The relationship of hope and illness-related uncertainty to emotional adjustment and adherence among pediatric renal and liver transplant recipients

Julie M. Maikranz, Ric G. Steele, Meredith L. Dreyer, Aaron C. Stratman, James A. Bovaird

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Objective: To examine, using partial least squares (PLS) modeling, the associations among hope, illness-related uncertainty, anxiety, depression, and adherence in a sample of children with renal and liver transplantations. Methods: Seventy pediatric renal and liver transplant recipients and their caregivers participated in a 3-month study which involved completing questionnaires and monitoring adherence via self-report and electronic monitoring (MEMS™ caps). A PLS estimation procedure was used to examine the associations among constructs in the theoretical model. Results: Hope and uncertainty were associated with both depressive symptoms and anxiety, and depressive symptoms were associated with treatment adherence. The association of hope and adherence to treatment was fully mediated by depressive symptoms. Conclusions: Findings suggest mechanisms for identifying patients that may be at risk for nonadherence and components for intervention programs to improve adherence rates among pediatric transplant recipients.

Original languageEnglish (US)
Pages (from-to)571-581
Number of pages11
JournalJournal of pediatric psychology
Volume32
Issue number5
DOIs
StatePublished - Jun 1 2007

Fingerprint

Hope
Uncertainty
Depression
Pediatrics
Kidney
Liver
Least-Squares Analysis
Anxiety
Micro-Electrical-Mechanical Systems
Liver Transplantation
Kidney Transplantation
Self Report
Caregivers
Theoretical Models
Emotional Adjustment
Transplant Recipients
Therapeutics

Keywords

  • Adherence
  • Anxiety
  • Depressive symptoms
  • Hope
  • Pediatric transplantation
  • Uncertainty

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

Cite this

The relationship of hope and illness-related uncertainty to emotional adjustment and adherence among pediatric renal and liver transplant recipients. / Maikranz, Julie M.; Steele, Ric G.; Dreyer, Meredith L.; Stratman, Aaron C.; Bovaird, James A.

In: Journal of pediatric psychology, Vol. 32, No. 5, 01.06.2007, p. 571-581.

Research output: Contribution to journalArticle

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