Psychological factors in end-stage renal disease: An emerging context for behavioral medicine research

被引:141
作者
Christensen, AJ [1 ]
Ehlers, SL [1 ]
机构
[1] Univ Iowa, Dept Psychol, Iowa City, IA 52242 USA
关键词
D O I
10.1037/0022-006X.70.3.712
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
End-stage renal disease (ESRD) is a chronic, life-threatening condition afflicting over 300,000 Americans. Patient nonadherence and psychological distress are highly prevalent among ESRD patients, and both have been found to contribute to greater morbidity and earlier mortality in this population. A range of factors have been examined as potential determinants of adherence and adjustment. Evidence suggests that adherence and adjustment are maximized when a patient's preferred style of coping is consistent with the contextual features or demands of the renal intervention the patient is undergoing. Challenges for future clinical research include refining methodologies for the assessment of depression and adherence, more clearly evaluating the efficacy of psychological interventions, and clarifying the role that depression and social support play in influencing patient mortality.
引用
收藏
页码:712 / 724
页数:13
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