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Articles 1 - 9 of 9

Full-Text Articles in Psychology

Patient Treatment Adherence Research In Chronic Disease: The Action Is In The Interaction, Alan Christensen Oct 2002

Patient Treatment Adherence Research In Chronic Disease: The Action Is In The Interaction, Alan Christensen

Alan J. Christensen

No abstract provided.


Effect Of Family Environment And Donor Source On Patient Equality Of Life Following Renal Transplantation, Alan Christensen, Katherine Raichle, Shawna Ehlers, Andrew Bertolatus Aug 2002

Effect Of Family Environment And Donor Source On Patient Equality Of Life Following Renal Transplantation, Alan Christensen, Katherine Raichle, Shawna Ehlers, Andrew Bertolatus

Alan J. Christensen

The authors examined the degree to which the supportiveness of a patient's family environment predicts change in quality of life following renal transplantation. The sample consisted of 95 patients receiving renal grafts from either a living donor or a cadaveric donor. Patients were initially assessed prior to transplantation with follow-up assessment occurring an average of 5.5 months after transplantation. Among patients receiving a living-donor kidney, those reporting a more supportive family environment exhibited reduced depression, improved mobility, and improved social functioning. However, those living-donor recipients reporting less family support exhibited increased depression and diminished mobility and social functioning after transplantation. …


Patient Personality And Mortality: A 4-Year Prospective Examination Of Chronic Renal Insufficiency, Alan Christensen, Shawna Ehlers, John Wiebe, Patricia Moran, Katherine Raichle, Karin Ferneyhough, William Lawton Jun 2002

Patient Personality And Mortality: A 4-Year Prospective Examination Of Chronic Renal Insufficiency, Alan Christensen, Shawna Ehlers, John Wiebe, Patricia Moran, Katherine Raichle, Karin Ferneyhough, William Lawton

Alan J. Christensen

The present study examined the role of personality as a predictor of mortality among patients with chronic renal insufficiency. A prospective evaluation of the influence of personality on patient survival was conducted over an average 49-month period. Cox regression was used to evaluate the effects of 5 dimensions of personality in a sample of 174 patients (100 male and 74 female). At follow-up, 49 patients had died. Significant demographic and clinical predictors of survival included age, diabetic status, and hemoglobin level. After these predictors were controlled for, 2 personality traits, conscientiousness and neuroticism, predicted patient mortality. Patients with high neuroticism …


Patient Adherence With Medical Treatment Regimens: An Interactive Approach, Alan Christensen, Jamie Johnson May 2002

Patient Adherence With Medical Treatment Regimens: An Interactive Approach, Alan Christensen, Jamie Johnson

Alan J. Christensen

Inadequate patient adherence to treatment regimens is a ubiquitous problem in health care and carries a profound personal, societal, and economic cost. This article illustrates a general theoretical framework we believe to be useful for the interpretation, conception, and design of adherence research. The core tenet of this framework is that factors that influence adherence can be better understood by considering the interactive effects of patients' characteristics, type of adherence intervention, and characteristics of the illness and medical treatment context. This framework represents an extension and application of previous theory and research from personality, social, and clinical psychology concerning the …


Psychological Factors In End-Stage Renal Disease: An Emerging Context For Behavioral Medicine Research, Alan Christensen, Shawna Ehlers May 2002

Psychological Factors In End-Stage Renal Disease: An Emerging Context For Behavioral Medicine Research, Alan Christensen, Shawna Ehlers

Alan J. Christensen

End-stage renal disease (ESRD) is a chronic, life-threatening condition afflicting over 300,000 Americans. Patient nonadherence and psychological distress are highly prevalent among ESRD patients, and both have been found to contribute to greater morbidity and earlier mortality in this population. A range of factors have been examined as potential determinants of adherence and adjustment. Evidence suggests that adherence and adjustment are maximized when a patient's preferred style of coping is consistent with the contextual features or demands of the renal intervention the patient is undergoing. Challenges for future clinical research include refining methodologies for the assessment of depression and adherence, …


An Interactive Framework For Patient Adherence Research, Alan Christensen Apr 2002

An Interactive Framework For Patient Adherence Research, Alan Christensen

Alan J. Christensen

No abstract provided.


Personality Characteristics Among Cardiothoracic Transplant Recipients, Carol Stilley, Mary Dew, Paul Pilkonis, Ann Bender, Mary Mcnulty, Alan Christensen, Kenneth Mccurry, Robert Kormos Feb 2002

Personality Characteristics Among Cardiothoracic Transplant Recipients, Carol Stilley, Mary Dew, Paul Pilkonis, Ann Bender, Mary Mcnulty, Alan Christensen, Kenneth Mccurry, Robert Kormos

Alan J. Christensen

Personality characteristics are clinically believed to predict posttransplant adherence and outcome; however, data, as to the prevalence and type of personality disorders (PDs) and distribution of personality traits among transplant (txp) populations, are sparse and inconclusive. This paper reports on the prevalence and type of PD and range of personality traits, according to the Five-Factor model, among 73 adult cardiothoracic txp recipients. It represents the first systematic assessment of PDs and traits in a sample of txp recipients. Personality disorders were assessed with a semistructured diagnostic interview; personality traits were assessed with a self-report instrument. Thirty-three percent of the sample …


Patient Treatment Adherence Research In Chronic Disease: The Action Is In The Interaction, Alan Christensen Jan 2002

Patient Treatment Adherence Research In Chronic Disease: The Action Is In The Interaction, Alan Christensen

Alan J. Christensen

No abstract provided.


Chronic Physical Disorders: Behavioural Medicine's Perspective, Alan Christensen, M. Antoni Dec 2001

Chronic Physical Disorders: Behavioural Medicine's Perspective, Alan Christensen, M. Antoni

Alan J. Christensen

No abstract provided.