title: Relationships Between Illness Perceptions, Coping and Psychological Morbidity in Kidney Transplants Patients.
abstract: BACKGROUND
  The aim of this study was to explore the effect of kidney transplantation (KT) on psychological distress and quality of life (QoL) in patients with end-stage kidney disease using the Common Sense Model of illness adjustment.
  
  
  METHODS
  A total of 52 individuals (35 men and 17 women) with an average age of 53.54 years from a large metropolitan nephrology outpatient clinic participated.
  
  
  RESULTS
  Poorer health status, illness perceptions and increased engagement in maladaptive coping were associated with psychological distress (specifically anxiety and depression) and poorer QoL. Hierarchical regression, after correcting for KT characteristics (years since most recent KT, number of transplants) indicated that poorer illness status and illness perception predicted QoL. After controlling for KT characteristics, poorer illness status and greater engagement in maladaptive coping predicted depression. In contrast, poorer illness perceptions and greater engagement in maladaptive coping predicted anxiety. Adaptive problem-focused and emotion-focused coping styles were not found to predict anxiety, depression or QoL.
  
  
  CONCLUSIONS
  The finding of the present study emphasize on the importance of exploring and understanding the effect of illness status, illness perceptions and coping patterns in patients who have underwent KT.
authors.affiliation: Department of Psychology, Swinburne University of Technology, (SRK, SB) Victoria, Australia; Department of Psychiatry, St. Vincent's Hospital, (SRK, DJC, MS); The University of Melbourne, (SRK, DC, MS, RL), Melbourne, Australia. Electronic address: sknowles@swin.edu.au.
authors.forename: Simon R
authors.initials: SR
authors.lastname: Knowles
authors.affiliation: Department of Psychiatry, St. Vincent's Hospital, (SRK, DJC, MS); The University of Melbourne, (SRK, DC, MS, RL), Melbourne, Australia; Cardiovascular Research Centre (DJC), Australian Catholic University, Melbourne, Australia.
authors.forename: David J
authors.initials: DJ
authors.lastname: Castle
authors.affiliation: Department of Psychology, Swinburne University of Technology, (SRK, SB) Victoria, Australia.
authors.forename: Shellie M
authors.initials: SM
authors.lastname: Biscan
authors.affiliation: Department of Psychiatry, St. Vincent's Hospital, (SRK, DJC, MS); The University of Melbourne, (SRK, DC, MS, RL), Melbourne, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Salzberg
authors.affiliation: Faculty of Medicine, Dentristry and Health Sciences, Department of Nephrology, St. Vincent's Hospital, (EO,RL) Fitzroy, Victoria, Australia.
authors.forename: Emmett B
authors.initials: EB
authors.lastname: O'Flaherty
authors.affiliation: The University of Melbourne, (SRK, DC, MS, RL), Melbourne, Australia; Faculty of Medicine, Dentristry and Health Sciences, Department of Nephrology, St. Vincent's Hospital, (EO,RL) Fitzroy, Victoria, Australia.
authors.forename: Robyn
authors.initials: R
authors.lastname: Langham
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000523:psychology / Q000601:surgery; D016030:Kidney Transplantation / Q000523:psychology* / Q000639:trends; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D009017:Morbidity; D010465:Perception; D010865:Pilot Projects; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology
keywords: Anxiety; Coping; Depression; Kidney transplant; Quality of life