What is it about?
In a study of young adults with kidney failure, poor wellbeing and lower medication adherence were both associated with psychological morbidity. Dialysis treatment (vs. kidney transplantation) was associated with poorer wellbeing and medication adherence.
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Why is it important?
These findings are important because mental health problems appear under-recognized and may be treatable. Our results suggest a possible role for routine measurement of psychological health in young people, to avoid missing opportunities to identify and improve mental health. This could help identify those at higher risk of poor outcomes for close monitoring, greater psychosocial support, or targeted interventions.
Perspectives
There has been much focus both on programs to improve the transition from pediatric to adult care for kidney failure patients. It is vital to understand which factors influence wellbeing and medication adherence, because by defining these we can seek interventions to improve areas of deficit. These areas really matter to patients.
Alexander Hamilton
University of Bristol
Read the Original
This page is a summary of: Associations with Wellbeing and Medication Adherence in Young Adults Receiving Kidney Replacement Therapy, Clinical Journal of the American Society of Nephrology, October 2018, Wolters Kluwer Health,
DOI: 10.2215/cjn.02450218.
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