Evidence map›Paper›PMID 40069790›Full record

ArticleBMC psychology2025

The role of attachment and parental bonding in the psychosocial assessment of transplant candidates: a cross-sectional study.

Maria Luisa Pistorio, Concetta De Pasquale, Massimiliano Veroux, Gioia Bottesi, Umberto Granziol, Anna Panzeri, Martina Maria Giambra, Alessia Giaquinta, Pierfrancesco Veroux

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Maria Luisa Pistorio *Vascular Surgery and Organ Transplant Unit, Department of General Surgery and Medical-Surgical Specialties, University Hospital of Catania, Via Santa Sofia, 84, 95123, Catania, Italy. marialuisa.pistorio@unict.it.
Concetta De Pasquale *Vascular Surgery and Organ Transplant Unit, Department of Educational Science, University of Catania, Catania, Italy.
Massimiliano VerouxDepartment of Surgical and Medical Sciences and Advanced Technologies, Organ Transplant Unit, University Hospital of Catania, Catania, Italy.
Gioia BottesiDepartment of General Psychology, University of Padova, Padua, Italy.
Umberto GranziolDepartment of General Psychology, University of Padova, Padua, Italy.
Anna PanzeriDepartment of General Psychology, University of Padova, Padua, Italy.
Martina Maria GiambraVascular Surgery and Organ Transplant Unit, Department of General Surgery and Medical-Surgical Specialties, University Hospital of Catania, Via Santa Sofia, 84, 95123, Catania, Italy.
Alessia GiaquintaVascular Surgery and Organ Transplant Unit, Department of General Surgery and Medical-Surgical Specialties, University Hospital of Catania, Via Santa Sofia, 84, 95123, Catania, Italy.
Pierfrancesco VerouxVascular Surgery and Organ Transplant Unit, Department of General Surgery and Medical-Surgical Specialties, University Hospital of Catania, Via Santa Sofia, 84, 95123, Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKidney transplant involves profound psychological, relational, and social changes for both the patients and their family context. Occasionally, the family or social support can be deemed "dysfunctional" as it fails to fully comprehend the patient's needs and requirements. Attachment style, which pertains to the motivation to seek proximity and care in relationships with caregivers, has a significative role in the social support system for transplant, therapeutic adherence, and maintenance of the transplanted organ. We sought to assess attachment styles among patients awaiting transplantation using psychosocial measures in order to study their impact on psychopathology, quality of life, and transplant eligibility.

methodsEighty-five patients with chronic kidney disease awaiting transplantation were recruited at the Italian Transplant Center and were administered the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT), the Attachment Style Questionnaire (ASQ), the Parental Bonding Instrument (PBI), the Short Form Health Survey-36 (SF-36), and the Middlesex Hospital Questionnaire (MHQ). Measures were entered in blocks in a stepwise multiple regression.

resultsThe SIPAT score was significantly associated with key psycho-physical constructs. SIPAT was negatively predicted by maternal care (β = -.35, p = .001), secure attachment (i.e., confidence) (β = -.23, p = .029), and general physical health (β = -.25, p = .016) - which could be considered protective factors for transplant suitability. Conversely, anxiety symptoms were positively associated with SIPAT (β = .32, p = .001) and may serve as a risk factor for post-transplant issues.

conclusionsThese findings highlight that in the evaluation of kidney transplant candidates, greater attention should be paid to parental bonding, adult attachment, and psychopathological symptoms, as these factors may play a key role as protective or risk factors for post-transplant issues. A timely assessment of these constructs may improve the evaluation of psychosocial suitability for transplantation, as well as allow the provision of targeted psychotherapeutic interventions to enhance the acceptance and management of illness in patients awaiting kidney transplants.

Indexed as

Kidney TransplantationObject AttachmentParent-Child RelationsRenal Insufficiency, ChronicAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuality of LifeSocial SupportSurveys and QuestionnairesAttachmentClinical psychologyKidney transplantParental bondingPsychopathologyPsychosocial suitability

Identifiers

PMID40069790
PMCPMC11895345

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