Effectiveness of Expressive Writing in Kidney Transplanted Patients: A Randomized Controlled Trial Study

被引：1
|
作者：
Pierro, Laura [1 ]
Servidei, Giulia [1 ]
Pretagostini, Renzo [2 ]
Stabile, Davide [2 ]
Nudo, Francesco [2 ]
Lai, Silvia [3 ]
Aceto, Paola [4 ]
Poli, Luca [2 ]
Fazzari, Erika [1 ]
Lai, Carlo [1 ]
机构：
[1] Sapienza Univ, Dept Dynam & Clin Psychol & Hlth Studies, Via Apuli 1, I-00185 Rome, Italy
[2] Sapienza Univ, Dept Gen Surg Paride Stefanini, Viale Policlin 155, I-00161 Rome, Italy
[3] Sapienza Univ, Dept Clin Med, Viale Univ 37, I-00185 Rome, Italy
[4] Fdn Policlin Univ A Gemelli IRCCS, Dept Anaesthesiol & Intens Care Med, Via Pineta Sacchetti 217, I-00168 Rome, Italy
来源：
HEALTHCARE | 2022年 / 10卷 / 08期
关键词：
psychological intervention; graft rejection; renal transplantation; randomized control trial; health psychology; QUALITY-OF-LIFE; MEDICATION ADHERENCE; EMOTIONAL MANAGEMENT; RENAL-FUNCTION; ALEXITHYMIA; CANCER; VALIDATION; REJECTION; OUTCOMES; SCALE;
D O I：
10.3390/healthcare10081559
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
The present study aimed to assess the effectiveness of an expressive writing (EW) intervention on psychological and physiological variables after kidney transplant. The final sample of 26 were randomly assigned to an expressive writing group (EWG) and control group (CG). Outcomes were focused on depression, anxiety, alexithymia, empathy, resilience, locus of control, creatinine, CDK-EPI, and azotemia. Depressive symptoms and alexithymia levels decreased in the EWG, with better adherence. Resilience declined over time in both groups. The EWG showed a significantly higher CDK-EPI, indicating better renal functioning. EW seems an effective intervention to improve the psychological health of transplanted patients, with a possible effect on renal functioning. These findings open the possibility of planning brief psychological interventions aimed at processing emotional involvement, in order to increase adherence, the acceptance of the organ, and savings in healthcare costs.
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页数：13
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