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Part A: Psychiatric Aspects of the Dialysis Patient

  • Peter G. Wilson

Abstract

Psychiatry and psychiatrists can help in the treatment of the dialysis patient, by being members of the caregiving team, and in diagnosing psychopathology in the patient, family and treatment team. Arrangements then can be made in setting up appropriate treatment for psychopathology, instituting treatment when indicated, and performing research in demographic, psychopathologic and outcome factors. This chapter will deal with adult problems and psychopathology, and not with the special problems of pediatric patients. Case reports are used in an illustrative fashion, to highlight symptoms and management of psychopathology

Keywords

Dialysis Patient Major Depressive Disorder Major Depressive Episode Panic Attack Dialysis Session 
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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References

  1. 1.
    Montagnac R, Defert P, Schillinger F: Psychological impact periodic hemodialysis in the adult. (Editorial) Nephrologie 13: 145, 1992PubMedGoogle Scholar
  2. 2.
    Galpin C: Body image in end-stage renal failure. Br J Nursing 1: 21, 1992Google Scholar
  3. 3.
    Levy NB, Abram H, Kemph J et al.: Panel: living or dying. Adaption to haemodialysis. in Living or Dying: Adaptation to Haemodialysis, edited by Levy N. Springfield IL, CC Thomas, 1974Google Scholar
  4. 4.
    Gorynski L, Knight F: A peer support group for adolescent dialysis patients. ANNA J 19: 262, 1992PubMedGoogle Scholar
  5. 5.
    Rittman M, Northsea C, Hausauer N, Green C, Swanson L: Living with renal failure. ANNA J 20: 327, 1993PubMedGoogle Scholar
  6. 6.
    Procci WR: The study of sexual dysfunction in uremic males: problems for patients and investigators. Clin Exp Dial Apheresis 7: 289, 1983PubMedGoogle Scholar
  7. 7.
    Tabbane K, Ben-Rejeb R, Ghodhbane T, Douki S: Annales-Medico-Psychologiques 47: 325, 1989Google Scholar
  8. 8.
    Yoshioka M, Ishii T, Fukunishi I: Sleep disturbance of end-stage renal disease. Japan J Psychiatr Neural 47: 847, 1993Google Scholar
  9. 9.
    Kopple JD, Hakim RM, Held PJ, Keane WF, King K, Lazarus JM, ParkerIII, TF, and Teehan BP: Recommendations for reducing the high morbidity and mortality of United States maintenance dialysis patients. Am J Kidney Dis 24: 968, 1994PubMedGoogle Scholar
  10. 10.
    McKegney, FP: The patient’s role in beginning and continuing maintenance haemodialysis. Proc 4th Int Congr Nephrol 3: 330, 1974Google Scholar
  11. 11.
    Nissenson AR: Measuring, managing, and improving quality in the end-stage renal disease treatment setting: peritoneal dialysis. Am J Kidney Dis 24: 368, 1994PubMedGoogle Scholar
  12. 12.
    Freeman RB: Passions in the arena. Loss, Grief and Care 5: 123, 1991Google Scholar
  13. 13.
    Holley JL, Barrington K, Kohn J, Hayes I: Patient factors and the influence of nephrologists, social workers and nurses on patient decisions to choose continuous peritoneal dialysis. Adv Peril Dial 7: 108, 1991Google Scholar
  14. 14.
    Groome PA, Hutchinson TA, Tousignant P: Content of a decision analysis for treatment choice in end-stage renal disease: who should be consulted. Med Decision Making 14:91, 1994CrossRefGoogle Scholar
  15. 15.
