title: Psychological distress and treatment adherence among children on dialysis.
abstract: Among 23 pediatric renal dialysis patients, we obtained self-reported assessments of psychological adjustment and biochemical and subjective ratings of adherence. Findings indicate elevated levels of depressive symptoms and substantial nonadherence. Depressive symptoms were associated with higher levels of hopelessness, more negative self-perceptions, and more depressogenic attributional style. The psychological adjustment measures did not significantly correlate with adherence. Nonsignificant associations among different measures of adherence underscore its multifaceted nature. Implications for monitoring the adjustment of children on dialysis, assessing adherence, and future research are discussed.
authors.affiliation: Neuropsychiatric Institute, UCLA School of Medicine, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Simoni
authors.forename: J R
authors.initials: JR
authors.lastname: Asarnow
authors.forename: P R
authors.initials: PR
authors.lastname: Munford
authors.forename: C M
authors.initials: CM
authors.lastname: Koprowski
authors.forename: T R
authors.initials: TR
authors.lastname: Belin
authors.forename: I B
authors.initials: IB
authors.lastname: Salusky
mesh_terms: D000293:Adolescent; D015415:Biomarkers; D002118:Calcium / Q000097:blood; D002648:Child; D003863:Depression / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000523:psychology*; D010758:Phosphorus / Q000097:blood; D006435:Renal Dialysis / Q000523:psychology*; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology*
chemical_list: D015415:Biomarkers; D010758:Phosphorus; D002118:Calcium