Abstract
The technological advances in the treatment of end-stage renal disease (ESRD) have both increased the life expectations of patients and highlighted the psychological aspects of adaption to a changed existence. In 1960 the longest reported maintenance of life with intermittent haemodialysis was 181 days (Maher, Schreiner and Waters, 1960), but such treatment today imposes psychosocial stressors upon patients and their families for a period that may exceed a decade. This chapter is concerned with the nature and effects of these stressors and their treatment and care by psychological means. The text is concerned with all forms of renal treatment other than transplantation (i.e. intermittent and continuous ambulatory peritoneal dialysis (CAPD) and unit, minimal-care and home dialysis), unless specifically mentioned.
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References
Abram, H.S., Moore, G.L. and Westvelt, F.B. (1971) Suicidal behaviour in chronic dialysis patients. American Journal of Psychiatry, 127, 1199.
Agashura, P.A., Lyle, R.C., Liversley, J.W. et al. (1981) Predicting dietary noncompliance of patients on intermittent haemodialysis. Journal of Psychosomatic Research, 15, 289–301.
Alarcon, R.D., Jenkins, C.S., Heestand, D.E. et al. (1982) The effectiveness of progressive relaxation in chronic haemodialysis patients. Journal of Chronic Diseases, 35, 797–802.
Alexander, L. (1976) The double-bind theory and haemodialysis. Archives of General Psychiatry, 33, 1353.
Armstrong, S.H. (1978) Psychological maladjustment in renal dialysis patients. Psychosomatic Medicine, 19, 169–71.
Auer, J. (1982) Social and psychological implications of acute presentation in ESRF. European Dialysis and Transplant Nurse’s Journal 1, 56–9.
Bader, M.J. (1982) Renal dialysis: problems and advantages of on-site psychiatric intervention. Psychosomatics, 23(4), 377–80.
Baldree, K.S., Murphy, S.P. and Powers, M.J. (1981) Stress identification and coping patterns in patients on haemodialysis. Nursing Research, 31, 107–12.
Banthien, V. (1982) Staff stress in renal units — who helps the helpers? in Proceedings of the European Dialysis and Transplant Nurses Association, vol. 10, (eds. M. Selsby and E. Stevens), Pitman, London, pp. 76–80.
Barnes, M.R. (1976) Token economy control of fluid overload in a patient receiving haemodialysis. Journal of Behaviour Therapy and Experimental Psychiatry, 7, 305–6.
Beck, A.T., Rush, A.J., Shaw, B.F. and Emery, G. (1979) Cognitive Therapy of Depression, Guilford Press, New York.
Blodgett, C. (1981) A selected review of the literature of adjustment to haemodialysis. International Journal of Psychiatry in Medicine, 11(2), 97–124.
Brantley, P.J., Mosley, T.H., Bruce, B.K. et al. (1990) Efficacy of behavioural management and patient education on vascular access cleansing compliance in haemodialysis patients. Health Psychology, 9, 103–13.
Britton, C., Will, E.J. and Davison, A.M. (1982) The ‘alternative’ dialysis diet, in Proceedings of the European Dialysis and Transplant Nurses Association, vol. 10, (eds. M. Selsby and E. Stevens), Pitman, London, pp. 21–4.
Brown, J. and Fitzpatrick, R. (1988) Factors influencing compliance with dietary restrictions in dialysis patients. Journal of Psychosomatic Research, 32, 191–6.
Buchanan, D.C. (1981) Psychotherapeutic intervention in the kidney transplant service, in Psycho-nephrology 1, (ed. N.B. Levy), Plenum Press, New York, pp. 265–79.
Budzynski, T.K. (1979) Biofeedback Principles and Practice for Clinicians, Williams 6c Wilkins, Baltimore.
Burton, H.J., Kline, S.A., Lindsay, R.M. and Heidenheim, A.P. (1986) The relationship of depression to survival in chronic renal failure. Psychosomatic Medicine, 48, 261–9.
Campbell, D.R. and Sinha, B.K. (1980) Brief group psychotherapy with chronic haemodialysis patients. American Journal of Psychiatry, 137, 1234–7.
Chowanec, G.D. and Binik, Y.M. (1982) End-stage renal disease (ESRD) and the marital dyad. Social Science Medicine, 16, 1551–8.
