Appraisal of transplant-related stressors, coping strategies, and psychosocial adjustment following kidney transplantation
Renato Pisanti , Caterina Lombardo , Aleksandra Łuszczyńska , Luca Poli , Linda Bennardi , Luca Giordanengo , Pasquale Bartolomeo Berloco , Cristiano Violani
AbstractThis study examined the relations between appraisal of transplant-related stressors, coping, and adjustment dimensions following kidney transplantation (KT). Two models were tested: (1) the main effects model proposing that stress appraisal and coping strategies are directly associated with adjustment dimensions; and (2) the moderating model of stress proposing that each coping strategy interacts with stress appraisal. Importantly, there is a lack of research examining the two models simultaneously among recipients of solid organ transplantation. A total of 174 KT recipients completed the questionnaires. Predictors of post-transplant adjustment included appraisal of transplant-related stressors and coping strategies (task-, emotion-, and avoidance-focused). Adjustment dimensions were psychological distress, worries about the transplant, feelings of guilt, fear of disclosure of transplant, adherence, and responsibility for the functioning of the new organ. The main and moderating effects were tested with regression analyses. Appraisal of transplant-related stressors and emotion-oriented coping were related to all adjustment dimensions, except of adherence and responsibility. Task-oriented coping was positively related to responsibility. Avoidance-oriented coping was negatively correlated with adherence. Only 1 out of 18 hypothesized interactive terms was significant, yielding a synergistic interaction between appraisal of transplant-related stressors and emotion-oriented coping on the sense of guilt. The findings have the potential to inform interventions promoting psychosocial adjustment among KT recipients.
|Journal series||Stress and Health: Journal of the International Society for the Investigation of Stress, ISSN 1532-3005, (A 20 pkt)|
|Publication size in sheets||0.5|
|Keywords in English||coping strategies, kidney, moderator, organ transplantation, stress appraisal|
|ASJC Classification||; ; ;|
|Publication indicators||: 2017 = 0.938; : 2017 = 1.661 (2) - 2017=2.381 (5)|
|Citation count*||8 (2020-11-29)|
* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.