    Bower J: Doctor-patient relationship unique in dialysis, needs improvement. Nephrol News Issues 6: 47, 63, 1992PubMedGoogle Scholar
  16. 16.
    Newmann JM: Education and patient enpowerment will make rehabilitation work. Nephrol News Issues 8: 22, 26, 1994PubMedGoogle Scholar
  17. 17.
    Kumar H, Alam F, Naqvi SA: Experience of haemodialysis at the Kidney Centre. J Pakistan Med Assoc 42: 234, 1992Google Scholar
  18. 18.
    Petrie K: Psychological well-being and psychiatric disturbance in dialysis and renal transplant patients. Br J Med Psych 62: 91, 1989Google Scholar
  19. 19.
    Sno, H-N, Schoevers R-A, Wiltink, E-H, Molenaar D: Over spoelen en overspoeld raken. Psychiatrische complicaties bij dialyse patienten. On perfusion and confusion: Psychiatric complications in dialysis-patients. Tijdschrift voor Psychiatrie 34: 637, 1992Google Scholar
  20. 20.
    Craven JL, Rodin GM, Johnson L, Kennedy SH: The diagnosis of major depression in renal dialysis patientsGoogle Scholar
  21. 21.
    Kimmel PL, Weihs K, Peterson RA: Survival in hemodialysis patients: the role of depression. J Am Soc Nephrol 4: 12, 1993PubMedGoogle Scholar
  22. 22.
    Peterson RA, Kimmel PL, Sacks CR, Mesquita ML, Simmens SJ, Reiss D: Depression, perception of illness and mortality in patients with end-stage renal disease. Int J Psychiatr Med 21: 343, 1991CrossRefGoogle Scholar
  23. 23.
    Driessen M, Balk F: Chronic renal failure: predictors of good adjustment to disease and treatment (German); Original Title: Chronische Niereninsufifizienz: Pradiktoren fur eine gunstige Adaption an Krankheit und Behandlung. Psychotherapie, Psychosomatik, Medizinische, Psychologie 41:363, 1991Google Scholar
  24. 24.
    Goldberg DP: The Detection of Psychiatric Illness by Questionnaire: A Technique for the Identification and Assessment of Non-Psychotic Psychotic Psychiatric Illness, Maudsley Monograph No 2, Oxford University Press, Oxford, 1972Google Scholar
  25. 25. DSM-IV: American Psychiatric Association Press, 1994Google Scholar
  26. 26.
    Streltzer J: Diagnostic and treatment considerations in depressed dialysis patients. Clin Exp Dial Apheresis 7: 257, 1983PubMedGoogle Scholar
  27. 27.
    Klerman GL, Weissman MM, Rounsaville BJ, Chevron ES: Interpersonal Psychotherapy of Depression, New York, Basic Books, 1984Google Scholar
  28. 28.
    Beck AT, Rush AJ, Shaw BF, Emery G: Cognitive Therapy of Depression, New York, Guilford Press, 1979Google Scholar
  29. 29.
    Levy NB: Psychopharmacology in patients with renal failure. Int J Psychiatr Med 20: 325, 1990CrossRefGoogle Scholar
  30. 30.
    Viederman M: Psychiatry, Viederman & Rusk (Reference #1) cited in 37: 68, 1975Google Scholar
  31. 31.
    Carbonell Masia C, Hernandez Moreno L, Ramos Rieva J: Variables asociadas a la adaptacion psicosocial de los enfermos renales cronicos en tratamiento. Actas Luso-Espanolas de Neurologia, Psiquiatria y Ciencias Afines 21: 1, 1993PubMedGoogle Scholar
  32. 32.
    Burton H, Kline S, Lindsay R, Heidenheim P: The sole of support in influencing outcome of end-stage renal disease. Gen Hosp Psychiatr 10: 260, 1988CrossRefGoogle Scholar
  33. 33.
    Flaherty MJ, O’Brien ME: Family styles of coping in end stage renal disease. ANNA J 19: 345, 1992PubMedGoogle Scholar
  34. 34.
    Reiss D: Patient, family, and staff responses to end-stage renal disease. Am J Kidney Dis 15: 194, 1990PubMedGoogle Scholar
