Psychiatric adjustment in end-stage renal disease: a follow up study of former paediatric patients

J Psychosom Res. 1994 May;38(4):293-303. doi: 10.1016/0022-3999(94)90034-5.


Life-time psychiatric adjustment was studied in forty-five young adult survivors of a paediatric dialysis and transplantation programme and in a comparison group matched for age and sex. Renal patients reported more psychological problems in childhood and had lower self-esteem in adulthood, but adult lifetime psychiatric morbidity was comparable in both groups. There were differences in the pattern of psychiatric disorder with a trend for more depressive states in the renal group. Lower self-esteem was linked to early onset renal disease and to educational and social dysfunction. Results indicate relatively favourable adult adjustment of juvenile renal patients.

Publication types

  • Case Reports

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Child
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Kidney Failure, Chronic / psychology*
  • Kidney Failure, Chronic / rehabilitation
  • Kidney Transplantation / psychology
  • Male
  • Parenting / psychology
  • Patient Care Team
  • Personality Assessment
  • Personality Development*
  • Renal Dialysis / psychology
  • Self Concept
  • Sick Role*
  • Social Adjustment