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Alan J. Christensen

Selected Works

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Articles 61 - 75 of 75

Full-Text Articles in Psychology

Body Consciousness, Illness-Related Impairment, And Patient Adherence In Hemodialysis, Alan Christensen, John Wiebe, Dawn Edwards, John Michels Jan 1996

Body Consciousness, Illness-Related Impairment, And Patient Adherence In Hemodialysis, Alan Christensen, John Wiebe, Dawn Edwards, John Michels

Alan J. Christensen

Recent theory and evidence suggests that bodily self-focusing tendencies (e.g., private body consciousness [PBC]) may be associated with medical regimen adherence among chronically ill patients. The present study examined the joint effects of PBC and degree of illness-related physical impairment on treatment regimen adherence in a sample of 52 hemodialysis patients. It was predicted that the effect of PBC on adherence would vary as a function of patients' level of illness-related physical impairment. For patients experiencing more severe impairment, higher PBC scores were associated with poorer adherence to the prescribed medication and dietary regimen. In contrast, for patients experiencing a …


Effect Of Verbal Self-Disclosure On Natural Killer Cell Activity: Moderating Influence Of Cynical Hostility, Alan Christensen, D. Edwards, J. Wiebe, E. Benotsch, L Mckelvey, M. Andrews, D. Lubaroff Dec 1995

Effect Of Verbal Self-Disclosure On Natural Killer Cell Activity: Moderating Influence Of Cynical Hostility, Alan Christensen, D. Edwards, J. Wiebe, E. Benotsch, L Mckelvey, M. Andrews, D. Lubaroff

Alan J. Christensen

One objective of the present research was to examine the immunological effects of self-disclosing personal information regarding a traumatic or stressful experience. A second objective was to examine the hypothesis that the effect of self-disclosure on immune function is moderated by individual differences in cynical hostility. Forty-three male college undergraduates, classified as high or low on the Cook-Medley Hostility scale were randomly assigned to either a verbal self-disclosure or a nondisclosure discussion condition. Task-induced change in natural killer (NK) cell activity (i.e., cytotoxicity) served as the dependent variable. As predicted, a significant interaction between discussion condition and hostility was obtained. …


Quality Of Life In Chronic Illness, Alan Christensen Sep 1995

Quality Of Life In Chronic Illness, Alan Christensen

Alan J. Christensen

No abstract provided.


Personality And Patient Adherence: Correlates Of The Five-Factor Model In Renal Dialysis, Alan Christensen, Timothy Smith May 1995

Personality And Patient Adherence: Correlates Of The Five-Factor Model In Renal Dialysis, Alan Christensen, Timothy Smith

Alan J. Christensen

The five-factor taxonomy of personality traits has received increasing attention in the literature regarding personality correlates of health outcomes and behaviors. We examined the association of the five NEO Five-Factor Inventory dimensions to medical regimen adherence in a sample of 72 renal dialysis patients. Results indicated that Conscientiousness (Dimension III) is a five-factor trait significantly associated with adherence to the medication regimen. No other NEO-FFI dimension was significantly associated with patient adherence.


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 …


Ynical Hostility And Cardiovascular Reactivity During Self-Disclosure, Alan Christensen, T. Smith Dec 1992

Ynical Hostility And Cardiovascular Reactivity During Self-Disclosure, Alan Christensen, T. Smith

Alan J. Christensen

Recent research suggests that hostility might contribute to the development of coronary heart disease (CHD) and other illnesses. One potential mechanism linking hostility and health is exaggerated physiological reactivity to social stressors. Given that mistrust and suspiciousness are closely related to this trait, the self-disclosure of personal information regarding a stressful experience may elicit heightened reactivity in hostile persons. To evaluate this hypothesis, undergraduate men (N = 60) classified as high or low on the Cook and Medley Hostility (Ho) Scale were randomly assigned to either a self-disclosure or a nondisclosure condition. Consistent with prediction, among subjects participating in the …


Family Support, Physical Impairment, And Adherence In Hemodialysis: An Investigation Of Main And Buffering Effects, Alan Christensen, Timothy Smith, Charles Turner, John Holman Jr., Martin Gregory, Martina Rich Jul 1992

Family Support, Physical Impairment, And Adherence In Hemodialysis: An Investigation Of Main And Buffering Effects, Alan Christensen, Timothy Smith, Charles Turner, John Holman Jr., Martin Gregory, Martina Rich

