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End stage renal disease and the marital dyad: An empirical investigation

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  • Chowanec, Gregory D.
  • Binik, Y. M.

Abstract

The psychological well-being of end stage renal disease (ESRD) patients and spouses was investigated from a dyadic perspective. The responses of patients and spouses from five groups of couples--illustrating different points in the progression and treatment of ESRD--were compared both across ESRD groups and between patients and spouses. Despite the fact that the ESRD groups reflected differences in illness/treatment intrusiveness, no significant differences were found between the ESRD groups, or between patients and spouses, in either marital relations or psychological well-being. However, while for all the participants marital role strain was a significant predictor of psychological well-being, the two dialysis groups evidenced significantly greater correlations between marital role strain and psychological distress than the nondialysis groups. These findings are interpreted as being consistent with a general systems theory approach to the conceptualization and treatment of chronic illness.

Suggested Citation

  • Chowanec, Gregory D. & Binik, Y. M., 1989. "End stage renal disease and the marital dyad: An empirical investigation," Social Science & Medicine, Elsevier, vol. 28(9), pages 971-983, January.
    • Handle: RePEc:eee:socmed:v:28:y:1989:i:9:p:971-983
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