Prediction of Adjustment to Chronic Hemodialysis

  • Atara Kaplan De-Nour


Twelve years ago the number of patients on chronic hemodialysis was limited and treatment was available only to a minority of patients with terminal renal failure. Dialysis units, therefore, had to develop a policy or criteria for acceptance and rejection of patients. Some units attempted to allocate the limited facilities to patients with the best potential for adjustment and survival; in other words, an effort was made to predict adjustment. Although by now there is hardly ever a need to select patients, the importance of prediction of adjustment has not diminished. The ability to predict means that the major sources of stress, as well as the individual’s methods of handling these stresses, have been identified. This enables one to plan and carry out meaningful therapeutic interventions. Furthermore, on the basis of prediction, one can decide which of the modalities of treatment will be the least stressful for each patient, i.e., center dialysis, home dialysis, or transplantation. The purpose of the present report is to summarize a series of studies about prediction of adjustment to chronic hemodialysis.


Suicidal Risk Vocational Rehabilitation Chronic Hemodialysis Unrealistic Expectation Staff Attitude 
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  1. 1.
    Kaplan De-Nour, A., and Czaczkes, J. W. Personality and adjustment to chronic hemodialysis. In N. B. Levy (Ed.), Living or dying adaptation to hemodialysis, Springfield: C C. Thomas, 1974.Google Scholar
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    Kaplan De-Nour, A., and Czaczkes, J. W. The influence of patient’s personality on adjustment to chronic dialysis. Journal of Nervous and Mental Disease, 1976, 162, 323–333.CrossRefGoogle Scholar
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    Kaplan De-Nour, A. The influence of physicians’ behavior and teams’ attitudes on adjustment of chronic patients. In F. Antonelli (Ed.), Proceedings of the Third Congress of the International College of Psychosomatic Medicine, Rome, September 1975. Vol. I. Rome: Edizione L. Pozzi, 1977, pp. 120–128.Google Scholar
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    Kaplan De-Nour, A., and Czaczkes, J. W. Nurses’ rejection and acceptance of patients. Mental Health and Society, 1977, 4, 85–94.Google Scholar
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    Kaplan De-Nour, A., and Czaczkes, J. W. Personality factors in chronic hemodialysis patients causing non-compliance with the medical regime. Psychosomatic Medicine, 1972, 34, 333–344.Google Scholar
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    Kaplan De-Nour, A., and Czaczkes, J. W. Personality factors influencing vocational rehabilitation. Archives of General Psychiatry, 1975, 32, 573–577.CrossRefGoogle Scholar
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    Kaplan De-Nour, A., and Shanan, J. Coping behavior and intelligence in the prediction of vocational rehabilitation of dialysis patients. International Journal of Psychiatry in Medicine, 1978, 8, 145–158.CrossRefGoogle Scholar
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    Shanan, J., Kaplan De-Nour, A., and Gart, I. Effects of prolonged stress in terminal renal failure patients. Journal of Human Stress, 1976, 2, 19–28.PubMedCrossRefGoogle Scholar
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    Kaplan De-Nour, A., Czaczkes, J. W., and Lilos, P. A study of chronic hemodialysis teams: differences in opinions and expectations. Journal of Chronic Diseases, 1972, 25, 441–448.PubMedCrossRefGoogle Scholar
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Additional Bibliography

  1. Kaplan De-Nour, A., and Czaczkes, J. W. Bias in assessment of patients on chronic dialysis. Journal of Psychosomatic Research, 1974, 18, 217–221.CrossRefGoogle Scholar
  2. Kaplan De-Nour, A., and Czaczkes, J. W. Emotional problems and reactions of the medical team in a chronic hemodialysis unit. Lancet, 1968, 2, 987–991.CrossRefGoogle Scholar
  3. Kaplan De-Nour, A., and Czaczkes, J. W. Professional team opinion and personal bias—a study of chronic hemodialysis unit team. Journal of Chronic Diseases, 1971, 24, 533–541.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1981

Authors and Affiliations

  • Atara Kaplan De-Nour
    • 1
  1. 1.Hadassah Medical CenterJerusalemIsrael

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