Supportive Versus Cognitive-Behavioral Intervention Programs in Achieving Adjustment to Home Peritoneal Kidney Dialysis

Two psychological interventions given for 8 weeks, supportive and cognitive-behavioral, were compared in achieving psychosocial adjustment to home peritoneal kidney dialysis. Participants were divided into 3 groups of patients and their spouses: a supportive group (18 couples), a cognitive-behaviora...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1996-08, Vol.64 (4), p.731-741
Main Authors: Hener, Tamar, Weisenberg, Matisyohu, Har-Even, Dov
Format: Article
Language:English
Subjects:
Adult
Aged
Anxiety Disorders - psychology
Behavior therapy. Cognitive therapy
Biological and medical sciences
Cognitive Behavioral Therapy
Cognitive behaviour therapy
Cognitive Therapy
Comparison
Dialysis
Female
Health care
Hemodialysis
Hemodialysis, Home
Home based
Home Care
Human
Humans
Kidney Diseases
Kidney failure
Kidneys
Male
Medical sciences
Patients
Peritoneal Dialysis
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Renal Insufficiency - therapy
Social Support
Supportive psychotherapy
Treatments
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Summary:Two psychological interventions given for 8 weeks, supportive and cognitive-behavioral, were compared in achieving psychosocial adjustment to home peritoneal kidney dialysis. Participants were divided into 3 groups of patients and their spouses: a supportive group (18 couples), a cognitive-behavioral group (18 couples), and a no-intervention control group (24 couples). A group of 97 healthy participants served as a baseline control group. Self-report measurements were made before treatment ( T 1 ) , halfway through ( T 2 ) , and after treatmen ( T 3 ) . Results indicated that, without treatment, the no-intervention control group demonstrated a deterioration of psychosocial adjustment going from T 1 to T 3 . Both interventions were effective in aiding patients and spouses in maintaining psychosocial adjustment in comparison with the no-intervention control group, with few differences between treatments. Most improvement was obtained in the emotional, cognitive, and interpersonal areas, with smaller gains made in the behavioral area.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.64.4.731