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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
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
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