A group of 74 end-stage renal disease outpatients on dialysis completed on of seven forms of the Depression Adjective Check List (DACL) (Lubin, 1981) once a month over a 12-month period. Patient cooperation in filling out the DACL was 95%, indicating patient's acceptance of this fairly unobtrusive instrument. The distribution of usable DACL scores of 53 patients was trifurcated: high = one SD above the mean; medium +/- one SD from the mean; and low = more than one SD below the mean. A one-way ANOVA on the mean number hospitalizations during the 12-month period for each group was significant, F (2,50) = 8.11, p less than .01. The mean number of hospital admissions was highest for the high depression group and lowest for the low depression group. DACL scores of seven patients who died were significantly higher than for the 46 survivors, t (60) = 4.44, p less than .01.
Forty hemodialysis patients from the Regional Kidney Disease Program (RKDP) Network 7, were assigned to two groups of well and poorly adjusted patients on the basis of ratings of nurse practitioners and patient counselors. The results show that the abbreviated form of the California Personality Inventory (CPI), constructed in the light of significant findings in Adler's previous study, does not meet the standards of validity generalization. The inability to obtain a correlation between the adjustment process and the CPI measurements indicate that we do not confirm Adler's findings. In our study, we show that only one demographic characteristic is significantly correlating with the adjustment process, i.e. married hemodialysis patients probably adjust more successfully than those who are unmarried.
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