Annals of Behavioral Medicine

, Volume 21, Issue 4, pp 311–316 | Cite as

Family environment, intrusive ideation, and adjustment among renal transplant candidates

  • Patricia J. Moran
  • Alan J. Christensen
  • Shawna L. Ehlers
  • J. Andrew Bertolatus
Empirical Articles


Waiting for an organ transplant is a stressful experience frequently associated with symptoms of depression and anxiety. Little empirical work has examined patients during the stressful period prior to transplantation, particularly among patients waiting for a renal transplant. A large body of research has demonstrated that social and family support variables are associated with psychological adjustment in a variety of medical populations. Little research has examined the mechanism by which social support exerts its effects on psychological well-being. We examined two possible models of the role of intrusive thoughts on the relationship between a supportive family environment and both depression and anxiety in a sample of 75 patients with end-stage renal disease (ESRD) waiting for a kidney transplant. Path analyses provided modest support for a mediational model, showing that intrusive thoughts partly accounted for the relationship between family expressiveness and psychological distress. A moderational model examining the interactive effects of family environment and intrusive thinking on adjustment was not supported.


Behavioral Medicine Family Environment Psychological Adjustment ESRD Patient Intrusive Thought 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© The Society of Behavioral Medicine 1999

Authors and Affiliations

  • Patricia J. Moran
    • 1
  • Alan J. Christensen
    • 1
  • Shawna L. Ehlers
    • 1
  • J. Andrew Bertolatus
    • 1
  1. 1.Department of PsychologyThe University of IowaIowa City

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