Pistorio Maria Luisa, De Pasquale Concetta, Lenzo Vittorio, Veroux Massimiliano, Martin Magy, Martin Don, Giaquinta Alessia, Giambra Martina, Veroux Pierfrancesco, Quattropani Maria Catena Ausilia
Vascular Surgery and Organ Transplant Unit, Department of General Surgery and Medical-Surgical Specialties, University Hospital of Catania, 95123 Catania, Italy.
Department of Educational Sciences, University of Catania, 95123 Catania, Italy.
J Clin Med. 2025 Jul 2;14(13):4673. doi: 10.3390/jcm14134673.
Few studies have investigated the impact of parental bonding on the quality of life and psychological health in kidney transplant recipients. Exploring these factors could provide valuable insights into the development of psychosocial interventions aimed at improving patients' psychological adjustment and their overall quality of life. In this perspective, our study aimed to explore how dimensions of parental bonding, particularly maternal care and overprotection, may influence the quality of life and psychological well-being in kidney transplant recipients. By investigating these relationships, the study seeks to understand whether early maternal attachment experiences can predict psychological outcomes in adult transplant recipients. A cross-sectional study involving a sample of 99 kidney transplant recipients (69.7% males, mean age = 52 ± 9.93 years) was conducted. Participants were recruited from the outpatient clinic of an Italian transplant center between May 2022 and July 2024. After an initial telephone interview, 1-2 interviews were performed in person to administer the questionnaires of the established protocol: the Parental Bonding Instrument (PBI) to identify the type of parental bond and the Short Form-36 (SF-36) Health Survey to evaluate the quality of life perceived by the patients. Regression analyses revealed that higher perceived maternal care during childhood was positively associated with better psychological health during adulthood ( = 0.290; < 0.05). Conversely, higher levels of perceived maternal overprotection were negatively associated with psychological health in this population ( = -0.286; < 0.05). The results suggest that maternal affection and support may serve as a protective factor, while excessive maternal protection could impair the development of emotional coping mechanisms necessary for dealing with the stresses of adult life.
很少有研究调查父母关系对肾移植受者生活质量和心理健康的影响。探索这些因素可以为制定旨在改善患者心理调适和整体生活质量的社会心理干预措施提供有价值的见解。从这个角度来看，我们的研究旨在探讨父母关系的维度，特别是母亲的关爱和过度保护，如何影响肾移植受者的生活质量和心理健康。通过调查这些关系，该研究试图了解早期的母婴依恋经历是否可以预测成年移植受者的心理结果。我们进行了一项横断面研究，样本包括99名肾移植受者（男性占69.7%，平均年龄 = 52 ± 9.93岁）。参与者于2022年5月至2024年7月从意大利一家移植中心的门诊招募。在初步电话访谈后，进行了1 - 2次面对面访谈，以发放既定方案的问卷：用于确定父母关系类型的父母关系问卷（PBI）和用于评估患者感知生活质量的简短健康调查（SF - 36）。回归分析显示，童年时期较高的母亲关爱感知与成年期较好的心理健康呈正相关（ = 0.290； < 0.05）。相反，在这一人群中，较高的母亲过度保护感知与心理健康呈负相关（ = -0.286； < 0.05）。结果表明，母亲的关爱和支持可能是一个保护因素，而过度的母亲保护可能会损害应对成年生活压力所需的情绪应对机制的发展。
