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dc.contributor.authorChilcot, J.
dc.contributor.authorWellsted, D.
dc.contributor.authorFarrington, Ken
dc.identifier.citationChilcot , J , Wellsted , D & Farrington , K 2011 , ' Illness perceptions predict survival in haemodialysis patients ' , American Journal of Nephrology , vol. 33 , no. 4 , pp. 358-363 .
dc.identifier.otherPURE: 117641
dc.identifier.otherPURE UUID: 5c1f1554-effc-44a0-bb79-65190045fdce
dc.identifier.otherdspace: 2299/5853
dc.identifier.otherScopus: 79952850888
dc.descriptionOriginal article can be found at : Copyright Karger [Full text of this article is not available in the UHRA]
dc.description.abstractBackground : Illness perceptions have been shown to be important determinants of functional and psychosocial outcomes, including quality of life and treatment adherence in end-stage renal disease patients. The aim of this prospective study was to determine whether haemodialysis patients’ illness perceptions impact upon survival. Methods : Haemodialysis patients from a UK renal service completed the Revised Illness Perception Questionnaire. Over the study period (May 2007 to December 2010), all-cause mortality was recorded as the endpoint. Results : 223 patients were followed up for a median of 15.9 months (min. 10 days, max. 42.7 months). The median dialysis vintage was 17.6 months (min. 4 days, max. 391.3 months). Treatment control perceptions demonstrated a significant association with mortality (HR = 0.91, 95% CI: 0.83–0.99, p = 0.03). After controlling for covariates, including age, albumin, extra renal comorbidity and depression scores, perception of treatment control remained a significant predictor of mortality (HR = 0.89, 95% CI: 0.80–0.99, p = 0.03). Conclusions : Patients’ perceptions of treatment control (dialysis therapy) predict survival independently of survival risk factors, including comorbidity. Studies are required to test whether psychological interventions designed to modify maladaptive illness perceptions influence clinical outcomes in this patient setting.en
dc.relation.ispartofAmerican Journal of Nephrology
dc.subjectend-stage renal disease
dc.subjectillness perception
dc.subjectillness representations
dc.titleIllness perceptions predict survival in haemodialysis patientsen
dc.contributor.institutionDepartment of Psychology
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionCentre for Lifespan and Chronic Illness Research
dc.contributor.institutionPostgraduate Medicine
dc.contributor.institutionHealth Services and Medicine
dc.contributor.institutionApplied and Practice-based Research
dc.contributor.institutionHealth and Clinical Psychology group
dc.contributor.institutionPharmacology and Clinical Science Research
dc.description.statusPeer reviewed
rioxxterms.typeJournal Article/Review

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