Psychological factors in end-stage renal disease

An emerging context for behavioral medicine research

Alan J. Christensen, Shawna L Ehlers

Research output: Contribution to journalArticle

129 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)712-724
Number of pages13
JournalJournal of Consulting and Clinical Psychology
Volume70
Issue number3
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Behavioral Medicine
Behavioral Research
Chronic Kidney Failure
Psychology
Social Adjustment
Depression
Mortality
Patient Compliance
Social Support
Morbidity
Kidney
Research
Population

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Psychological factors in end-stage renal disease : An emerging context for behavioral medicine research. / Christensen, Alan J.; Ehlers, Shawna L.

In: Journal of Consulting and Clinical Psychology, Vol. 70, No. 3, 2002, p. 712-724.

Research output: Contribution to journalArticle

@article{345ed00aca9c4c42914e22d76abf57ec,
title = "Psychological factors in end-stage renal disease: An emerging context for behavioral medicine research",
abstract = "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.",
author = "Christensen, {Alan J.} and Ehlers, {Shawna L}",
year = "2002",
doi = "10.1037//0022-006X.70.3.712",
language = "English (US)",
volume = "70",
pages = "712--724",
journal = "Journal of Consulting and Clinical Psychology",
issn = "0022-006X",
publisher = "American Psychological Association Inc.",
number = "3",

}

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

VL - 70

SP - 712

EP - 724

JO - Journal of Consulting and Clinical Psychology

JF - Journal of Consulting and Clinical Psychology

SN - 0022-006X

IS - 3

ER -