Can’t Live with You,Can’t Live without You: Negative Family Exchanges and Adaptation in End-stage Renal Disease Patients

Abstract

The present study examined associations between negative family exchanges (patient perceptions of family overprotection and negative expressiveness, and patient feelings of being a burden), and two indicators of adaptation to illness (mental health and negative affect) in patients with end-stage renal disease (ESRD). Data were collected using the perceptions of illness-related family exchanges questionnaire, the SF36 and the PANAS in a structured interview with 127 patients with ESRD in Greece. Findings indicate that patient perceptions of negative family exchanges are related to outcomes, even after controlling for demographic and clinical factors. It is important to consider caregivers in intervention programmes of ESRD patients.

Keywords

end-stage renal disease (ESRD)family burden mental health negative family exchanges overprotection

Get full access to this article

View all access options for this article.

References

Aiken LS and West SG ( 1991) Multiple Regression: Testing and Interpreting Interactions . Los Angeles, CA: SAGE.

Bentler PM ( 2004) EQS 6.1 Structural Equations Program. Encino, CA: Multivariate Software.

Christensen AJ and Ehlers SL ( 2002) Psychological Factors in End-Stage Renal Disease: An Emerging Context for Behavioral Medicine Research. Journal of Consulting and Clinical Psychology 70(3): 712-724.

Clarke DE , Walker JR , and Cuddy ET ( 1996) The Role of Perceived Overprotectiveness in Recovery 3 Months after Myocardial Infarction. Journal of Cardiopulmonary Rehabilitation 16(6): 372-377.

Cormier- Daigle M. and Stewart M. ( 1997) Support and Coping of Male Hemodialysis-Dependent Patients . International Journal of Nursing Studies 34(6): 420-430.

Coyne JC and Smith DA ( 1991) Couples Coping with a Myocardial Infarction: A Contextual Perspective on Wives’ Distress. Journal of Personality and Social Psychology 61(3): 404-412.

Coyne JC and Smith DAF ( 1994) Couples Coping with a Myocardial Infarction: Contextual Perspective on Patient Self-Efficacy. Journal of Family Psychology 8(1): 43-54.

Crawford JR and Henry JD ( 2004) The Positive and Negative Affect Schedule (PANAS): Construct Validity, Measurement Properties and Normative Data in a Large Non-Clinical Sample. British Journal of Clinical Psychology 43(3): 245-265.

Croteau C. and Le Dorze G. ( 2006) Overprotection, ‘Speaking for’, and Conversational Participation: A Study of Couples with Aphasia. Aphasiology 20(2-3-4): 327-336.

10.

Cukor D. , Cohen SD , Peterson RA , and Kimmel PL ( 2007) Psychosocial Aspects of Chronic Disease: ESRD as a Paradigmatic Illness. Journal of the American Society of Nephrology 18(12): 3042-3055.

11.

Dawson JF and Richter AW ( 2006) Probing Three-Way Interactions in Moderated Multiple Regression: Development and Application of a Slope Difference Test. Journal of Applied Psychology 91(4): 917-926.

12.

DeLongis A. and Holtzman S. ( 2005) Coping in Context: The Role of Stress, Social Support, and Personality in Coping. Journal of Personality 73(6): 1-24.

13.

DeLongis A. , Holtzman S. , Puterman E. , and Lam M. ( 2010) Spousal Support and Dyadic Coping in Times of Stress . In: Sullivan K , Davila J (eds) Support Processes in Intimate Relationships . New York: Oxford University Press , 153-175.

14.

Eitel P. , Hatchett L. , Friend R. , Griffin KW , and Wadhwa NK ( 1995) Burden of Self-Care in Seriously Ill Patients: Impact on Adjustment. Health Psychology 14(5): 457-463.

15.

Engel GL ( 1977) The Need for a New Medical Model: A Challenge for Biomedicine . Science 196(4286): 129-136.

16.

Fisher L. and Weihs KL ( 2000) Can Addressing Family Relationships Improve Outcomes in Chronic Disease? Report of the National Working Group on Family-Based Interventions in Chronic Disease. Journal of Family Practice 49(6): 561-566.

17.

Joekes K. , Maes S. , and Warrens M. ( 2007) Predicting Quality of Life and Self-Management from Dyadic Support and Overprotection after Myocardial Infarction. British Journal of Health Psychology 12(4): 473-489.

18.

