ArticlePCN reports : psychiatry and clinical neurosciences2025
Association between the Stanford Integrated Psychosocial Assessment for Transplant and 1-year medication nonadherence after living kidney transplantation.
Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- The Critical Role of Mental Health Specialists in Organ Transplantation Teams: An ELPAT Position Statement.Transplant international : official journal of the European Society for Organ Transplantation · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: This study investigated the association between the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) and medication nonadherence (MNA) in living kidney transplantation (LKT) recipients. Methods: This single-center prospective cohort study included 132 LKT recipients at Tokyo Women's Medical University Hospital between July 2020 and July 2021. Pretransplant psychosocial evaluations used the Japanese version of the SIPAT (SIPAT-J), and MNA was assessed 1 year posttransplant using the Basel Assessment of Adherence to Immunosuppressive Medication Scale Results: Participants had a median age of 52 years; 63.1% were male. MNA was observed in 39.6% of recipients, primarily due to timing deviations (34.2%) and missed doses (11.7%). Higher SIPAT D (Lifestyle and Effect of Substance Use) scores were significantly associated with MNA (odds ratio = 1.304, 95% confidence interval = 1.006-1.692, P = 0.045). Other SIPAT subscales and total scores were not significantly associated with MNA. Conclusion: To our knowledge, this is the first study to investigate the association between SIPAT and MNA in LKT recipients. MNA remains prevalent 1 year post-LKT, with lifestyle and substance use factors (SIPAT D) showing a significant association. These results underscore the importance of conducting comprehensive psychosocial evaluations, including assessments of lifestyle and substance use, prior to transplantation. Such evaluations may facilitate the identification of at-risk individuals and enable the implementation of targeted interventions to improve medication adherence and posttransplant outcomes.
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