Christensen, A.J., Holman, J.M., Turner, C.W. and Slaughter, J.R. (1989) The quality of life in-end-stage renal disease: influence of renal transplantation. Clinical Transplantation, 3, 46–53.
Cooley, S.G., Sutton, E.P., Melamed, B.G. and Privette, R.M. (1985) Behavioural intervention in vomiting associated with haemodialysis. Dialysis and Transplantation, 14(9), 529–33.
Cummings, K.M., Becker, M.H., Kirscht, J.P. and Levin, N.W. (1981) Intervention strategies to improve compliance with medical regimens by ambulatory haemodialysis patients. Journal of Behavioural Medicine, 4(1), 111–27.
Cummings, K.M., Becker, M.H., Kirscht, J.P. and Levin, N.W. (1982) Psychosocial factors affecting adherence to medical regimens in a group of haemodialysis patients. Medical Care, 20, 567–80.
Czaczkes, J.W. and De Nour, A.K. (1978) Chronic Haemodialysis as a Way of Life, Brunner/Mazel, New York.
Degen, K., Strain, J.J. and Zumoff, B. (1983) Biopsychosocial evaluation of sexual function in end-stage renal disease, in Psychonephrology 2, (ed. N.B. Levy), Plenum Press, New York, pp. 223–35.
De Nour, A.K. (1970). Psychotherapy with patients on chronic haemodialysis. British Journal of Psychiatry, 115,207–15.
De Nour, A.K. (1981) Prediction of adjustment to haemodialysis, in Psychonephrology 1, (ed. N.B. Levy), Plenum Press, New York, pp. 117–33.
De Nour, A.K. (1982) Psychosocial adjustment to illness scale (PAIS): a study of chronic dialysis patients. Journal of Psychosomatic Research, 26, 11–22.
De Nour, A.K. (1984) Stresses and reactions of professional haemodialysis staff. Dialysis and Transplantation, 12(3), 137–49.
De Nour, A.K. and Czaczkes, J.W. (1972) Personality factors in chronic haemodialysis causing noncompliance with the medical regime. Psychosomatic Medicine, 34, 353.
Devins, G.M., Binik, Y.M., Mandin, H. et al. (1986) Denial as a defence against depression in end-stage renal disease: an empirical test. International Journal of Psychiatry in Medicine, 16(2), 151–63.
Farmer, C.J., Snowden, S.A. and Parsons, V. (1979) The prevalence of psychiatric illness among patients on home dialysis. Psychological Medicine, 9, 509–14.
Ferrans, C.E. and Powers, M.J. (1985) The employment potential of haemodialysis patients. Nursing Research, 34(5), 273–7.
Fielding, D., Moore, B., Dewey, M. et al. (1985) Children with end-stage renal failure: psychological effects on patients, siblings and parents. Journal of Psychosomatic Research, 29(5), 457–65.
Flesch, R. (1948) A new readability yardstick. Journal of Applied Psychology, 32, 221–33.
Frater, J., Dani, E. and Gallo, R. (1986) Group hypnotherapy for chronic haemodialysis patients, in Aspects of Renal Care 1, (eds. E. Stevens and P. Monkhouse), Baillière Tindall, London, pp. 223–71.
Hart, R.R. (1979) Utilisation of token economy within a chronic dialysis unit. Journal of Consulting and Clinical Psychology, 47, 646–8.
Herron, R.I. (1985) The atmosphere of a chronic haemodialysis unit. Dialysis and Transplantation, 14(9), 524–8.
Hong, B.A., Smith, M.D., Robson, A.M. and Wetzel, R.D. (1987) Depressive symptomatology and treatment in patients with end-stage renal disease. Psychological Medicine, 17, 185–90.
House, A. (1989) Psychiatric referrals from a renal unit: a study of clinical practice in a British hospital. Journal of Psychosomatic Research, 33, 363–72.
Hudson, J., Fielding, D., Jones, S. and McKendrick, H. (1987) Adherence to medical regime and related factors in youngsters on dialysis. British Journal of Clinical Psychology, 26(1), 61–3.
Julius, M., Hawthorne, V.M. and Carpenter-Altin, P. (1989) Independence in activities of daily living for end-stage renal disease patients: biomedical and demographic correlates. American Journal of Kidney Disease, 13, 61–9.
