Stress inoculation education and counseling with patients on hemodialysis : effects on psychosocial stressors and adherence

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Nancy Fleming Courts (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Nicholas Vacc

Abstract: The purposes of this study were to (a) investigate the effects of the cognitive-behavioral intervention of Stress Inoculation Education (SIE) and counseling on anxiety, depression, psychosocial adjustment to illness, perception of hemodialysis stressors, and adherence to the medical regimen, and to (b) examine the relationship of psychosocial reactions and adherence to physiological problems while on hemodialysis. Two intervening variables, interpersonal support and control, were examined to determine their influence on adherence to the medical regimen and psychosocial variables. While physical and physiological demands of hemodialysis are universal, psychosocial responses to these demands are unique. Hemodialysis requires multiple and radical lifestyle changes and the anxiety and depression experienced by many patients justify the need for examining interventions to assist with the patient's adjustment. A single-subject experimental design with multiple, repeated measures was used. Six subjects between the ages of 30 and 47, who had been on hemodialysis at least 6 weeks but not longer than 3 months, participated in six sessions of the intervention. SIE, based on the transaction model of stress as a relationship between person and environment, has three phases; i.e., conceptualization phase, skills acquisition and rehearsal phase, and application and follow-through phase.

Additional Information

Language: English
Date: 1991
Stress (Psychology)
Hemodialysis $x Psychological aspects
Sick $x Psychology
Depression, Mental

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