Alan J. Christensen

Patient noncompliance is a pervasive problem among end-stage renal disease (ESRD) patients. Previous studies have implicated social support as an important correlate of adherence behavior in other chronic illness groups, but little research has examined this relationship in a hemodialysis population. The present study examined the main and interactive effects of social support in the family and illness-related physical impairment with regard to patient compliance in a sample of 78 hemodialysis patients. Results indicated that patients holding perceptions of a more supportive family environment exhibited significantly more favorable adherence to fluid-intake restrictions than did patients reporting less family support. Family …


Cardiovascular Reactivity And Interpersonal Relations: Psychosomatic Processes In Social Context, T. Smith, Alan Christensen Dec 1991

Cardiovascular Reactivity And Interpersonal Relations: Psychosomatic Processes In Social Context, T. Smith, Alan Christensen

Alan J. Christensen

Recent epidemiological research has identified a variety of interpersonal risk factors as possibly contributing to the development of cardiovascular disease, including reduced social support and increased conflict. Related psychosomatic models identify heightened cardiovascular reactivity as a pathophysiological mechanism linking these psychosocial risk factors and subsequent illness. However, cardiovascular reactivity has largely been studied in nonsocial settings, raising concerns about the relevance of this mechanism to the psychosocial risk factors identified in epidemiological research


Health Locus Of Control And Depression In End-Stage Renal Disease, Alan Christensen, Charles Turner, Timothy Smith May 1991

Health Locus Of Control And Depression In End-Stage Renal Disease, Alan Christensen, Charles Turner, Timothy Smith

Alan J. Christensen

Research on the association between health locus of control and depression in chronic illness has produced contradictory findings, perhaps because of a failure to consider contextual variables. In this study of 96 hemodialysis patients, the belief that one's health is controllable was associated with less depression among Ss who had not previously experienced a failed renal transplant. This belief was associated with greater depression for Ss who had returned to dialysis following an unsuccessful transplant. This interactive effect occurred among severely ill Ss, but health locus of control was unrelated to depression among Ss with less severe disease. This pattern …


Health Science Information Management. An Approach To Improving Qa And Clinical Practice, J Williamson, E. Reerink, A Donabedian, C. Turner, Alan Christensen Dec 1990

Health Science Information Management. An Approach To Improving Qa And Clinical Practice, J Williamson, E. Reerink, A Donabedian, C. Turner, Alan Christensen

Alan J. Christensen

To help quality assurance (QA) professionals and clinical practitioners keep up with advances in health care knowledge and technology, we describe a prototype Health Science Information Management (HSIM) publication. We conceptualize HSIM to include: (a) identification of unique science information needs; (b) rapid retrieval of valid needed information; and (c) use the information to improve health care benefits. To more adequately accomplish these functions, we suggest that five specific categories of information will be essential: (1) reports of recent advances in Science Information Management methods; (2) original reports of Science Information Syntheses (SISs) providing information immediately applicable for QA; (3) …


Interpersonal Influence As Active Coping: Effects Of Task Difficulty On Cardiovascular Reactivity, Timothy Smith, Michael Baldwin, Alan Christensen Jun 1990

Interpersonal Influence As Active Coping: Effects Of Task Difficulty On Cardiovascular Reactivity, Timothy Smith, Michael Baldwin, Alan Christensen

Alan J. Christensen

This study examined the effects of attempting social influence on cardiovascular reactivity. Subjects were randomly assigned to a noncontingent reward condition or one of three conditions in which receipt of a monetary reward was contingent on their ability to influence another individual through a persuasive communication. In the contingent conditions, the task was presented as either easy, difficult, or very difficult. Measures of systolic blood pressure, diastolic blood pressure, and heart rate were recorded while subjects prepared and delivered the persuasive communication (contingent conditions) or reviewed and read aloud the same statement without an incentive to influence. The contingent conditions …


Quality Of Life In End-Stage Renal Disease: Influence Of Renal Transplantation, Alan Christensen, J Holman, C Turner, J Slaughter Dec 1988

Quality Of Life In End-Stage Renal Disease: Influence Of Renal Transplantation, Alan Christensen, J Holman, C Turner, J Slaughter

Alan J. Christensen

No abstract provided.