EMOTIONAL ADJUSTMENT AND COMPLIANCE

这个项目的目的是确定社会心理预测因素， 肾移植受者的治疗依从性。 鉴于 不遵守的频率及其后果的严重性（例如， 排斥，移植物丢失），识别与不依从性相关的因素 是提高移植存活率必要步骤 受惠人士 事实上，没有研究表明， 目前存在移植受体，尽管其他健康研究 域提供了这些预测因子的线索。 这些问题包括： 控制自己的健康，社会支持和应对策略。 这些 某些因素很重要，因为它们是可以修改的， 干预工作的潜在目标。 此外，这些因素 与情绪调整有关， 服从是很重要的，因为个人的情绪调整 问题往往不太符合。 这个项目的主要目标是研究 治疗依从性和三个关键的心理社会变量：控制 信念、社会支持和应对策略。 关系 这些变量和调整也将进行探讨，因为 他们在影响遵守和调整方面发挥着核心作用。 具体而言，关于依从性、情绪调节和心理社会方面的数据 顺应性和调整的预测因子（即，控制信念，社会的 支持，应对策略）将从肾移植中收集 接受者和他们的照顾者在明尼苏达大学医院 使用预期的面板设计。 纵向数据，在3和12 移植后的几个月，将允许评估的方向， 变量之间的关系以及调整和 随着时间的推移。 这项研究的结果将使医疗保健 提供者可以识别可能有更高风险的移植受者， 不服从 识别不依从性的预测因素， 可修改的也可以导致更有效的干预措施，以改善 合规

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.