Coping with treatment-related stress: Effects on patient adherence in hemodialysis.

Alan J. Christensen, University of Iowa
Eric G. Benotsch
John S. Wiebe
William J. Lawton

Abstract

Examined 57 hemodialysis patients. The association of a particular type of coping to adherence was predicted to depend on the specific type of stressful encounter being considered. As predicted, coping efforts involving planful problem solving were associated with more favorable adherence when used in response to stressors involving a relatively controllable aspect of the hemodialysis context. For less controllable stressors, coping efforts involving emotional self-control were associated with more favorable adherence. The seeking of informational support in response to an uncontrollable encounter was associated with poorer fluid-intake adherence. Confrontive coping was associated with poorer adherence for both high-and low-control situations. (PsycINFO Database Record) (c) 2008 APA, all rights reserved