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


This 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.
Author Renato Pisanti
Renato Pisanti,,
, Caterina Lombardo
Caterina Lombardo,,
, Aleksandra Łuszczyńska (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Aleksandra Łuszczyńska,,
- II Wydział Psychologii we Wrocławiu
, Luca Poli
Luca Poli,,
, Linda Bennardi
Linda Bennardi,,
, Luca Giordanengo
Luca Giordanengo,,
, Pasquale Bartolomeo Berloco
Pasquale Bartolomeo Berloco,,
, Cristiano Violani
Cristiano Violani,,
Journal seriesStress and Health: Journal of the International Society for the Investigation of Stress, ISSN 1532-3005, (A 20 pkt)
Issue year2017
Publication size in sheets0.5
Keywords in Englishcoping strategies, kidney, moderator, organ transplantation, stress appraisal
ASJC Classification2738 Psychiatry and Mental health; 3202 Applied Psychology; 3203 Clinical Psychology; 2700 General Medicine
Languageen angielski
7. Łuszczyńska_Pisanti_et_al-2017-Stress_and_Health.pdf 284.88 KB
Additional file
7a. Oświadczenie_publ Luszczynska pazdziernik 2017 _2.pdf 274.74 KB
Score (nominal)20
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 0.938; WoS Impact Factor: 2017 = 1.661 (2) - 2017=2.381 (5)
Citation count*8 (2020-11-29)
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