title: Attachment style predict compliance, quality of life and renal function in adult patients after kidney transplant: preliminary results.
abstract: OBJECTIVE
  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].
  
  
  CONCLUSIONS
  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.
authors: Department of Surgery, Transplantation Service, Catholic University of Sacred Heart , Rome , Italy .
authors: Rosaria
authors: R
authors: Calia
authors: Carlo
authors: C
authors: Lai
authors: Paola
authors: P
authors: Aceto
authors: Massimiliano
authors: M
authors: Luciani
authors: Giovanni
authors: G
authors: Camardese
authors: Silvia
authors: S
authors: Lai
authors: Giara
authors: G
authors: Amato
authors: Valentina
authors: V
authors: Pietroni
authors: Maria Paola
authors: MP
authors: Salerno
authors: Jose Alberto
authors: JA
authors: Pedroso
authors: Jacopo
authors: J
authors: Romagnoli
authors: Franco
authors: F
authors: Citterio
mesh_terms: D001007:Anxiety / Q000209:etiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007677:Kidney Function Tests; D016030:Kidney Transplantation / Q000523:psychology; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D009769:Object Attachment; D011788:Quality of Life; D016903:Drug Monitoring
keywords: Adherence to treatment; attachment; kidney transplantation; quality of life; renal function