Psychiatric adjustment in end-stage renal disease: A follow up study of former paediatric patients
Journal of Psychosomatic ResearchPublished 1 May 1994
Michael Morton, J M Reynolds, M. Elena Garralda, R J Postlethwaite, D. Goh
Citations49
SJR quartileQ1
SJR score1.31
SNIP1.10
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Life-time psychiatric adjustment was studied in forty-five young adult survivors of a paediatric dialysis and transplantation programme and in a comparison group matched for age and sex, indicating relatively favourable adult adjustment of juvenile renal patients.
Abstract
Life-time psychiatric adjustment was studied in forty-five young adult survivors of a paediatric dialysis and transplantation programme and in a comparison group matched for age and sex. Renal patients reported more psychological problems in childhood and had lower self-esteem in adulthood, but adult lifetime psychiatric morbidity was comparable in both groups. There were differences in the pattern of psychiatric disorder with a trend for more depressive states in the renal group. Lower self-esteem was linked to early onset renal disease and to educational and social dysfunction. Results indicate relatively favourable adult adjustment of juvenile renal patients.
Keywords
MedicineHealth Professions
Princeton University Press eBooksSociety and the Adolescent Self-Image
29,221 Citations1965Morris Rosenberg
Archives of General PsychiatryResearch Diagnostic Criteria
6,963 Citations1978Robert L. Spitzer
The development and initial reliability studies of a set of specific diagnostic criteria for a selected group of functional psychiatric disorders, the Research Diagnostic Criteria (RDC), indicate high reliability for diagnostic judgments made using these criteria.
Archives of General PsychiatryA Diagnostic Interview
5,709 Citations1978Jean Endicott
Initial scale development and reliability studies of the items and the scale scores are reported on.
Archives of General PsychiatryAdult Outcomes of Childhood and Adolescent Depression
769 Citations1990R.W. Harrington
There is substantial specificity in the continuity of affective disturbances between childhood and adult life, and the depressed group was at an increased risk for affective disorder in adult life and had elevated risks of psychiatric hospitalization and psychiatric treatment.
The British Journal of PsychiatryComparison of Research Diagnostic Systems in an Edinburgh Community Sample
230 Citations1983C. Dean, P. G. Surtees +1 more
Four research diagnostic schemes are compared in one community sample; the main comparison made is between the PSE/ID/Catego and SADS/RDC systems, with poor agreement about labelling.
Archives of General PsychiatryReliability of Lifetime Diagnosis
222 Citations1981Nancy C. Andreasen
It is concluded that it is possible to make lifetime diagnoses reliably in a nonpatient population when the Schedule for Affective Disorders and Schizophrenia-Lifetime Version and Research Diagnostic Criteria were used to interview ill and well relatives of probands in the National Institute of Mental Health Collaborative Study of the Psychobiology of Depression.
The British Journal of PsychiatryDepression and Perceptions of Early Parenting: a Longitudinal Investigation
206 Citations1988Ian H. Gotlib, John H. Mount +2 more
Both depressed and remitted women reported experiencing greater parental overprotection than did non-depressed women, but only depressed subjects also reported less parental caring.
The American Journal of MedicineDiagnosis of depression in patients with end-stage renal disease. Comparative analysis
159 Citations1985Marc D. Smith, Barry A. Hong +1 more
It is suggested that death wish, suicidal intention, and other psychologic symptoms should receive particular attention in the clinical assessment of depression in patients with end-stage renal disease.
Psychosomatic MedicineThe diagnosis of major depression in renal dialysis patients.
140 Citations1987John Craven, Gary Rodin +2 more
The results indicate that some DSM‐III criteria are common in dialysis patients and therefore do not distinguish major depression, whereas other DSM‐ III criteria are more specific for MDE.
The British Journal of PsychiatrySelf-Esteem – a Psychiatric View
134 Citations1988Philip Robson
The literature relating to the acquisition, maintenance, and clinical significance of self-esteem reveals theoretical differences between earlier investigators and attention is drawn to some of the problems of construct validation and measurement.
Journal of Psychosomatic ResearchAssessing depression and anxiety in chronic dialysis patients
120 Citations1985Nancy G. Kutner, Paul L. Fair +1 more
The data suggested an inverse correlation between depression and anxiety levels and patients' total length of time on dialysis, which may explain some of the variation in Depression and anxiety results obtained with different samples.
Journal of Child Psychology and PsychiatryPSYCHIATRIC ADJUSTMENT IN CHILDREN WITH CHRONIC RENAL FAILURE
103 Citations1988M. Elena Garralda, R Jameson +2 more
Problems in psychiatric adjustment were found to be more common in children and adolescents with chronic renal failure than in healthy matched controls and the less severely physically ill children tended to have increased difficulties in school adjustment and they reported more feelings of loneliness.
Developmental Medicine & Child NeurologyCHRONIC PHYSICAL ILLNESS IN CHILDHOOD: PSYCHOLOGICAL AND SOCIAL EFFECTS IN ADOLESCENCE AND ADULT LIFE
98 Citations1989I B Pless, H. Cripps +2 more
There was a disturbing tendency for those from lower social‐group families to be in significantly worse social and psychological circumstances, and by 36 years they showed signs of relatively poor life chances and of basic social support, including the death of both parents.
