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Titolo:
Depression and marital dissatisfaction in patients with end-stage renal disease and in their spouses
Autore:
Daneker, B; Kimmel, PL; Ranich, T; Peterson, RA;
Indirizzi:
George Washington Univ, Dept Psychol, Washington, DC 20052 USA George Washington Univ Washington DC USA 20052 , Washington, DC 20052 USA NIDDK, Div Kidney Urol & Hematol Dis, NIH, Bethesda, MD USA NIDDK Bethesda MD USA v Kidney Urol & Hematol Dis, NIH, Bethesda, MD USA George Washington Univ, Med Ctr, Dept Med, Div Renal Dis & Hypertens, Washington, DC 20037 USA George Washington Univ Washington DC USA 20037 , Washington, DC 20037 USA
Titolo Testata:
AMERICAN JOURNAL OF KIDNEY DISEASES
fascicolo: 4, volume: 38, anno: 2001,
pagine: 839 - 846
SICI:
0272-6386(200110)38:4<839:DAMDIP>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
URBAN HEMODIALYSIS-PATIENTS; DIALYSIS PATIENTS; SOCIAL SUPPORT; ADJUSTMENT; MORTALITY; SURVIVAL; ILLNESS; COUPLES; HEALTH; PERSPECTIVE;
Keywords:
depression; marriage; marital satisfaction; marital conflict; social support; functional status; Karnofsky performance status scale;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Kimmel, PL George Washington Univ, Med Ctr, Dept Med, Div Renal Dis & Hypertens, 2150Penn Ave NW, Washington, DC 20037 USA George Washington Univ 2150 Penn Ave NW Washington DC USA 20037
Citazione:
B. Daneker et al., "Depression and marital dissatisfaction in patients with end-stage renal disease and in their spouses", AM J KIDNEY, 38(4), 2001, pp. 839-846

Abstract

Little research has been performed assessing patients with end-stage renaldisease (ESRD) as parts of marital dyads or within family structures. Recent findings suggest patient interactions within such systems are associatedwith patient outcomes. To evaluate the relationship between level of patient depression and spouse psychosocial status, 55 couples in which one partner was undergoing chronic hemodialysis therapy for ESRD were interviewed. Two variables that alone and in interaction with one another were expected to relate to the spouse's level of depression and marital satisfaction were investigated: patient depression level and spouse's perceived social support. Depression was assessed using the Beck Depression Inventory (BDI). Spouses' levels of depressive aff ect correlated directly with patient BDI scores. A significant two-way interaction for spousal depression (patient depression and spousal support) supported viewing spouses' adjustment as a function of the interaction between spouse and patient factors. Additionally, a main effect of perceived spousal social support on spousal marital satisfaction indicated that spouses reporting high levels of social support had the least marital strain. The severity of the patient's illness did not correlate with any of the predictor variables or measures of spousal adjustment, but spouses reported significantly lower functional status for patients thandid nephrologists. Spouse and patient levels of depression are related, although causal relationships cannot be determined by these studies. Moreover, spouse perception of marital satisfaction is related to depression scores. These findings suggest the patient with ESRD functions in a psychosocial dyad. Spouse psychosocial status could impact on the level of patient depression, and the spouse might be amenable to interventions that could improvepatient outcome. (C) 2001 by the National Kidney Foundation, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 17:50:13