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Psychological distress and treatment adherence among children on dialysis

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Abstract.

Among 23 pediatric renal dialysis patients, we obtained self-reported assessments of psychological adjustment and biochemical and subjective ratings of adherence. Findings indicate elevated levels of depressive symptoms and substantial nonadherence. Depressive symptoms were associated with higher levels of hopelessness, more negative self-perceptions, and more depressogenic attributional style. The psychological adjustment measures did not significantly correlate with adherence. Nonsignificant associations among different measures of adherence underscore its multifaceted nature. Implications for monitoring the adjustment of children on dialysis, assessing adherence, and future research are discussed.

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Authors and Affiliations

  1. Neuropsychiatric Institute, UCLA School of Medicine, Los Angeles, California, USA, , , , , , US

    Jane M. Simoni, Joan R. Asarnow & Paul R. Munford

  2. Department of Preventive Medicine, USC School of Medicine, Los Angeles, California, USA, , , , , , US

    Carol M. Koprowski

  3. Departments of Psychiatry and Biostatistics, UCLA School of Public Health, Los Angeles, California, USA, , , , , , US

    Thomas R. Belin

  4. Department of Pediatrics, UCLA School of Medicine, Los Angeles, California, USA, , , , , , US

    Isidro B. Salusky

Authors
  1. Jane M. Simoni
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  2. Joan R. Asarnow
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  3. Paul R. Munford
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  4. Carol M. Koprowski
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  5. Thomas R. Belin
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  6. Isidro B. Salusky
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Additional information

Received September 14, 1995; received in revised form April 7, 1997; accepted April 9, 1997

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Simoni, J., Asarnow, J., Munford, P. et al. Psychological distress and treatment adherence among children on dialysis. Pediatr Nephrol 11, 604–606 (1997). https://doi.org/10.1007/s004670050346

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  • DOI: https://doi.org/10.1007/s004670050346

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