Kaiman, T. (1983) Obstacles to the delivery of psychiatric care to transplant recipients and dialysis patients. Clinical Experience in Dialysis and Apheresis, 7(4), 335–48.
Katz, R.C. (1974) Single session recovery from a haemodialysis phobia: a case study. Journal of Behaviour Therapy and Experimental Psychiatry, 5, 205–6.
Keene, T.M., Prue, D.M. and Collins, F.L. (1981) Behavioural contracting to improve dietary compliance in chronic renal dialysis patients. Journal of Behaviour Therapy and Experimental Psychiatry, 123, 63–7.
Levenson, J.L. and Glocheski, S. (1991) Psychological factors affecting end-stage renal disease: a review. Psychosomatics, 32, 382–9.
Levy, N.B. (ed) (1981) Psychonephrology 1, Plenum Press, New York.
Levy, N.B. (1985) Psychological problems of patients on dialysis, in Proceedings of the European Dialysis and Transplant Nurses Association — European Renal Care Association, vol. 14, (eds. E. Stevens and P. Monkhouse), Baillière Tindall, London, pp. 177–84.
Lowry, M.R. and Aitchison, E. (1980) Home dialysis dropouts. Journal of Psychosomatic Research, 24, 173–8.
Magrab, P.R. and Papadopoulou, S.L. (1977) The effects of a token economy on dietary compliance for children on haemodialysis. Journal of Applied Behavioural Analysis, 10(4), 573–8.
Maher, J.F., Schreiner, G.E. and Waters, T.J. (1960) Successful intermittent haemodialysis — longest reported maintenance of life in true oliguria (181 days). Transactions of the American Society of Artificial Internal Organs, 6, 123–33.
Malmquist, A., Kopfstein, J.H., Frank, E.G. et al. (1972) Factors in psychiatric prediction of patients beginning haemodialysis: a follow-up of 13 patients. Journal of Psychosomatic Research, 16, 19–23.
Marcus, M. (1983) Behavioural treatment of depressed mood in dialysis patients. Dissertation Abstracts International, 44, 5A, 1578.
Masters, W.H. and Johnson, V.E. (1970) Human Sexual Inadequacy, Little Brown, Boston.
Maurin, J. and Schenkel, J. (1976) A study of the family unit’s response to haemodialysis. Journal of Psychosomatic Research, 20, 163–8.
Milne, J.F., Golden, S.J. and Fibus, L. (1978) Sexual dysfunction in renal failure: a survey of chronic haemodialysis patients. International Journal of Psychiatry in Medicine, 8(4), 335–45.
Morris, P.L. and Jones, B. (1989) Life satisfaction across treatment methods for patients with end-stage renal failure. Medical Journal of Australia, 150, 428–32.
Mosley, T.H., Eisen, A.R., Bruce, B.K., Brantley, P.J. and Cocke, T.B. (1993) Contingent social reiforcement for fluid compliance in a hemodialysis patient. Journal of Behavior Therapy and Experimental Psychology, 24, 77–81.
Nichols, K.A. (1983) Psychological therapy and personal crisis: the care of physically in people, in Psychology and Psychotherapy: Current Issues, (ed D. Pilgrim), Routledge & Kegan Paul, London, pp. 83–203.
Nichols, K.A. and Springford B. (1984) The psychosocial stressors associated with survival in dialysis. Behaviour Research and Therapy, 22(5), 563–74.
Petrie, K. (1989) Psychological well-being and psychiatric disturbance in dialysis and renal transplant patients. British Journal of Medical Psychology, 62, 91–6.
Poll, LB., and De Nour, A.K. (1980) Locus of control and adjustment to chronic haemodialysis. Psychological Medicine, 10, 153–7.
Reichsman, F. and Levy, N.B. (1972) Problems in adaptation to maintenance haemodialysis. Archives of Internal Medicine, 130, 859–65.
Richardson, Y.W. (1986) How can more dialysis and transplant patients be fully rehabilitated? Dialysis and Transplantation, 15(11), 607–8.
Rideout, E.M. Rodin, G.M. and Littlefield, C.H. (1990) Stress, social support, and symptoms of depression in spouses of the medically ill. International Journal of Psychiatry and Medicine, 201, 37–48.
Roberts, J.C. and Kjellstrand, C.M. (1988) Choosing death. Withdrawal from chronic dialysis without medical reason. Acta Medica Scandinavica, 223, 181–6.
