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Mental adjustment, coping strategies, and psychological distress among end-stage renal disease patients
Ora Gilbar1, Keren Or-Han, Nirit Plivazky
1School of Social Work, University of Haifa, Haifa, Israel. ogilbar@research.haifa.ac.il
Objective:
The study examines the association between mental adjustment, coping strategies [emotion (EF) and problem focused (PF)], and psychological distress.
Method:
Sixty end-stage renal disease (ESRD) patients were interviewed a year or more after they began dialysis, measured by the COPE, Mental Adjustment to Cancer (MAC), and Brief Symptom Inventory (BSI) scales.
Results:
The main findings indicate that patients with a strong fighting spirit are in less psychological distress. Moreover, patients who tend to use PF strategies rely on a fighting spirit as an adjustment coping style.
Conclusion:
ESRD patients in the adjustment phase (patients diagnosed at least 1 year previously) tend to struggle to lead as normal a life as possible despite the dependency caused by the illness.
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