Abstract

Identifying the causes of poor disease control and medication non-adherence is indispensable so that patients can benefit from treatment. The aim of our study was to determine the relationship between parental attitudes, the development of psychological resilience, and systematic medication adherence in a group of adolescents after kidney and liver transplantation. The analysis included the results obtained from 96 families. A total of 52 patients after kidney transplantation and 44 patients after liver transplantation, aged 12–18 years and their parents were examined. The types of parental attitudes were assessed using the Parental Attitude Scale. The patient’s resilience was determined with the Resiliency Assessment Scale. The MMAS-8 was used to assess the regularity of medication-taking behavior. A total of 61% of the patients in the study group displayed high levels of psychological resilience. The analyses showed a positive correlation between resilience and the systematic taking of medication by the patients. Moreover, it was found that the analyzed link between psychological resilience on the degree of the regularity of medication intake was enhanced by a specific type of parental attitude. The obtained results confirm the importance of psychological resources in developing better disease control. The relationship between the type of parental attitudes and medication adherence indicates the need to take into account the family context during the child’s treatment.

Highlights

  • A important area of research is the issue of cooperation in the course of treatment

  • The average resilience score in the total score for the whole study group of patients was

  • We find that resilience, which is associated with adherence to health behaviors, may be enhanced by external factors, such as parental attitudes

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Summary

Introduction

A important area of research is the issue of cooperation in the course of treatment. Many patients within the indicated age group do not accept the limitations imposed by their own disease and treatment restrictions; as a result of which, the selective use or complete discontinuation of pharmacotherapy can be observed. Against this background, it is important to undertake research aimed at identifying potential factors that support adolescent patients’ adaptation processes and cooperation in the course of treatment. It is essential to identify disruptive factors in order to adjust them and intervene

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