A descriptive study of meaning of illness in chronic renal disease

Caress, Ann Louise; Luker, Karen A.; Owens, R. Glynn

doi:10.1046/j.1365-2648.2001.01713.x

Cited by 39 publications

(63 citation statements)

References 33 publications

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“…Some research has shown that sufferers of illnesses engage in thought processes akin to ultimate and immanent justice reasoning, and these types of reasoning can be either beneficial or detrimental to their health [47], [48], [49], [50]. Our findings suggest that deservingness—either in the form of deserving one's recent bad breaks or deserving fulfillment later in life—might be underlying these types of responses to misfortune and as a result, may determine the trajectory of patient's well-being and recovery.…”

Section: Discussionmentioning

confidence: 99%

Getting “Just Deserts” or Seeing the “Silver Lining”: The Relation between Judgments of Immanent and Ultimate Justice

Harvey

Callan

2014

PLoS ONE

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People can perceive misfortunes as caused by previous bad deeds (immanent justice reasoning) or resulting in ultimate compensation (ultimate justice reasoning). Across two studies, we investigated the relation between these types of justice reasoning and identified the processes (perceptions of deservingness) that underlie them for both others (Study 1) and the self (Study 2). Study 1 demonstrated that observers engaged in more ultimate (vs. immanent) justice reasoning for a “good” victim and greater immanent (vs. ultimate) justice reasoning for a “bad” victim. In Study 2, participants' construals of their bad breaks varied as a function of their self-worth, with greater ultimate (immanent) justice reasoning for participants with higher (lower) self-esteem. Across both studies, perceived deservingness of bad breaks or perceived deservingness of ultimate compensation mediated immanent and ultimate justice reasoning respectively.

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Section: Discussionmentioning

confidence: 99%

Getting “Just Deserts” or Seeing the “Silver Lining”: The Relation between Judgments of Immanent and Ultimate Justice

Harvey

Callan

2014

PLoS ONE

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“…There also seem to be fundamental differences in the manner in which men and women view renal disease, with men experiencing their illness as a ‘challenge’ and having a more positive outlook than their female counterparts [47]. This may explain why women often record a consistently lower quality of life than their male counterparts, particularly with regard to poor self-esteem and body image both before and after transplant [35, 48].…”

Section: Discussionmentioning

confidence: 99%

Kidney Transplantation and Gender Disparity

Jindal¹,

Ryan²,

Sajjad

et al. 2005

Am J Nephrol

152

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Gender inequity in access to hemodialysis and kidney transplantation has created a public health crisis in the US. Women have a lower chance of receiving hemodialysis and kidney transplant than men, but they constitute the majority of living kidney donors. Research has shown that economic factors such as greater income of men may encourage females to be donors; while gender-bias on part of physicians or institutions, lack of social support networks and differences in health-seeking behaviors compared to men are cited as reasons for this imbalance. We suggest various strategies to improve participation of women in the transplant process by education; raising awareness by publishing gender-specific data for dialysis and transplant centers; education and workshops to eliminate gender-bias within institutions and health-care providers and establishment of gender-specific support groups. Transplant teams that are more sensitive to the social complexities of women’s lives may lead to increased understanding of the effects of renal disease and indicate measures that need to be in place in order to address this gender disparity in the treatment of renal failure. Research needs to be done to elucidate the underlying medical, societal or psychological processes that lead to gender bias in the field of kidney transplantation.

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“…Karen and Meer reported that among ESRD patients who received RRT, the patients who had better mental status had better clinical outcome. 12 As part of this study, we organized a patient association, and with the help of this association, many community activities were held regularly. This patient association can help the patient to develop a feeling of pride of belonging to a group.…”

Section: Discussionmentioning

confidence: 99%

Effect of Multi-Dimensional Education on Disease Progression in Pre-Dialysis Patients in China

Jia

Lindholm

2011

Renal Failure

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Background: There is an increasing body of evidence showing that educational interventions aiming at empowering patients are successful in chronic disease management. The aim of this study was to conduct an evaluation of the systematic effectiveness of a multi-dimensional education intervention program in a group of pre-dialysis chronic kidney disease (CKD) patients. In addition, we investigated whether the outcome of the program was related with the amount of education. Methods: We collected data retrospectively from 302 patients with CKD stages 3, 4, and 5, who were followed up from February 2006 to March 2008. The patients were divided into long-time education group and short-time education group depending on the number of provided hours of education. Survival analysis was undertaken to see if the progression of the kidney function differed between these two groups. Results: The percentage of patients receiving long-time education was highest with severe degree of impairment of renal function (45.5%, 61.3%, and 66.7% in CKD stages 3, 4, and 5 groups, respectively). In a multivariate regression analysis, adjusting for age, gender, Charlson comorbidity index, and other traditional risk factors of renal failure, such as smoking, hypertension, and renal function (glomerular filtration rate), the length of time until a decline of renal function by 25% was noted and was significantly shorter in the short-time education group as compared to the long-time education group (p = 0.0334). Conclusion: Multi-component structured empowerment intervention is effective in pre-dialysis CKD patients and may lead to a delay in the progression of kidney disease.

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A descriptive study of meaning of illness in chronic renal disease

Abstract: Patients had identifiable meanings for their illness, and these may be associated with their response to renal disease. The schema appeared to be comprehensive, but is in need of further refinement. Consideration of the possible influence of social desirability is necessary.

Cited by 39 publications

References 33 publications

Getting “Just Deserts” or Seeing the “Silver Lining”: The Relation between Judgments of Immanent and Ultimate Justice

Getting “Just Deserts” or Seeing the “Silver Lining”: The Relation between Judgments of Immanent and Ultimate Justice

Kidney Transplantation and Gender Disparity

Effect of Multi-Dimensional Education on Disease Progression in Pre-Dialysis Patients in China

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