Kalantar-Zadeh K. , Kopple JD , Block G. , and Humphreys MH ( 2001) Association among SF36 Quality of Life Measures and Nutrition, Hospitalization, and Mortality in Hemodialysis. Journal of the American Society of Nephrology 12(12): 2797-2806.

19.

Kimmel PL , Levy N. , Vassalotti J. , et al. (2001) Psychosocial Factors in Dialysis Patients . Kidney International 59(4): 1599-1613.

20.

Kimmel PL , Peterson RA , Weihs KL , et al. (2000) Dyadic Relationship Conflict, Gender, and Mortality in Urban Hemodialysis Patients. Journal of the American Society of Nephrology 11(8): 1518-1525.

21.

Liang J. , Krause NM , and Bennett JM ( 2001) Social Exchange and Well-Being: Is Giving Better Than Receiving? Psychology and Aging 16(3): 511-523.

22.

McPherson CJ , Wilson KG , and Murray MA ( 2007) Feeling Like a Burden to Others: A Systematic Review Focusing on the End of Life. Palliative Medicine 21(2): 115-128.

23.

Merkin S. , Cavanaugh K. , Longenecker CJ , Fink NE , Levey AS , and Powe NR ( 2007) Agreement of Self-Reported Comorbid Conditions with Medical and Physician Reports Varied by Disease among End-Stage Renal Disease Patients . Journal of Clinical Epidemiology 60(6): 634-642.

24.

Morduchowicz G. and Boner G. ( 1996) Hospitalizations in Dialysis End-Stage Renal Failure Patients . Nephron 73(3): 413-416.

25.

O’ Brien T. and DeLongis A. ( 1997) Coping with Chronic Stress: An Interpersonal Perspective . In: Gottlieb BH (ed.) Coping with Chronic Stress. New York: Plenum Publishing Corporation, 161-190.

26.

Pappa E. , Kontodimopoulos N. , and Niakas D. ( 2005) Validating and Norming of the Greek SF-36 Health Survey . Quality of Life Research 14(5): 1433-1438.

27.

Rayner HC , Pisoni RL , Bommer J. , et al. (2004) Mortality and Hospitalization in Haemodialysis Patients in Five European Countries: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrology Dialysis Transplantation 19(1): 108-120.

28.

Revenson TA , Schiaffino KM , Majerovitz DS , and Gibofsky A. ( 1991) Social Support as a Double-Edged Sword: The Relation of Positive and Problematic Support to Depression among Rheumatoid Arthritis Patients. Social Science & Medicine 33(7): 807-813.

29.

Rook KS ( 2001) Emotional Health and Positive versus Negative Social Exchanges: A Daily Diary Analysis. Applied Developmental Science 5(2): 86-87.

30.

Thompson SC and Sobolew-Shubin A. ( 1993a) Overprotective Relationships: A Nonsupportive Side of Social Networks. Basic and Applied Social Psychology 14(3): 363-383.

31.

Thompson SC and Sobolew-Shubin A. ( 1993b) Perceptions of Overprotection in Ill Adults. Journal of Applied Social Psychology 23(2): 85-97.

32.

Thompson SC , Galbraith M. , Thomas C. , Swan J. , and Vrungos S. ( 2002) Caregivers of Stroke Patient Family Members: Behavioral and Attitudinal Indicators of Overprotective Care. Psychology & Health 17(3): 297-312.

33.

Ware JE and Gandek B. ( 1998) Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. Journal of Clinical Epidemiology 51(11): 903-912.

34.

Ware JE and Sherbourne CD ( 1992) The MOS 36-Item Short-Form Health Survey (SF-36).1. Conceptual-Framework and Item Selection. Medical Care 30(6): 473-483.

35.

Watson D. , Clark LA , and Tellegen A. ( 1988) Development and Validation of Brief Measures of Positive and Negative Affect: The PANAS Scales. Journal of Personality and Social Psychology 54(6): 1063-1070.

36.

Watson D. , Wiese D. , Vaidya J. , and Tellegen A. ( 1999) The Two General Activation Systems of Affect: Structural Findings, Evolutionary Considerations, and Psychobiological Evidence. Journal of Personality and Social Psychology 76(5): 820-838.

37.

Wilson KG , Curran D. , and McPherson CJ ( 2005) A Burden to Others: A Common Source of Distress for the Terminally Ill. Cognitive Behaviour Therapy 34(2): 115-123.