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Social support and conscientiousness in hemodialysis adherence
P J Moran1, A J Christensen, W J Lawton
1Department of Psychology, University of Iowa, Iowa City 52242, USA.
Summary
Social support impacts hemodialysis adherence differently based on conscientiousness. High support worsens fluid adherence in less conscientious patients, highlighting personality
Area of Science:
- Nephrology
- Psychology
- Behavioral Medicine
Background:
- Previous research on social support and hemodialysis adherence yields inconsistent findings.
- Potential moderating factors, such as personality traits, require investigation.
- The Five-Factor Model of Personality provides a framework for understanding personality's influence.
Purpose of the Study:
- To investigate the interaction between social support and conscientiousness in predicting adherence.
- To examine fluid-intake and medication adherence in chronic hemodialysis patients.
Main Methods:
- A sample of 56 chronic hemodialysis patients was studied.
- Hierarchical regression analyses were employed.
- Demographic, clinical, and other personality variables were controlled.
Main Results:
- A significant interaction was found between social support and conscientiousness for fluid-intake adherence.
- High social support was linked to poorer fluid-intake adherence in patients with low conscientiousness.
- Social support had minimal impact on fluid-intake adherence in highly conscientious patients.
- No significant effects of social support or conscientiousness on medication adherence were observed.
Conclusions:
- Conscientiousness moderates the relationship between social support and fluid-intake adherence in hemodialysis.
- The findings challenge the assumption that social support universally benefits adherence.
- Personality traits are crucial considerations in understanding adherence behaviors in chronic illness management.