PMID: 9178341May 1, 1997Paper

Cynical hostility, powerful others control expectancies, and patient adherence in hemodialysis

Psychosomatic Medicine
A J ChristensenW J Lawton

Abstract

The present study examined the joint role of cynical hostility and powerful others health locus of control expectancies in predicting regimen adherence in a sample of center hemodialysis patients. Forty-eight hemodialysis patients completed the Cook-Medley Hostility (Ho) Scale and the Powerful Others Health Locus of Control (PHLC) scale. Adherence to the fluid-restriction and phosphorus reduction components of the treatment regimen was assessed by examining patients' interdialysis session weight gains and serum phosphorus (P) levels. In a hierarchical regression analysis, higher hostility was associated with significantly higher serum P levels indicating poorer dietary and medication adherence. The main effect for hostility was qualified by the interaction of hostility and PHLC. This pattern indicated that the deleterious effect of hostility on adherence was most pronounced among patients possessing the expectancy that positive health outcomes are not strongly contingent on the actions or advice of powerful others (eg. health care providers). Similar analyses failed to show significant effects for hostility or PHLC in the prediction of interdialytic weight gain. The present findings suggest that jointly assessing hostility and ...Continue Reading

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Citations

Jan 19, 2006·Advances in Therapy·Kem P KruegerBill Felkey
Jul 6, 2012·Fertility and Sterility·Cédric LemogneVirginie Ringa
Nov 29, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Mark L UnruhUNKNOWN Choices for Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) Study
Mar 18, 2005·Seminars in Dialysis·John E Leggat
Apr 27, 2011·Clinical Transplantation·Carol S StilleyMichael E deVera
Dec 18, 2013·Social Science & Medicine·Gaëtan CousinNicole Jaunin-Stalder
Sep 1, 2001·Journal of Advanced Nursing·S K PangA M Chang
Apr 23, 2009·Journal of Health Psychology·Ian LynamUNKNOWN MOTIV8
Mar 1, 2018·International Journal of Behavioral Medicine·Julian A StewartMartin Grosse Holtforth
Apr 20, 2010·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Carol S StilleyWilliam B Flynn
Jun 25, 1998·American Journal of Respiratory and Critical Care Medicine·A J ApterR L ZuWallack
Dec 27, 2017·Cancer Medicine·Cédric LemogneVirginie Ringa
Apr 11, 2000·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·N J Shaw-Stuart, A Stuart

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