Assessment of marital relationships of hemodialysis patients

Hyperprolactinemia and Sexual Disturbances among Uremic Women on Hemodialysis

“…The reasons for decreased sexual activity may be several: Golden and MHne[% ] emphasize the body image distortion due to fluid retention, pallor and dryness of the skin and to the arteriovenous shunt; the awareness of the chronic illness and the fear of death lead first to anxiety and then to depression; Finkelstein and Sieele [6] stress the relation between depression and sexual problems. For those and other reasons the couple's relationship can deteriorate [16] and this can be a cause as well as a consequence of sexual difficulties. This is undoubtedly important, however we found some significant correlations between hyperprolactin emia, especially when marked, and sexual disturbances.…”

Psychosocial Aspects of Chronic Disease

“…181,182 Few studies exist on spousal or family relations in ESRD patients, and almost none focus on outcomes. [182][183][184][185][186][187][188][189][190] Most studies performed within families of HD patients have assessed comparisons of members of dyads or families on psychosocial tests.…”

Psychosomatic Aspects of End-Stage Renal Failure

“…Among families training to do home dialysis, one report has suggested that denial predicts fail ure [135]. another suggested the opposite [136], Equally, it may be that patients and partners deny the extent of marital discord because the burden of dialysis eclipses all other problems they have to face [133]. In view of such denial it is paradoxical that there is close agreement between patients and spouses in attitudes and adjustment [132, 137.…”