Abstract
Subjects were 288 adolescents and adults with end-stage renal disease who were candidates for kidney transplantation, a group identified at risk for noncompliance. The purpose was to examine racial and ethnic variations in coping—variables that may underlie noncompliance and impact upon health outcome. Secondarily, the relationship between depression and particular styles of coping was investigated. Race/Ethnicity was divided into three categories: Black/Non-Hispanic, White/Non-Hispanic, and Hispanic. Coping and depression were assessed using the COPE and Beck Depression Inventory, respectively. Results indicated that Hispanic and Black subjects were more likely to use maladaptive styles of coping and less likely to use adaptive coping than were White subjects and that Black subjects reported more physical symptoms of depression. These findings point to possible mechanisms underlying the occurrence of noncompliance and resulting poorer health outcome for individuals of different racial and ethnic groups.
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Abbey, S. E., Kennedy, S. H., Kaplan, A. S., Toner, B. B., & Garfinkel, P. E. (1990). Self-report symptoms that predict major depression in patients with prominent physical symptoms.International Journal of Psychiatry in Medicine, 20, 247–258.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E., & Erbaugh, J. K. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4, 561–571.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty five years of evaluation.Clinical Psychology Review, 8, 77–100.
Billings, A. G., & Moos, R. H. (1981). The role of coping responses and social resources in attenuating the stress of life events.Journal of Behavioral Medicine, 4, 139–157.
Billings, A. G., & Moos, R. H. (1984). Coping, stress, and social resources among adults with unipolar depression.Journal of Personality and Social Psychology, 877–891.
Burton, H. J., Kline, S. A., Lindsay, R. M., & Heidenheim, A. P. (1986). The relationship of depression to survival in chronic renal failure.Psychosomatic Medicine, 48, 261–269.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach.Journal of Personality and Social Psychology, 56, 267–283.
Craven, J. L., Rodin, G. M., Johnson, L., & Kennedy, S. H. (1987). The diagnosis of major depression in renal dialysis patients.Psychosomatic Medicine, 49, 482–492.
Didlake, R. H., Dreyfus, K., Kerman, R. H., Van Buren, C. T., & Kahan, B. D. (1988). Patient noncompliance: A major cause of late graft failure in cyclosporine-treated renal transplants.Transplantation Proceedings, 3, 63–69.
Dunn, J., Vathsala, A., Golden, D.,et al. (1989). Impact of race on the outcome of renal transplantation under cyclosporine-prednisone.Transplantation Proceedings, 21, 3946–3948.
Evans, R. W., Manninen, D. L., Garrison, L. P., Hart, L. G., Blagg, C. R., Gutmann, R. A., Hull, A. R., & Lowrie, E. G. (1985). The quality of life of patients with end-stage renal disease.New England Journal of Medicine, 312, 553–559.
Folkman, S., & Lazarus, R. S. (1980). Analysis of coping in a middle-aged community sample.Journal of Health and Social Behavior, 21, 219–239.
Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: A study of emotion and coping during three stages of a college examination.Journal of Personality and Social Psychology, 48, 150–170.
Glassman, B., & Siegel, A. (1970). Personality correlates of survival in a long-term hemodialsis program.American Journal of Psychiatry, 122, 566.
Greco, P. (1993).Coping styles and depression in an end-stage renal disease population: Prediction of adaptation following transplantation, unpublished doctoral dissertation. Coral Gables, FL.
Hinrichsen, G. A., Lieberman, J. A., Pollack, S., & Steinberg, H. (1989). Depression in hemodialysis patients.Psychosomatics, 30, 234–249.
Israel, M. (1986). Depression in dialysis patients: A review of psychological factors.Canadian Journal of Psychiatry, 31, 445–451.
Kaplan De-Nour, A., & Czaczkes, J. (1976). The influence of patients' personality adjustment to chronic dialysis: A predictive study.Journal of Nervous and Mental Disease, 162, 323–333.
Kasiske, B. L., Neylan, J. F., Riggio, R. R., Danovitch, G., Kahana, L., Alexander, S. R., & White, M. G. (1991). The effect of race on access and outcome in transplantation.The New England Journal of Medicine, 324, 302–307.
Kimmel, P. L., Weihs, K., & Peterson, R. A. (1993). Survival in hemodialysis patients: The role of depression.Journal of the American Society of Nephrology, 4, 12–23.
