{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:20:29Z","timestamp":1791408029477,"version":"4.3.3"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,12,11]],"date-time":"2013-12-11T00:00:00Z","timestamp":1386720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009889","name":"International Transplant Nurse Society","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009889","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Swiss Renal Foundation: Alfred & Erika B\u00ef\u00bf\u00bdr-Spycher Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aims of this study were to determine the prevalence of immunosuppressive non\u2010adherence (<jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content>) in renal transplant patients and describe whether the degree of daytime sleepiness (<jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>) and depressive symptomatology are associated with immunosuppressive <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a cross\u2010sectional design, 926 home\u2010dwelling renal transplant recipients who were transplanted at one of three Swiss transplant centers provided data by self\u2010report. The Basel Assessment of Adherence Scale for immunosuppressive was used to measure the following: taking, timing, and overall <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> to immunosuppressive medication. <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content> was assessed with the Epworth Sleepiness Scale (<jats:styled-content style=\"fixed-case\">ESS<\/jats:styled-content>) (cut\u2010off \u22656 for <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>) and the Swiss Transplant Cohort Study <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content> item (cut\u2010off \u22654 for <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>), and depressive symptomatology was assessed with the Depression, Anxiety, and Stress Scale (cut\u2010off&gt;10). An ordinal logistical regression model was applied for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of the ESS\u2010<jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content> was 51%. <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> for taking, timing, and the median overall <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> level assessed by 0\u2013100% visual analog scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) was 16%, 42%, and 0%, respectively. Based on the multivariate analysis, <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content> was significantly associated (p\u00a0&lt;\u00a00.001) with taking (1.08 [1.04\u20131.13]), timing (1.07 [1.03\u20131.10]), and overall <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> (1.09 [1.05\u20131.13]). Very similar results were found for the Swiss Transplant Cohort Study <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content> item.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content> is associated with immunosuppressive medication <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> in renal transplant recipients. Admittedly, the association's strength is limited.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.12279","type":"journal-article","created":{"date-parts":[[2013,12,11]],"date-time":"2013-12-11T07:22:54Z","timestamp":1386746574000},"page":"58-66","source":"Crossref","is-referenced-by-count":25,"title":["Daytime sleepiness in renal transplant recipients is associated with immunosuppressive non\u2010adherence: a cross\u2010sectional, multi\u2010center study"],"prefix":"10.1111","volume":"28","author":[{"given":"Hanna","family":"Burkhalter","sequence":"first","affiliation":[{"name":"Institute of Nursing Science University of Basel Basel Switzerland"},{"name":"Division of Transplant Immunology and Nephrology University Hospital Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Wirz\u2010Justice","sequence":"additional","affiliation":[{"name":"Centre for Chronobiology Psychiatric Clinics University of Basel Basel 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