Universität zu Köln

Reber, Sandra, Morawa, Eva, Stoessel, Lisa, Jank, Sabine, Vitinius, Frank, Eckardt, Kai-Uwe and Erim, Yesim (2016). Prevalence and Modifiable Determinants of Non-Adherence in Adult Kidney Transplant Recipients in a German Sample. Z. Psychosom. Med. Psychother., 62 (3). S. 270 - 284. GOTTINGEN: VANDENHOECK & RUPRECHT GMBH & CO KG. ISSN 2196-8349

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Abstract

Objectives: The aim of this cross-sectional study was to investigate the prevalence and the modifiable determinants of non-adherence in adult kidney transplant patients in follow-up care. Methods: In 74 patients at least six months post-transplant, self-reported adherence (Basel Assessment of Adherence to Immunosuppressive Medications Scale, BAASIS(C)), subjective experience and attitudes after transplantation (Medication Experience Scale for Immunosuppressants, MESI), and depression and anxiety (Hospital Anxiety and Depression Scale, HADS-D) were assessed. Results: Non-adherence to any of the four BAASIS(C) items was 24.3%. For the sub-dimensions: dose taking, drug holidays, timing deviation more than two hours from prescribed time, and dose reduction, the non-adherence levels were 9.5%, 0%, 17.6% and 2.7%, respectively. Marital status, negative beliefs towards immunosuppressants, and prominent anxiety and depression were associated with non-adherence. Conclusions: Screening for adherence and its indicators is of substantial importance in communication with renal transplant recipients. After detecting non-adherence, supportive interventions can be offered to the patients.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Reber, Sandra UNSPECIFIED UNSPECIFIED UNSPECIFIED Morawa, Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Stoessel, Lisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Jank, Sabine UNSPECIFIED UNSPECIFIED UNSPECIFIED Vitinius, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Eckardt, Kai-Uwe UNSPECIFIED UNSPECIFIED UNSPECIFIED Erim, Yesim UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-289201
DOI:	10.13109/zptm.2016.62.3.270
Journal or Publication Title:	Z. Psychosom. Med. Psychother.
Volume:	62
Number:	3
Page Range:	S. 270 - 284
Date:	2016
Publisher:	VANDENHOECK & RUPRECHT GMBH & CO KG
Place of Publication:	GOTTINGEN
ISSN:	2196-8349
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MEDICATION-ADHERENCE; RISK-FACTORS; IMMUNOSUPPRESSIVE MEDICATION; PSYCHOMETRIC PROPERTIES; RENAL-TRANSPLANTATION; DEPRESSION; NONCOMPLIANCE; ANXIETY; RATES Multiple languages Psychology, Clinical; Psychiatry; Psychology; Psychology, Multidisciplinary; Psychology, Psychoanalysis Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28920