TY - JOUR
T1 - Psychological factors in end-stage renal disease
T2 - An emerging context for behavioral medicine research
AU - Christensen, Alan J.
AU - Ehlers, Shawna L.
PY - 2002
Y1 - 2002
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0036281931&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036281931&partnerID=8YFLogxK
U2 - 10.1037/0022-006X.70.3.712
DO - 10.1037/0022-006X.70.3.712
M3 - Article
C2 - 12090378
AN - SCOPUS:0036281931
SN - 0022-006X
VL - 70
SP - 712
EP - 724
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
IS - 3
ER -