The present study examined three coping styles of hemodialysis patients--denial, optimism, and locus of control--and how these relate to treatment adherence and adjustment. The relationship between the measures of denial and optimism were also of interest in this study. / Subjects were 65 male and female hemodialysis patients receiving in-center treatment on a regular basis. Subjects ranged in age from 22 to 83. / Results of this showed that the measures used to assess optimism (Life Orientation Test) and denial (Rationality/Emotional Defensiveness Test) were positively correlated but not to a significant degree. The optimism measure was also a significant predictor of the adjustment measures of depression and anxiety, the Beck Depression Inventory and State Trait Anxiety Inventory - Form Y, respectively: More optimistic patients were more likely to have lower depression and anxiety scores. None of the coping style measures in the prediction model (Life Orientation Test, Locus of Control, Rationality/Emotional Defensiveness) significantly contributed to prediction of the two adherence measures--BUN or fluid. Based on this research one cannot conclude that optimism has a pervasively positive influence, which includes diet and fluid adherence, but it can be said that dialysis patients' emotional stability may be influenced by an optimistic attitude. / The correlational nature of this study does not allow for causal inferences but does suggest associations between variables. There may be so many factors associated with adherence that a good predictive model may be difficult to develop. Exploratory data from this study may help in identifying other relevant adherence and adjustment factors and encourage future research in this area. / Source: Dissertation Abstracts International, Volume: 53-02, Section: B, page: 1075. / Major Professor: Wallace A. Kennedy. / Thesis (Ph.D.)--The Florida State University, 1991.
| Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_76565 |
| Contributors | Robinson, Jackie Collins., Florida State University |
| Source Sets | Florida State University |
| Language | English |
| Detected Language | English |
| Type | Text |
| Format | 114 p. |
| Rights | On campus use only. |
| Relation | Dissertation Abstracts International |
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