  35. 35.
    Rideout EM, Rodin GM, Littlefield CH: Stress, social support, and symptoms of deprssion in spouses of the medically ill. Int J Psychiatr Med 20: 37Google Scholar
  36. 36.
    Paluszny MJ, DeBeukelaer MM, Rowane WA: Families coping with the multiple crises of chronic illness. Loss, Grief and Care 5: 15, 1991Google Scholar
  37. 37.
    Kutner NG, Brogan D: Expectations and psychological needs of elderly dialysis patients. Intl J Aging Human Dev 31: 239, 1990Google Scholar
  38. 38.
    O’Brien ME: Compliance behavior and long-term maintenance dialysis. AmJ Kidney Dis 15: 209, 1990Google Scholar
  39. 39.
    Schlenker BR, Britt TW, Pennington J, Murphy R, Doherty K: The triangle model of responsibility. Psychol Rev 101: 632, 1994PubMedCrossRefGoogle Scholar
  40. 40.
    Bame SI, Petersen N, Wray NP: Variation in hemodialysis patient compliance according to demographic characteristics. Soc Sci Med 37: 1035, 1993PubMedCrossRefGoogle Scholar
  41. 41.
    Sharpe M, Mayou R, Seagroatt V, Surawy C, Warwick H, Bulstrode C, Dawber R, Lane D: Why do doctors find some patients difficult to help? Q J Med 87: 187, 1994PubMedGoogle Scholar
  42. 42.
    Morduchowicz G, Sulkes J, Aizic S, Gabbay U, Winkler J, Boner G: Compliance in hemodialysis patients: a multivariate regression analysis. Nephron 64: 365, 1993PubMedCrossRefGoogle Scholar
  43. 43.
    Kobrin SM, Kimmel PL, Simmens SJ, Reiss D: Behavioral and biochemical indices of compliance in hemodialysis patients. ASAIO Trans 37: M378, 1991PubMedGoogle Scholar
  44. 44.
    Brock J: Uncertainty, information needs, and coping effectiveness of renal families. ANNA J 17: 242, 1990PubMedGoogle Scholar
  45. 45.
    Hegel MT, Ayllon T, Thiel G, Oulton B: Improving adherence to fluid restrictions in male hemodialysis patients: a comparison of cognitive and behavioral approaches. Health Psychology 11: 324, 1992PubMedCrossRefGoogle Scholar
  46. 46.
    Tebbi CK: Treatment compliance in childhood and adolescence. Cancer 71(Suppl 10): 3441S, 1993Google Scholar
  47. 47.
    Wilson PG: Planning, dying and death in patients with end stage kidney disease. Found Thanat 2: 37, 1993Google Scholar
  48. 48.
    Fukunishi I: Anxiety associated with kidney transplantation. Psychopathology 26: 24, 1993PubMedCrossRefGoogle Scholar
  49. 49.
    Moss AH, Stocking CB, Sachs GA, Siegler M: Variation in the attitudes of dialysis unit medical directors toward decisions to withhold and withdraw dialysis. J Am Soc Nephrol 4: 229, 1993PubMedGoogle Scholar
  50. 50.
    Manley M: The liaison psychiatrist and the outpatient hemodialysis unit, Part I: Reliability and validity of staff assessments of patient compliance on a hemodialysis unit. Clin Exp Dial Apheresis 7: 349, 1983PubMedGoogle Scholar
  51. 51.
    Kaplan De-Nour A, Czaczkes JW: in Living or Dying: Adaptation to Haemodialysis, edited by Levy N, Springfield IL, CC Thomas, 1974, p 102Google Scholar
  52. 52.
    Kalman, TP: Obstacles to the delivery of psychiatric care to transplant recipients and dialysis patients. Clin Exper Dial Apheresis 7: 335, 1983Google Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Peter G. Wilson
    • 1
  1. 1.Department of PsychiatryCornell University Medical CenterNew YorkUSA

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