Psychiatric adjustment in end-stage renal disease: a follow up study of former paediatric patients.
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.
Morton
M J
MJ
Academic Psychiatry Unit, Booth Hall Children's Hospital, Manchester, U.K.
Reynolds
J M
JM
Garralda
M E
ME
Postlethwaite
R J
RJ
Goh
D
D
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology; D002648:Child; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000534:rehabilitation; D016030:Kidney Transplantation / Q000523:psychology; D008297:Male; D016487:Parenting / Q000523:psychology; D010348:Patient Care Team; D010552:Personality Assessment; D010553:Personality Development; D006435:Renal Dialysis / Q000523:psychology; D012649:Self Concept; D012803:Sick Role; D012917:Social Adjustment