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Executive Functioning, Barriers to Adherence, and Nonadherence in Adolescent and Young Adult Transplant Recipients.

Authors :
Gutiérrez-Colina AM
Eaton CK
Lee JL
Reed-Knight B
Loiselle K
Mee LL
LaMotte J
Liverman R
Blount RL
Source :
Journal of pediatric psychology [J Pediatr Psychol] 2016 Aug; Vol. 41 (7), pp. 759-67. Date of Electronic Publication: 2015 Nov 13.
Publication Year :
2016

Abstract

OBJECTIVE : To evaluate levels of executive functioning in a sample of adolescent and young adult (AYA) transplant recipients, and to examine executive functioning in association with barriers to adherence and medication nonadherence.  METHOD : In all, 41 caregivers and 39 AYAs were administered self- and proxy-report measures.  RESULTS : AYA transplant recipients have significant impairments in executive functioning abilities. Greater dysfunction in specific domains of executive functioning was significantly associated with more barriers to adherence and greater medication nonadherence.  CONCLUSION : AYA transplant recipients are at increased risk for executive dysfunction. The assessment of executive functioning abilities may guide intervention efforts designed to decrease barriers to adherence and promote developmentally appropriate levels of treatment responsibility.<br /> (© The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

Details

Language :
English
ISSN :
1465-735X
Volume :
41
Issue :
7
Database :
MEDLINE
Journal :
Journal of pediatric psychology
Publication Type :
Academic Journal
Accession number :
26567316
Full Text :
https://doi.org/10.1093/jpepsy/jsv107