Factors of Adjustment in Chronic Hemodialysis Patients

Greenberg, Irwin M.; Weltz, Sharon; Spitz, Cathy; Blzzozero, O. Joseph

doi:10.1016/s0033-3182(75)71186-6

Cited by 9 publications

(7 citation statements)

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“…This profile is consistent with that found for hemodialysis patients by previous investigators [18] and is suggestive of a mild depression, many somatic complaints, and a general concern about physical func tioning. The mean BDI scores were also comparable for the ET and SG at pretreatment, and just below the cut-off score of 10 for mild depression [19].…”

Section: Discussionsupporting

confidence: 91%

Exercise Training Reduces Depression and Increases the Performance of Pleasant Activities in Hemodialysis Patients

Carney¹,

Templeton²,

Hong³

et al. 1987

Nephron

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This study compares the effects of a structured exercise training program to the therapeutic benefits of a ‘support’ group on the depressed mood and reduced performance of pleasant activities by hemodialysis patients. After 6 months of an aerobic exercise training program, the 10 exercisers showed a significant increase in maximal aerobic capacity (V_O2max) and a significant decrease in dysphoric mood when compared to 7 patients attending the support group. Support group participants reported a significant decrease in pleasant activities while there was no change in the exercisers. Eighteen months after the exercise training program, the exercisers reported continued low levels of depressed mood, and were performing significantly more pleasant activities than they reported prior to the exercise program. The results of this study suggest an exercise training program may be useful in the psychosocial rehabilitation of some hemodialysis patients.

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Section: Discussionsupporting

confidence: 91%

Exercise Training Reduces Depression and Increases the Performance of Pleasant Activities in Hemodialysis Patients

Carney¹,

Templeton²,

Hong³

et al. 1987

Nephron

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“…Consistent with previous studies of hemodialysis pa tients [7][8][9], all patients in this study had marked elevations on scales 1, 2 and 3 of the MMPI with means equal to 78, 78, and 73, respectively, for the exercise group, and 72, 80, and 75 for the controls.…”

Section: Psychological Testingsupporting

confidence: 91%

“…2 (depression), and 3 (hysteria) [7][8][9] of the Minnesota Multiphasic Personality Inventory (MMPI), with clinical depression being the most frequent psychiatric complaint [10], The severity of depression in many hemodialysis patients is comparable to that of pa tients seeking psychiatric treatment for depression [2].…”

Section: Introductionmentioning

confidence: 99%

Psychological Effects of Exercise Training in Hemodialysis Patients

Carney¹,

McKevitt²,

Goldberg³

et al. 1983

Nephron

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To assess the psychological effects of exercise training in hemodialysis patients 4 dialysis patients, matched by age, sex, and medical history with 4 controls, received psychological testing before and after a 6-month period of exercise training. The trained patients had a 28% improvement in graded exercise treadmill stress test duration and a 13% improvement in aerobic capacity. This was associated with a significant reduction in anxiety and depression (p < 0.06), but no measurable change in these moods occurred in the control groups. These results suggest that exercise training may improve psychological functioning in dialysis patients.

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“…Many of the previously reported studies on the mental health aspects of hemodialysis have used various scales to quantitatively examine the relationship between outcomes such as quality of life, selfmanagement or adherence, and the patient's background. 3 For instance, there are some studies to clarify stress-coping mechanisms, [4][5][6][7] the relationship between self-management behaviors, and self-efficacy of dialysis patients. [8][9][10][11] Despite the fact that patient outcomes seem to vary according to mental status, only few investigations on the relationship between behavior and personality have been conducted.…”

Section: Introductionmentioning

confidence: 99%

Personality types and coping style in hemodialysis patients

Kidachi

Nishizawa²,

Hiruma

et al. 2007

Psychiatry Clin Neurosci

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The aim of this study was to obtain information that would enable caregivers to provide the necessary psychological care for hemodialysis patients. A total of 608 hemodialysis patients completed the questionnaire of the Neuroticism, Extroversion, Openness-Five Factor Inventory and were subsequently classified by personality types using cluster analysis. In comparison to the norms for the general Japanese adult population, the four-dimensional average of extroversion, openness, agreeableness, and conscientiousness among hemodialysis patients was significantly lower (P < 0.001), especially for openness. The openness score correlated with each of the following: age (P < 0.001), employment (P < 0.01), and diabetes (P < 0.001). Four personality types were defined based on these dimensions. High scores for agreeableness, extroversion and conscientiousness characterized the agreeable type (22.6%). The patients in this type will likely accept their own experiences in a positive manner. Submissive types (22.0%) received the lowest scores for conscientiousness, though extroversion, openness, and agreeableness were also low. It is necessary to enhance a sense of independence and responsibility in patients with submissive type personalities. Sensitive types (21.5%) were characterized by the highest neuroticism scores and low scores for the other four dimensions. The patients in this type were likely to be persistent with changes in conditions. The last type was the balanced type (33.9%), which was defined by scores within mean range. In clinical practice, it is particularly important that the submissive and sensitive types should receive appropriate mental health care.

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Factors of Adjustment in Chronic Hemodialysis Patients

Cited by 9 publications

References 0 publications

Exercise Training Reduces Depression and Increases the Performance of Pleasant Activities in Hemodialysis Patients

Exercise Training Reduces Depression and Increases the Performance of Pleasant Activities in Hemodialysis Patients

Psychological Effects of Exercise Training in Hemodialysis Patients

Personality types and coping style in hemodialysis patients

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