• J Psychosom Res · Jun 2005

    Mental adjustment, coping strategies, and psychological distress among end-stage renal disease patients.

    • Ora Gilbar, Keren Or-Han, and Nirit Plivazky.
    • School of Social Work, University of Haifa, Haifa, Israel. ogilbar@research.haifa.ac.il
    • J Psychosom Res. 2005 Jun 1; 58 (6): 471-6.

    ObjectiveThe study examines the association between mental adjustment, coping strategies [emotion (EF) and problem focused (PF)], and psychological distress.MethodSixty end-stage renal disease (ESRD) patients were interviewed a year or more after they began dialysis, measured by the COPE, Mental Adjustment to Cancer (MAC), and Brief Symptom Inventory (BSI) scales.ResultsThe main findings indicate that patients with a strong fighting spirit are in less psychological distress. Moreover, patients who tend to use PF strategies rely on a fighting spirit as an adjustment coping style.ConclusionESRD patients in the adjustment phase (patients diagnosed at least 1 year previously) tend to struggle to lead as normal a life as possible despite the dependency caused by the illness.

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