| Body-image disturbance in adult dialysis patients. | |
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MedLine Citation:
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PMID: 20597809 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Purpose.?An increasing number of individuals in the UK develop end-stage renal failure and receive dialysis to prolong their lives. Dialysis-users report elevated levels of psychological morbidity which are associated with poorer quality of life, adjustment to illness and increased mortality. Circumscribed evidence has also identified body-image (BI) changes occurring in dialysis-users which are already known to be associated with psychological morbidity in other chronically ill populations. This study aimed to identify the prevalence of body-image disturbance (BID) in a dialysis population, correlation with psychological distress, and to identify any variables associated with increased BID and psychological morbidity. Particular attention was given to cognitive models of emotion which postulate a key role for self-consciousness and appearance-related beliefs. Method.?Between May and August 2007, 97 adult haemodialysis and peritoneal dialysis patients from a UK regional specialist centre responded to a questionnaire survey. Outcome measures comprised the Body Image Disturbance Questionnaire, Hospital Anxiety and Depression Scale, Self-consciousness Scale and the Appearance Schemas Inventory-Revised. Results.?Prevalence of anxiety and depression was 24.7% and 18.6%, respectively, with levels of BID significantly above community norms for both male and female respondents. Significant associations were found between psychological morbidity and BID and with specific aspects of appearance-schematisation and self-focus. Conclusions.?Patients should be educated regarding the likely physical consequences of dialysis-types to aid decision-making and prepare them for impacts once dialysis is commenced. Clinicians may wish to monitor dialysis-users for distress and BI difficulties at follow-up appointments. Interventions that target appearance-related beliefs and BID may be of benefit to this population. |
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Authors:
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Kate Alexandra Partridge; Noelle Robertson |
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Publication Detail:
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Type: Journal Article Date: 2010-07-03 |
Journal Detail:
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Title: Disability and rehabilitation Volume: 33 ISSN: 1464-5165 ISO Abbreviation: Disabil Rehabil Publication Date: 2011 |
Date Detail:
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Created Date: 2011-02-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207179 Medline TA: Disabil Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 504-10 Citation Subset: IM |
Affiliation:
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Department of Clinical Psychology, Birmingham Children's Hospital, Birmingham, B4 6NH, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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