The British Journal of PsychiatrySelf-Esteem, Vulnerability and Psychiatric Disorder in the Community
92 Citations1986J. G. Ingham, Norman Kreitman +3 more
Results are reported from a community survey, confirming the influence of certain biographical factors on self-esteem in the absence of illness, whereas other factors appear to operate only after the onset of illness.
Archives of Disease in ChildhoodPsychosocial adjustment of adult survivors of a paediatric dialysis and transplant programme.
81 Citations1993J M Reynolds, Michael Morton +3 more
A lifelong history of ESRD leads to suboptimal or delayed social functioning on conventional indicators, however this does not lead to increased overall distress in the patients about their social circumstances and quality of life does not appear to be substantially impaired.
Psychological MedicineBiopsychosocial aspects of long-term survival on end-stage renal failure therapy
77 Citations1989Ralph Shulman, J. D. Price +1 more
Monitoring for depression should be incorporated into routine care from the start of dialysis together with evaluative interventions that might enhance survival.
Archives of Disease in ChildhoodLong term outcome of treatment of end stage renal failure.
76 Citations1988Paul Henning, Laurie A. Tomlinson +3 more
It is suggested that a poor body image resulting in low self esteem may be responsible for the deficiency and it is believed that further study in this group is warranted.
Social Science & Medicine Part E Medical PsychologyThe background, design and use of a short interview to assess social stress and support in research and clinical settings
74 Citations1981Rachel Jenkins, A. H. Mann +1 more
The use of the interview is described in a prospective study of 100 identified men and women with non-psychotic psychiatric disorders where it proved to be a significant predictor and correlate of psychiatric outcome.
Archives of Disease in ChildhoodInfant feeding and allergy.
68 Citations1988F G Miskelly, M L Burr +4 more
Eczema and wheezing occurred to a similar extent in the two groups during the first year of life, although napkin rash, diarrhoea, and oral thrush were commoner in the intervention group, especially in the first three months.
Archives of Disease in ChildhoodHow parents and families cope with chronic renal failure.
67 Citations1988J M Reynolds, M. Elena Garralda +2 more
There were indications that illness had resulted in an increase of subjective stress but also of support in a number of psychosocial areas for parents, especially those in the more severely affected group.
Acta Medica ScandinavicaChoosing Death
54 Citations1988John Roberts, Carl M. Kjellstrand
Home dialysis patients are at a high risk of discontinuing dialysis because of the stress of the dialysis procedure, and a realistic introduction to and realization of their dialysis problems, better training and better psychological support, particularly from physicians, are necessary to eradicate this avoidable cause of death in chronicdialysis patients.
American Journal of PsychiatryAfter Transplantation—The Child's Emotional Reactions
50 Citations1971Dorothy M. Bernstein
The author stresses the need for alertness on the part of the nephrologist, surgeon, and psychiatrist in dealing with emotional problems of child transplant patients.
Journal of Developmental & Behavioral PediatricsVisibility of Handicap, Self-Concept, and Social Maturity among Young Adult Survivors of End-Stage Renal Disease
30 Citations1986Arne Beck, Gail E. Nethercut +2 more
Social Psychiatry and Psychiatric EpidemiologyThe use of the social stress and support interview in families with deviant children: methodological issues
26 Citations1987D. Bailey, M. Elena Garralda
Using a brief interview, the Social Stress and Support Interview of Jenkins and her collogues (1981), the questionnaire provided measurements which were significantly associated with psychological deviance in children aged 7–12 years of age, and with psychiatric distress in their parents.
Acta Psychiatrica ScandinavicaPrevalence of mental disorders in young adults with chronic physical diseases since childhood as identified by the Present State Examination and the CATEGO program
24 Citations1993Jorma Kokkonen, Eeva‐Riitta Kokkonen
Only a severe physical disease, visible and disabling for years in everyday life, seems to increase the risk for mental problems, demonstrating the need to improve the approach towards psychological problems in the somatic clinics treating patients with long‐term physical diseases.
Child Care Health and DevelopmentLiving with chronic renal failure
19 Citations1986J M Reynolds, M. Elena Garralda +2 more
It is felt that it is worth considering how to improve the supports for these families, helping parents to be more aware of community facilities that are available, and striving to improve communication between the different agencies (hospital, general practitioners, schools, etc.) involved.
American Journal of PsychiatryAdolescents’ Adjustment to Chronic Hemodialysis
19 Citations1979Atara Kaplan De‐Nour
Teenagers on chronic hemodialysis seemed to have fewer psychiatric complications and, especially, less suicidal ideation and chronic disease is especially difficult for adolescents to handle because it creates stress in areas already problematic for this age group.
Clinical and Experimental Dialysis and ApheresisDiagnostic and Treatment Considerations in Depressed Dialysis Patients
17 Citations1983Jon Streltzer
Psychotherapeutic support helps the majority of patients with depressive symptomatology and nurse-patient and physician-patient relationships are potentially powerful factors influencing patient adjustment to dialysis.
Journal of AdolescenceThe second individuation process in handicapped adolescents
13 Citations1987Shmuel Shulman, Carl I. Rubinroit
Adolescence is conceptualized as the stage when a second process of separation individuation takes place and maturational processes like physical and sexual development combined with higher levels of thinking play a dominant role.