Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach

<p dir="ltr">AbstractBackgroundPsychological resilience and medication adherence are pivotal for long-term outcomes following kidney transplantation. However, structured cognitive behavioral interventions (CBIs) remain underutilized in this patient population, despite their potential...

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author Chao Zhong (22679885)
author_facet Chao Zhong (22679885)
author_role author
dc.creator.none.fl_str_mv Chao Zhong (22679885)
dc.date.none.fl_str_mv 2025-11-25T07:38:53Z
dc.identifier.none.fl_str_mv 10.6084/m9.figshare.30704450.v1
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Reducing_Anxiety_and_Improving_Adherence_in_Kidney_Transplant_Recipients_A_Cognitive_Behavioral_Intervention_-Based_Approach/30704450
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Health psychology
Kidney Transplantation Background Cardiovascular disease
dc.title.none.fl_str_mv Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description <p dir="ltr">AbstractBackgroundPsychological resilience and medication adherence are pivotal for long-term outcomes following kidney transplantation. However, structured cognitive behavioral interventions (CBIs) remain underutilized in this patient population, despite their potential to address critical behavioral and emotional challenges.ObjectivesThis Study aimed to evaluate the efficacy of a structured CBI program in enhancing medication adherence, reducing anxiety symptoms, and improving self-awareness among kidney transplant recipients.Materials and MethodsIn a randomized controlled trial, 426 allogeneic kidney transplant recipients (2018–2024) were assigned to standard care (n=213) or CBI (n=213). The 12-week CBI included digital psychoeducation, individualized psychotherapy, and peer support. Primary outcomes were adherence rate, Self-Rating Anxiety Scale (SAS) score, and self-awareness level. Data were analyzed using t-tests, chi-square tests, and logistic regression models.ResultsCBI significantly improved adherence (92.5% vs. 66.0%, +26.5%, p<0.001) and reduced anxiety scores by 38.9% (36.8±8.6 vs. 60.2±14.3, p<0.001). Improvements in self-awareness were 3.2-fold higher (p<0.05), with notable gains in physical and emotional quality-of-life domains (p<0.001 for both). Subgroup analyses showed consistent benefits across age and socioeconomic groups.ConclusionsA structured CBI significantly improves psychological resilience, alleviates anxiety, and enhances behavioral adherence in kidney transplant recipients, showing strong potential for broader implementation as an effective adjunct to standard care.</p>
eu_rights_str_mv openAccess
id Manara_b2d1f7af0a7718c019bbb69a15460fd0
identifier_str_mv 10.6084/m9.figshare.30704450.v1
network_acronym_str Manara
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oai_identifier_str oai:figshare.com:article/30704450
publishDate 2025
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rights_invalid_str_mv CC BY 4.0
spelling Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based ApproachChao Zhong (22679885)Health psychologyKidney Transplantation Background Cardiovascular disease<p dir="ltr">AbstractBackgroundPsychological resilience and medication adherence are pivotal for long-term outcomes following kidney transplantation. However, structured cognitive behavioral interventions (CBIs) remain underutilized in this patient population, despite their potential to address critical behavioral and emotional challenges.ObjectivesThis Study aimed to evaluate the efficacy of a structured CBI program in enhancing medication adherence, reducing anxiety symptoms, and improving self-awareness among kidney transplant recipients.Materials and MethodsIn a randomized controlled trial, 426 allogeneic kidney transplant recipients (2018–2024) were assigned to standard care (n=213) or CBI (n=213). The 12-week CBI included digital psychoeducation, individualized psychotherapy, and peer support. Primary outcomes were adherence rate, Self-Rating Anxiety Scale (SAS) score, and self-awareness level. Data were analyzed using t-tests, chi-square tests, and logistic regression models.ResultsCBI significantly improved adherence (92.5% vs. 66.0%, +26.5%, p<0.001) and reduced anxiety scores by 38.9% (36.8±8.6 vs. 60.2±14.3, p<0.001). Improvements in self-awareness were 3.2-fold higher (p<0.05), with notable gains in physical and emotional quality-of-life domains (p<0.001 for both). Subgroup analyses showed consistent benefits across age and socioeconomic groups.ConclusionsA structured CBI significantly improves psychological resilience, alleviates anxiety, and enhances behavioral adherence in kidney transplant recipients, showing strong potential for broader implementation as an effective adjunct to standard care.</p>2025-11-25T07:38:53ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.6084/m9.figshare.30704450.v1https://figshare.com/articles/dataset/Reducing_Anxiety_and_Improving_Adherence_in_Kidney_Transplant_Recipients_A_Cognitive_Behavioral_Intervention_-Based_Approach/30704450CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307044502025-11-25T07:38:53Z
spellingShingle Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
Chao Zhong (22679885)
Health psychology
Kidney Transplantation Background Cardiovascular disease
status_str publishedVersion
title Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
title_full Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
title_fullStr Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
title_full_unstemmed Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
title_short Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
title_sort Reducing Anxiety and Improving Adherence in Kidney Transplant Recipients: A Cognitive Behavioral Intervention -Based Approach
topic Health psychology
Kidney Transplantation Background Cardiovascular disease