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

Ana M. GutierrezColina | Zendy; Cyd K. Eaton | Zendy; Jennifer L. Lee | Zendy; Bonney Reed | Zendy; Kristin A. Loiselle | Zendy; Laura Mee | Zendy; Julia LaMotte | Zendy; Rochelle Liverman | Zendy; Ronald L. Blount | Zendy

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

Author(s) -

Ana M. GutierrezColina,

Cyd K. Eaton,

Jennifer L. Lee,

Bonney Reed,

Kristin A. Loiselle,

Laura Mee,

Julia LaMotte,

Rochelle Liverman,

Ronald L. Blount

Publication year - 2015

Publication title -

journal of pediatric psychology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.054

H-Index - 121

eISSN - 1465-735X

pISSN - 0146-8693

DOI - 10.1093/jpepsy/jsv107

Subject(s) - young adult , intervention (counseling) , executive dysfunction , medicine , proxy (statistics) , clinical psychology , executive functions , psychology , cognition , psychiatry , gerontology , machine learning , computer science , neuropsychology

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.

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