Rosenbaum, M. and Ben-Ari-Smira, K.B. (1986) Cognitive and personality factors in the delay of gratification of haemodialysis patients. Journal of Personality and Social Psychology, 51, 357–64.
Salmon, P.H. (1980) Psychosocial aspects of chronic renal failure. British Journal of Hospital Medicine, 23, 617–22.
Schneider, M.S., Friend, R. and Whitaker, P. (1991) Fluid noncompliance and symptomatology in end-stage renal disease: cognitive and emotional variables. Health Psychology, 10(3), 209–15.
Schreiber, W.K. and Huber, W. (1985) Psychological situation of dialysis patients and their families. Dialysis and Transplantation, 14(12), 696–8.
Shanan, J., De Nour, A.K. and Garty, I. (1976) Effects of prolonged stress on coping style in terminal renal failure patients. Journal of Human Stress, 12, 19–27.
Shaw, B.F. and Harris, G. (1985) Affective disorders, in Practice of Inpatient Behaviour Therapy: A Clinical Guide, (ed. M. Hersen), Grune and Stratton, New York, pp. 93–112.
Simmons, R.G., Klein, S.D. and Simmons, R.L. (1977) Gift of Life: the Social and Psychological Impact of Organ Transplantation, Wiley Interscience, New York.
Smith, B.C. and Winslow, E.H. (1990) Cognitive changes in chronic renal patients during haemodialysis. American Nephrology Nurses Association Journal, 17, 283–6.
Smith, M.D., Hong, B.A. and Michelman, J.E. (1983) Treatment bias in the management of end-stage renal disease. American Journal of Kidney Disease, 3, 21–6.
Smith, M.D., Hong, B.A. and Robson, A.M. (1985) Diagnosis of depression with end-stage renal disease. American Journal of Medicine, 79, 160–6.
Speidel, H., Koch, U., Balck, F. and Kneiss, J. (1979) Problems in interactions between patients undergoing long term haemodialysis and their partners. Psychotherapy and Psychosomatics, 31, 240–5.
Strain, J.J. (1981) Impediments to psychological care of the chronic renal patient, in Psychonephrology 1, (ed. N.B. Levy), Plenum Press, New York, pp. 47–58.
Streltzer, J. (1983) Diagnostic and treatment considerations in depressed dialysis patients. Clinical and Experimental Dialysis and Apheresis, 7(4), 257–74.
Streltzer, J. and Hasseil, L.H. (1988) Non-compliant haemodialysis patients: a biosocial approach. General Hospital Psychiatry, 10, 255–9.
Tucker, CM., Mulkerne, D.J. and Ziller, R.C. (1982) An ecological and behavioural approach to outpatient dialysis treatment. Journal of Chronic Diseases, 35, 21–7.
Tucker, C.M., Ziller, R.C, Smith, W.R. et al. (1991) Quality of life of patients on in-centre haemodialysis versus continuous ambulatory peritoneal dialysis. Peritoneal International, 11, 341–6.
Watts, R.J. (1983) The patient on renal dialysis: strategies for sexual counselling, in Psychonephrology 2, (ed. N.B. Levy), Plenum Press, New York, pp. 107–17.
Weisman, A.D. (1972) On Dying and Denying: a Psychiatric Study of Terminality, Behavioural Publications, New York.
Wilson, C.J., Muzekam, L.H. Schne, S.A. and Wilson, D.M. (1974) Time-limited group counselling for chronic home haemodialysis patients. Journal of Consulting and Clinical Psychology, 77, 473–7.
Wolcott, D.L., Nissenson, A.R. and Lansberk, J. (1988) Quality of life in chronic dialysis patients. Factors unrelated to dialysis modality. General Hospital Psychiatry, 10, 267–77.
Wysocki, T., Herr, R., Fryar, M. et al. (1990) Behaviour modification in paediatric haemodialysis. American Nephrology Nurses Association Journal, 17, 250–4.
Yanagida, R.H. and Streltzer, J. (1979) Limitations of psychological tests in a dialysis population. Psychosomatic Medicine, 41(7), 557–67.
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Long, C.G. (1995). Renal care. In: Broome, A., Llewelyn, S. (eds) Health Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3226-6_21
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DOI: https://doi.org/10.1007/978-1-4899-3226-6_21
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