The relationship between adolescent renal transplant recipients' perceived adversity, coping, and medical adherence.
The aim of the present study was to assess adolescent renal transplant recipients' perceived adversity (PA) for various aspects of living with a transplant, including its association with coping and medication non-adherence, from a theoretical perspective. Thirty-three adolescent renal transplant recipients were interviewed using structured questionnaires and medical record reviews. Health care provider ratings of adversity were also collected. Participants reported moderate levels of PA, with those who received a transplant at an older age reporting more adversity on several domains and girls reporting more adversity for missing school. Ratings of adversity for specific aspects of living with a transplant differed depending on age and medical factors and were related to specific coping strategies and measures of non-adherence. Consistent with the Self-Regulation Model, perceived consequences (represented as PA) appears to be related to coping and illness outcomes. Assessing PA and teaching appropriate coping strategies may yield better medical outcomes among this at-risk population.
Ratcliff
Megan Benoit
MB
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital and Medical Center, MLC 3015, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. megan.ratcliff@cchmc.org
Blount
Ronald L
RL
Mee
Laura L
LL
D000223:Adaptation, Psychological; D000293:Adolescent; D000367:Age Factors; D002648:Child; D003142:Communication; D005260:Female; D006801:Humans; D007389:Internal-External Control; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000601:surgery; D016030:Kidney Transplantation / Q000523:psychology*; D008016:Life Change Events; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D010348:Patient Care Team; D010349:Patient Compliance / Q000523:psychology*; D000297:Psychology, Adolescent; D011788:Quality of Life / Q000523:psychology*; D012803:Sick Role; D012917:Social Adjustment; D055815:Young Adult
Pediatr Transplant. 1997 Aug;1(1):55-64
10084788
J Pediatr Nurs. 2001 Jun;16(3):172-9
11398127
Br J Clin Psychol. 1999 Mar;38(1):43-58
10212736
Pediatrics. 2004 Apr;113(4):825-32
15060234
Pediatr Nephrol. 1994 Dec;8(6):744-9
7696117
Pediatr Nurs. 2008 Mar-Apr;34(2):141-6
18543839
J Pediatr Psychol. 2003 Oct-Nov;28(7):485-93
12968040
J Pediatr Psychol. 2007 Aug;32(7):831-44
17522111
Transplant Proc. 2006 Mar;38(2):430-1
16549139
J Paediatr Child Health. 1997 Apr;33(2):107-12
9145351
Rheumatology (Oxford). 2007 Jun;46(6):904-6
17449488
Pediatr Nephrol. 1998 Nov;12(9):703-8
9874312
J Pediatr Hematol Oncol. 2005 Jan;27(1):15-22
15654273
BMJ. 1998 Apr 18;316(7139):1236-8
9553006
Child Adolesc Psychiatr Clin N Am. 2003 Jul;12(3):567-84
12910823
Am J Transplant. 2003 Nov;3(11):1418-25
14525604
Diabetes Care. 2001 May;24(5):828-33
11347738
Pediatr Transplant. 2008 May;12(3):300-8
18194352
J Adolesc. 1987 Jun;10(2):163-86
3611466
Pediatr Transplant. 2003 Dec;7(6):489-93
14870900
Nephrol Dial Transplant. 2005 Jan;20(1):181-8
15572384
Epidemiology. 1990 Jan;1(1):43-6
2081237