Document Detail

The family and home hemodialysis: adolescents' reactions to a father on home dialysis.
MedLine Citation:
PMID:  7440066     Owner:  NLM     Status:  MEDLINE    
Quality of life is the most controversial issue surrounding home hemodialysis. We examined how sixteen adolescents and their six families reacted to having a father on home hemodialysis, exploring the interplay between adolescent developmental conflicts and family stresses. Family members underwent role changes to adjust to alterations imposed by hemodialysis. Some adolescents helped relieve family stresses by taking an active role in dialysis. These eight adolescents developed greater self-esteem which enhanced identity growth and facilitated separation. Psychological responses were observed that resembled the "death guilt," "psychic numbing," and "invisible contamination" described in Hiroshima survivors. Adolescent developmental problems can be dwarfed by family conflicts around chronic illness and dialysis. Families adjusted to home hemodialysis showing new growth, managing with a barely workable arrangement, or adapting unsuccessfully. Understanding more about how home hemodialysis can influence family interactions can enable the medical staff to facilitate beneficial changes, and thereby improve the quality of life for patient and family.
R H Goldman; G L Cohn; R E Longnecker
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of psychiatry in medicine     Volume:  10     ISSN:  0091-2174     ISO Abbreviation:  Int J Psychiatry Med     Publication Date:    1980-1981
Date Detail:
Created Date:  1981-02-19     Completed Date:  1981-02-19     Revised Date:  2006-07-19    
Medline Journal Info:
Nlm Unique ID:  0365646     Medline TA:  Int J Psychiatry Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  235-54     Citation Subset:  IM    
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MeSH Terms
Adolescent Psychology*
Chronic Disease
Father-Child Relations*
Hemodialysis, Home / psychology*
Life Change Events
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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