Levenson, J. L., & Glocheski, S. (1991). Psychological factors affecting end-stage renal disease.Psychosomatics, 32, 382–389.
Levy, N. B. (1987). Chronic renal disease, dialysis, and transplantation. In A. Stoudemire & B. S. Fogel (Eds.),Principles of medical psychiatry. New York: Grune-Stratton, Inc., 583–593.
Milgrom, M., Gharagozloo, H., Gomez, C., Contreras, N., Lopez, E., Esquenazi, V., Roth, D., Ranjan, D., Burke, G., Olson, L., & Miller, J. (1989). Results of renal transplantation in Miami analyzed by race.Transplantation Proceedings, 21, 3934–3936.
Nadel, C., & Clark, J. J. (1986). Psychosocial adjustment after renal retransplants.General Hospital Psychiatry, 8, 41–48.
Peterson, R. A., Mesquita, M. L., Kimmel, P. L., Simmens, S. J., Sacks, C. R., & Reiss, D. (1991). Depression, perception of illness and mortality in patients with end-stage renal disease.International Journal of Psychiatry in Medicine, 21, 343–354.
Pirsch, J. D., Armbrust, M. J., D'Alessandro, A. M., Sollinger, H. W., Kalayoglu, M., & Belzer, F. O. (1989). Kidney transplantation in blacks at the University of Wisconsin.Transplantation Proceedings, 21, 3921–3925.
Pugh, J. A., Stern, M. P., Haffner, S. M., Eifler, C. W., Zapata, M. (1988). Excess incidence of treatment of end-stage renal disease in Mexican Americans.American Journal of Epidemiology, 127, 135–144.
Reichsman, F. R., & Levy, N. B. (1972). Problems in adaptation to hemodialysis.Archives of Internal Medicine, 130, 859.
Rostand, S. G. (1992). U.S. minority groups and end-stage renal disease: A disproportionate share.American Journal of Kidney Diseases, 19, 411–413.
Sacks, C. R., Peterson, R. A., & Kimmel, P. L. (1990). Perception of illness and depression in chronic renal disease.American Journal of Kidney Disease, 15, 31–39.
Schweizer, R. T., Rovelli, M. Palmeri, D., Vossler, E., Hull, D., & Bartus, S. (1990). Noncompliance in organ transplant recipients.Transplantation, 49, 374–377.
Shea, E. J., Bogdan, D. F., Freeman, R. B., & Shreiner, G. E. (1965). Hemodialysis for chronic renal failure, IV. Psychological considerations.Annals of Internal Medicine, 62, 558–563.
Short, M., & Wilson, W. (1969). Roles of denial in chronic hemodialysis.Archives of General Psychiatry, 20, 433–437.
Shulman, R., Pacey, I., Price, J. D. E., & Spinelli, J. (1987). Self-assessed social functioning on long-term hemodialysis.Psychosomatics, 28, 429–433.
Shulman, R., Price, J. D. E., & Spinelli, J. (1989). Biopsychosocial aspects of long-term survival on end-stage renal failure therapy.Psychological Medicine, 19, 945–954.
Surman, O. S. (1989). Psychiatric aspects of organ transplantation.American Journal of Psychiatry, 146, 972–982.
Takemoto, S., & Terasaki, P. I. (1989). A comparison of kindney transplant survival in white and black recipients.Transplantation Proceedings, 21, 3865–3868.
USRDS (1994).USRDA 1994 annual data report. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, July.
Weller, J. M., Wu, S. C., Ferguson, C. W., & Port, F. K. (1987). Influence of race of cadaveric kidney donor and recipient on graft survival: A multifactorial analysis.American Journal of Kidney Disease, 9, 191–199.
Ziarnik, J., Freeman, C., Sherrard, D., & Calsyn, D. (1977). Psychological correlates of survival on renal dialysis.Journal of Nervous and Mental Disease, 164, 210–213.
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Greco, P., Brickman, A.L. & Routh, D.K. Depression and coping in candidates for kidney transplantation: Racial and ethnic differences. J Clin Psychol Med Settings 3, 337–353 (1996). https://doi.org/10.1007/BF01994018
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DOI: https://doi.org/10.1007/BF01994018