EMOTIONAL ADJUSTMENT AND COMPLIANCE

该项目的目的是确定心理社会预测因子。 肾移植受者的治疗依从性。给定 不遵守的频率及其后果的严重性(例如， 排斥、移植物丢失)，确定与不依从性相关的因素 是提高移植成活率的必要步骤 收件人。 几乎没有关于不遵守行为的心理社会预测因素的研究。 移植受者目前存在，尽管在其他健康领域的研究 领域为这样的预测者提供了线索。这些包括对 控制自己的健康、社会支持和应对策略。这些 特定的因素很重要，因为它们是可修改的，因此 干预努力的潜在目标。此外，这些因素 已被发现与情绪调整以及 合规性很重要，因为情绪调整的个人 问题往往不那么顺从。 这个项目的主要目标是研究 治疗依从性与三个关键的心理社会变量：控制 信念、社会支持和应对策略。两国之间的关系 这些变量和调整也将被探索，因为 它们在影响合规和调整方面发挥核心作用。 具体地说，关于遵从性、情绪调整和心理社会的数据 遵从性和适应的预测因素(例如，控制信念、社会 支持、应对策略)将从肾移植中收集 明尼苏达大学医院的受助者和他们的照顾者 使用预期的面板设计。纵向数据，分别在3点和12点收集 移植后几个月，将允许评估方向 变量之间的关系以及调整和调整的变化 随时间推移的合规性。这项研究的结果将使医疗保健 提供者识别可能有较高风险的移植受者 不合规。识别符合以下条件的不遵从性预测因子 可修改的还可以导致更有效的干预措施，以改善 合规性。

The purpose of this project is to identify psychosocial predictors of treatment compliance among kidney transplant recipients. Given the frequency of noncompliance and the severity of its consequences (e.g., rejection, graft loss), identification of factors related to noncompliance is a necessary step toward improving survival rates among transplant recipients. Virtually no research on the psychosocial predictors of noncompliance among transplant recipients currently exists, although research in other health domains provides clues to such predictors. These include perceptions of control over one's health, social support, and coping strategies. These particular factors are important because they are modifiable and thus potential targets for intervention efforts. In addition, these factors have been found to be associated with emotional adjustment as well as compliance which is important because individuals with emotional adjustment problems tend to be less compliant. The primary goal of this project is to examine the reactions between treatment compliance and three key psychosocial variables: control beliefs, social support, and coping strategies. The relations between these variables and adjustment also will be explored as well because of the central role they play in influencing both compliance and adjustment. Specifically, data on compliance, emotional adjustment, and psychosocial predictors of compliance and adjustment (i.e., control beliefs, social support, coping strategies) will be gathered from kidney transplant recipients and their caregivers at the University of Minnesota Hospital using a prospective panel design. Longitudinal data, gathered at 3 and 12 months post-transplant, will allow for an assessment of the direction of the relations among variables as well as changes in adjustment and compliance over time. The results of this study will enable health care providers to identify transplant recipients who may be at higher risk for noncompliance. The identification of predictors of noncompliance that are modifiable also can lead to more effective interventions to improve compliance.