The MMPI as a Measure of the Emotional Correlates of Chronic Hemodialysis: A Review

Osberg, James W.; Meares, Gloria J.; McKee, Daphne C.; Burnett, Gordon B.

doi:10.1207/s15327752jpa4603_7

Cited by 7 publications

(6 citation statements)

References 27 publications

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“…Discriminative and predictive power of the items was increased in comparison with the original scale, while the validity of the final result is based on the two most prominent scales. The same version of the MMPI was used in some other studies concerned with the personality profile of patients on hemodialysis (29-33).…”

Section: Methods and Patientsmentioning

confidence: 99%

Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Pop‐Jordanova

Polenakovič

2013

Int J Artif Organs

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Studies related to psychological aspects of dialysis patients show that depression and anxiety are the most common characteristics. The aim of our study was to analyze the personality profile in patients on chronic maintenance dialysis and to evaluate more specifically the level of depression. The total number of patients was 68 (30 females and 38 males), with mean age 62.3 and 56.5 for females and males respectively. Mean duration of dialysis was 6.73 years for females and 6.68 years for men (the period varied from 0.5 to 18 years). For the evaluation of psychological characteristics, we used two psychometric instruments: Minnesota Multiphase Personality Inventory (MMPI- 201) and Beck Depression Inventory. The obtained results confirmed the presence of depression in patients treated with hemodialysis. The level of depression is variable (minimal is present in 21.43%; mild in 35.71%; moderate in 17.85% and severe in 14.28% of patients). The depression is significantly positively correlated with age (p<0.05) as well as with educational level, and negatively with the duration of dialysis. Specific characteristics of personality obtained with MMPI are hypersensitivity, depressive mood, and withdrawal from friends and relatives. More specific emotional traits are the accentuated anxiety, low level of hostility, but very high passive aggression which destroys their social communications. Some response measures for depression such as relaxation training, psychological support, music therapy, or peripheral biofeedback are recommended.

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Section: Methods and Patientsmentioning

confidence: 99%

Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Pop‐Jordanova

Polenakovič

2013

Int J Artif Organs

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“…Early studies [24] showed evidence of defensive inhibition of emotions in HD patients, impeding psychological adjustment [25]. The greater the occurrence of the unconscious defense of denial, the more frequent the adoption of emotion-focused coping strategies among ESRD patients [1].…”

Section: Introductionmentioning

confidence: 99%

Defensive coping and health-related quality of life in chronic kidney disease: a cross-sectional study

et al. 2011

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BackgroundCoping with the stresses of chronic disease is considered as a key factor in the perceived impairment of health related quality of life (HRQL). Little is known though about these associations in chronic kidney disease (CKD). The present study aimed to investigate the relationship of defensive coping and HRQL among patients in different CKD stages, after adjusting for psychological distress, sociodemographic and disease-related variables.MethodsThe sample consisted of 98 CKD patients, attending a university nephrology department. Seventy-nine (79) pre-dialysis patients of disease stages 3 to 4 and 19 dialysis patients were included. HRQL was assessed by the 36-item Short-Form health survey (SF-36), defensive coping by the Rationality/Emotional Defensiveness (R/ED) scale of the Lifestyle Defense Mechanism Inventory (LDMI) and psychological distress by the depression and anxiety scales of the revised Hopkins Symptom CheckList (SCL-90-R). Regression analyses were carried out to examine the association between SF-36 dimensions and defensive coping style.ResultsPatients on dialysis had worse scores on SF-36 scales measuring physical aspects of HRQL. In the fully adjusted analysis, a higher defensive coping score was significantly associated with a lower score on the mental component summary (MCS) scale of the SF-36 (worse mental health). In contrast, a higher defensive score showed a small positive association with the physical component summary (PCS) scale of the SF-36 (better health), but this was marginally significant.ConclusionsThe results provided evidence that emotional defensiveness as a coping style tends to differentially affect the mental and the physical component of HRQL in CKD. Clinicians should be aware of the effects of long-term denial and could examine the possibility of screening for defensive coping and depression in recently diagnosed CKD patients with the aim to improve both physical and mental health.

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“…The MMPI is the one traditional instrument that is actively used in health related settings, most commonly to examine psychological correlates of par-LANYON ticular disorders such as chronic hemodialysis (Osberg et al 1982). Other studies have attempted to discriminate groups such as cancer prone and not prone (Dattore et al 1980), organic and functional impotence (Marshall et al 1980, Staples et aI 1980, to predict future onset of chronic disease (Gillum et al 1980); and to predict vocational rehabilitative potential in renal dialysis patients (Freeman et al 1980) and success in a pain program (Strassberg et al 1981).…”

Section: Health Psychologymentioning

confidence: 99%

Personality Assessment

Lanyon¹

1984

Annu. Rev. Psychol.

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The MMPI as a Measure of the Emotional Correlates of Chronic Hemodialysis: A Review

Cited by 7 publications

References 27 publications

Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Defensive coping and health-related quality of life in chronic kidney disease: a cross-sectional study

Personality Assessment

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