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Full-Text Articles in Psychology

Patient Adherence And Adjustment In Renal Dialysis: A Person X Treatment Interactive Approach, Alan Christensen, Timothy Smith, Charles Turner, Kirt Cundick Nov 1994

Patient Adherence And Adjustment In Renal Dialysis: A Person X Treatment Interactive Approach, Alan Christensen, Timothy Smith, Charles Turner, Kirt Cundick

Alan J. Christensen

We classified 52 in-center hemodialysis patients and 34 self-treated, continuous ambulatory peritoneal dialysis (CAPD) patients on two latent variable indices reflecting patient coping style (i.e., Information Vigilance and Active Coping). The concurrent and prospective interactive effects of Dialysis Type and Coping Style were examined on patient dietary and medication adherence and on patient depression. In cross-sectional analyses, higher Information Vigilance was associated with better dietary adherence for CAPD patients but poorer adherence for In-Center Hemodialysis patients. No significant effects were found on a measure of medication adherence. Information Vigilance exerted a concurrent main effect on depression, such that higher scores …


Predictors Of Survival Among Hemodialysis Patients: Effect Of Perceived Family Support, Alan Christensen, John Wiebe, Timothy Smith, Charles Turner Oct 1994

Predictors Of Survival Among Hemodialysis Patients: Effect Of Perceived Family Support, Alan Christensen, John Wiebe, Timothy Smith, Charles Turner

Alan J. Christensen

The authors examined the role of perceived family support and symptoms of depression as predictors of survival in a sample of 78 in-center hemodialysis patients. Cox regression analysis revealed significant effects for family support (p<.005), blood urea nitrogen (p<.01), and age (p<.005). The effect for depression was not significant. The Cox model indicated that a 1-point increase on the family support measure was associated with a 13% reduction in the hazard rate (i.e., mortality). Estimated 5-year mortality rates among low family support patients were approximately 3 times higher than estimated mortality for high support patients. Differences in patient adherence to the dietary and medication regimens failed to explain the significant effect of family support. (PsycINFO Database Record (c) 2008 APA, all rights reserved)


Patient Adherence In Hemodialysis: A Cognitive-Behavioral Framework, Alan Christensen Apr 1994

Patient Adherence In Hemodialysis: A Cognitive-Behavioral Framework, Alan Christensen

Alan J. Christensen

No abstract provided.


Cognitive Distortion And Depression In Chronic Pain: Association With Diagnosed Disorders, Timothy Smith, Jennifer O'Keeffe, Alan Christensen Jan 1994

Cognitive Distortion And Depression In Chronic Pain: Association With Diagnosed Disorders, Timothy Smith, Jennifer O'Keeffe, Alan Christensen

Alan J. Christensen

Previous studies have demonstrated that cognitive distortion is associated with increased levels of self-reported depression among chronic pain patients, suggesting that cognitive models of depression might be useful in this context. However, reliance on self-reports of depression hampers generalization of these results to clinically significant depressive disorders. To address this problem, we examined the association between depression diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) (i.e., major depression and dysthymia) and scores on the Cognitive Errors Questionnaire. Depressed chronic pain patients and depressed nonpain patients reported more cognitive distortion than did nondepressed pain patients and normal …