The impact of internal and external resources on functional outcomes in chronic illness.
This study's purpose was to determine if internal and/or external resources could deter negative consequences of physiologic stress in chronic illness. Resource theory was used to test relationships over time among stress (physiologic), distress (functional outcome), and resources (internal-well-being; external-social network). A secondary analysis was done on data from 112 persons with end stage renal disease, collected yearly over 3 years. Physiologic stressors were strongly associated with higher levels of physical dysfunction. Resources were generally unable to reduce deleterious effects of physiologic stress on functional outcomes; functional outcomes were largely determined by preexisting levels of function.
Rowe
M A
MA
Decker School of Nursing, Binghamton University, New York 13902-6000, USA.
D000328:Adult; D002908:Chronic Disease / Q000523:psychology*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000628:therapy; D016030:Kidney Transplantation / Q000523:psychology; D008137:Longitudinal Studies; D008297:Male; D008824:Michigan; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000523:psychology; D011581:Psychological Tests / Q000706:statistics & numerical data; D011593:Psychology, Social; D011897:Random Allocation; D006435:Renal Dialysis / Q000523:psychology; D013312:Stress, Physiological / Q000523:psychology; D016896:Treatment Outcome