Coping With Treatment-Related Stress: Effects on Patient Adherence in Hemodialysis

With a modified version of the Ways of Coping Checklist, the relation of coping to adherence among 57 hemodialysis patients was examined. The association of a particular type of coping to adherence was predicted to depend on the specific type of stressful encounter being considered. As predicted, co...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1995-06, Vol.63 (3), p.454-459
Main Authors: Christensen, Alan J, Benotsch, Eric G, Wiebe, John S, Lawton, William J
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Aged
Behavior Patterns
Biological and medical sciences
Compliance
Coping
Coping Behavior
Diabetic Nephropathies - psychology
Diabetic Nephropathies - therapy
Diseases
Emotional Response
Female
Fundamental and applied biological sciences. Psychology
Hemodialysis
Higher Education
Human
Humans
Illness and personality
Illness Behavior
Illness, stress and coping
Internal-External Control
Kidney diseases
Kidney Failure, Chronic - psychology
Kidney Failure, Chronic - therapy
Male
Middle Aged
Patient Compliance - psychology
Personality Inventory
Planning
Problem Solving
Psychology
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Renal Dialysis - psychology
Role
Sick Role
Stress
Stress Management
Stress Variables
Treatment
Treatment Compliance
Ways of Coping Checklist
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Summary:With a modified version of the Ways of Coping Checklist, the relation of coping to adherence among 57 hemodialysis patients was examined. The association of a particular type of coping to adherence was predicted to depend on the specific type of stressful encounter being considered. As predicted, coping efforts involving planful problem solving were associated with more favorable adherence when used in response to stressors involving a relatively controllable aspect of the hemodialysis context. For less controllable stressors, coping efforts involving emotional self-control were associated with more favorable adherence. The seeking of informational support in response to an uncontrollable encounter was associated with poorer fluid-intake adherence. Confrontive coping was associated with poorer adherence for both high- and low-control situations.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.63.3.454