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Survival on home haemodialysis: its relationship with physical symptomatology, psychosocial background and psychiatric morbidity

Published online by Cambridge University Press:  09 July 2009

C. J. Farmer ,
M. Bewick ,
V. Parsons  and
S. A. Snowden
C. J. Farmer*
Affiliation:
Maudsley Hospital, and King's College Hospital Renal Unit, Dulwich Hospital, London
M. Bewick
Affiliation:
Maudsley Hospital, and King's College Hospital Renal Unit, Dulwich Hospital, London
V. Parsons
Affiliation:
Maudsley Hospital, and King's College Hospital Renal Unit, Dulwich Hospital, London
S. A. Snowden
Affiliation:
Maudsley Hospital, and King's College Hospital Renal Unit, Dulwich Hospital, London
*
1Address for correspondence: Dr C. J. Farmer, Castel Hospital, Guernsey, C.I.
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Synopsis

An entire group of 32 home dialysis patients from one hospital renal unit was assessed for psychiatric morbidity on a standardized interview of proven reliability. A rating of physical symptomatology and an enquiry into the childhood and psychosocial background were made at the same time. Psychiatric morbidity, physical symptomatology and a history of good relationships with both natural parents in childhood were inter-related. They were all related to survival on haemodialysis 3½ years later. Survival was also associated with a coping spouse and full-time employment or housework by the patient. These findings are discussed in the light of current concepts of the psychosocial setting for physical illness.

Type
Research Article
Information
Psychological Medicine , Volume 9 , Issue 3 , August 1979 , pp. 515 - 523
Copyright
Copyright © Cambridge University Press 1979

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