs should focus on increasing social support and care for their mental health.

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“…Many studies evaluating the relationship between the healthcare team and the patient highlighted the need for a relationship based on trust and clarity for the sharing of information regarding the treatment course[10,11]. Even psychological and psychosocial aspects can alter the response to treatment[12,13]: Mood disorders, high levels of anxiety, hostility, and the presence of “unstable” personality traits are associated with an increased risk of non-adherence to medical prescriptions in kidney transplant recipients[14-16]. …”

Section: Introductionmentioning

confidence: 99%

Psychological perspective of medication adherence in transplantation

Pasquale

Veroux

Fornaro

et al. 2016

WJT

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AIMTo identify the risk factors and the post-transplant psychological symptoms that affect adherence to therapy in a population of kidney transplant recipients.METHODSThe study examined the psychological variables likely responsible for the non-adherent behavior using a psychological-psychiatric assessment, evaluation of the perception of patients’ health status, and an interview regarding the anti-rejection drug therapy assumption. The study included 74 kidney transplant recipients.RESULTSIndividuals with a higher level of education and more years since transplantation showed better mental balance. Regarding gender, women appeared to be less adherent to therapy. Further, the years since transplantation adversely affected the proper pharmacological assumption. Adherence to therapy did not significantly change with the mental health index.CONCLUSIONThe biopsychosocial illness model provides a conceptual frame of reference in which biological, psychological, and social aspects take on the same importance in the adherence to treatment protocols. For effective management, it is necessary to understand the patients’ personal experiences, their assumptions about the disease, health status perception, and mood, and to identify any “barriers” that could cause them to become noncompliant.

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Role of “Self-Efficacy” in the Process of Long-Term Care in Kidney Transplant Recipients

Cited by 19 publications

References 24 publications

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria

Psychological perspective of medication adherence in transplantation

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