Importance of socioeconomic, clinical, and psychological factors on health-related quality of life in adolescents after kidney transplant.

Abstract

OBJECTIVES: Health-related quality of life after kidney transplant in adolescents is a major concern; nevertheless, there is a paucity of data on the variables that have an effect on it. This study evaluated the extent to which socioeconomic, clinical, and psychological characteristics explain the variance in the health-related quality of life of adolescent Iranian kidney transplant recipients. MATERIALS AND METHODS: Into a hierarchical regression analysis, the cross-sectional socioeconomic, clinical, and psychological characteristics were entered among 55 adolescent Iranian kidney transplant recipients. RESULTS: The relative predictive power of socioeconomic, clinical, and psychological variables with respect to health-related quality of life was 21.8% (P = .088), 21.2% (P = .014), and 27.6% (P = .001). CONCLUSIONS: Psychological factors had a greater relative predictive power in postrenal transplant health-related quality of life of adolescents than did socioeconomic and clinical characteristics. Further research should target improvement of health-related quality of life in adolescent kidney recipients by psychological intervention.