Psychosocial problems of patients on the renal unit and their relation to treatment outcome.
Eighty patients on a renal unit were interviewed to assess their psychiatric status and social functioning, and 68 survivors were re-interviewed one year later. Psychiatric disorders, which were mainly mood disorders, were inversely related to duration of treatment, and had reduced considerably at follow-up. Social disability was more stable and was related to abnormal personal relationships and to treatment status. Psychiatric disorder was only weakly associated with social disability or physical outcome at follow-up. Despite psychiatric and social problems, 11 patients commented positively on some aspect of their experience of life since starting treatment.
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University Department of Clinical Neurology, Radcliffe Infirmary, Oxford, U.K.
D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000523:psychology; D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000523:psychology; D011581:Psychological Tests; D006435:Renal Dialysis / Q000523:psychology*; D012803:Sick Role; D012917:Social Adjustment