June 3, 2026

Why relationships matter for kidney health

Kidney care often focuses on physical symptoms, but emerging research from University Health Network in Toronto suggests that understanding why people cope the way they do, follow (or struggle with) treatment plans, and engage with care may also play an important role in improving health outcomes.  

Specifically, the researchers point to attachment theory, a well-established psychological framework that describes how our early relationships shape the way we connect with others, respond to stress, and seek support throughout our lives. In general, people tend to have either secure attachment (feeling comfortable trusting and relying on others) or insecure attachment (finding it more difficult to trust, ask for help, or cope with emotional challenges).  

The article brings together existing evidence showing how attachment patterns may influence several factors relevant to kidney health, including mental well-being, self-care, and quality of life. Among people with advanced chronic kidney disease (CKD), insecure attachment has been linked to higher levels of distress, lower quality of life, and challenges sticking to treatment. Early research also suggests it could influence transplant-related decision-making, including willingness to pursue or accept a living donor transplant.  

Importantly, the authors highlight that understanding a patient's attachment style could help healthcare providers build stronger relationships, tailor care to individual needs, and identify people who may benefit from additional emotional or social support. This could lead to better CKD management and an improved quality of life.  

Overall, this research highlights the value of a more holistic approach to kidney care—one that recognizes the powerful role of human connection in health. However, the authors note that this is still an emerging area of research. More studies are needed to better understand the relationship between attachment patterns and CKD, and to develop effective, patient-centred approaches based on attachment theory. 

This research was supported in part by The Kidney Foundation of Canada through the KRESCENT Summer Studentship Program.