title: Emotional management and biological markers of dietetic regimen in chronic kidney disease patients.
abstract: The aim of the study was to investigate the association between psychological characteristics and biological markers of adherence in chronic kidney disease patients receiving conservative therapy, hemodialysis, peritoneal dialysis (PD), or kidney transplantation. Seventy-nine adult patients were asked to complete the following questionnaires: Toronto Alexithymia scale, Snaith-Hamilton Pleasure Scale, and Short Form Health Survey. Biological markers of adherence to treatment were measured. Peritoneal dialysis patients showed a lower capacity to feel pleasure from sensorial experience (p = .011) and a higher values of phosphorus compared to the other patients' groups (p = .0001). The inability to communicate emotions was negatively correlated with hemoglobin levels (r = -(0).69; p = .001) and positively correlated with phosphorus values in the PD patients (r = .45; p = .050). Findings showed higher psychological impairments and a lower adherence to the treatment in PD patients and suggest the implication of emotional competence in adherence to treatment.
authors.affiliation: a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Lai
authors.affiliation: b Department of Anesthesiology and Intensive Care , A. Gemelli University Hospital , Rome , Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Aceto
authors.affiliation: c Department of Neuroscience , Catholic University of Sacred Heart of Rome , Rome , Italy.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Luciani
authors.affiliation: a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy.
authors.forename: Erika
authors.initials: E
authors.lastname: Fazzari
authors.affiliation: a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy.
authors.forename: Valerio
authors.initials: V
authors.lastname: Cesari
authors.affiliation: d Nomentano Hospital of Rome , Rome , Italy.
authors.forename: Stella
authors.initials: S
authors.lastname: Luciano
authors.affiliation: d Nomentano Hospital of Rome , Rome , Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Fortini
authors.affiliation: d Nomentano Hospital of Rome , Rome , Italy.
authors.forename: Desiderata
authors.initials: D
authors.lastname: Berloco
authors.affiliation: d Nomentano Hospital of Rome , Rome , Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Canulla
authors.affiliation: e Taurianova Hospital of Reggio Calabria , Reggio Calabria , Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Bruzzese
authors.affiliation: f Department of Clinical Medicine , Sapienza University of Rome , Rome , Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Lai
mesh_terms: D000342:Affective Symptoms / Q000175:diagnosis*; D000368:Aged; D015415:Biomarkers; D004046:Dietetics; D005260:Female; D006801:Humans; D007558:Italy; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010530:Peritoneal Dialysis; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D051436:Renal Insufficiency, Chronic / Q000150:complications*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
chemical_list: D015415:Biomarkers
keywords: Hemodialysis; alexithymia; kidney disease; quality of life; renal failure