Abstract
The social adjustment of 45 young adult renal patients who commenced treatment for end stage renal disease (ESRD) as children and of 48 age and sex matched controls were compared. Renal patients were less socially mature than controls. More lived with their parents, fewer had an intimate relationship outside the family, they had fewer school qualifications, and there was more unemployment among them. The majority, however, were in employment and the level of subjective stress and support derived from most of these areas was comparable in renal patients and in controls. Having a close relationship with a member of the opposite sex was the only domain in which renal patients reported more stress than controls. Early start of illness and current health problems were associated with poorer social outcome. A lifelong history of ESRD leads to suboptimal or delayed social functioning on conventional indicators. However this does not lead to increased overall distress in the patients about their social circumstances and quality of life does not appear to be substantially impaired.
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- Bailey D., Garralda M. E. The use of the social stress and support interview in families with deviant children: methodological issues. Soc Psychiatry. 1987;22(4):209–215. doi: 10.1007/BF00583556. [DOI] [PubMed] [Google Scholar]
- Czajkowski D. R., Koocher G. P. Medical compliance and coping with cystic fibrosis. J Child Psychol Psychiatry. 1987 Mar;28(2):311–319. doi: 10.1111/j.1469-7610.1987.tb00213.x. [DOI] [PubMed] [Google Scholar]
- De-Nour A. K. Adolescents' adjustment to chronic hemodialysis. Am J Psychiatry. 1979 Apr;136(4A):430–433. [PubMed] [Google Scholar]
- Garralda M. E., Jameson R. A., Reynolds J. M., Postlethwaite R. J. Psychiatric adjustment in children with chronic renal failure. J Child Psychol Psychiatry. 1988 Jan;29(1):79–90. doi: 10.1111/j.1469-7610.1988.tb00691.x. [DOI] [PubMed] [Google Scholar]
- Henning P., Tomlinson L., Rigden S. P., Haycock G. B., Chantler C. Long term outcome of treatment of end stage renal failure. Arch Dis Child. 1988 Jan;63(1):35–40. doi: 10.1136/adc.63.1.35. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Offner G., Aschendorff C., Hoyer P. F., Krohn H. P., Ehrich J. H., Pichlmayr R., Brodehl J. End stage renal failure: 14 years' experience of dialysis and renal transplantation. Arch Dis Child. 1988 Feb;63(2):120–126. doi: 10.1136/adc.63.2.120. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Poznanski E. O., Miller E., Salguero C., Kelsh R. C. Quality of life for long-term survivors of end-stage renal disease. JAMA. 1978 Jun 2;239(22):2343–2347. doi: 10.1001/jama.239.22.2343. [DOI] [PubMed] [Google Scholar]
- Reynolds J. M., Garralda M. E., Jameson R. A., Postlethwaite R. J. How parents and families cope with chronic renal failure. Arch Dis Child. 1988 Jul;63(7):821–826. doi: 10.1136/adc.63.7.821. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rizzoni G., Ehrich J. H., Brunner F. P., Geerlings W., Fassbinder W., Landais P., Mallick N., Margreiter R., Raine A. E., Selwood N. H. Combined report on regular dialysis and transplantation of children in Europe, 1990. Nephrol Dial Transplant. 1991;6 (Suppl 4):31–42. [PubMed] [Google Scholar]
- Shulman S., Rubinroit C. I. The second individuation process in handicapped adolescents. J Adolesc. 1987 Dec;10(4):373–384. doi: 10.1016/s0140-1971(87)80018-0. [DOI] [PubMed] [Google Scholar]
- Umeyama T., Hasegawa A., Ogawa O., Kawamura T., Itoh H., Hasegawa O., Nakahara C., Honda M., Sekiguchi S. Rehabilitation of pediatric renal allograft recipients: the present status and the problems. Transplant Proc. 1984 Dec;16(6):1677–1680. [PubMed] [Google Scholar]