Perceptions of Control and Causality as Predictors of Compliance and Coping in Hemodialysis

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Abstract
In the present study we examined the relationships among hemodialysis patients' perceptions of control over their health, attributions of causality, and staff ratings of coping and compliance. Patient responses to questions posed during a semi-structured interview were predictors entered into multiple regression analyses with coping and compliance ratings as criterion variables. Results indicate that having tried to prevent kidney failure and not succeeding predicts poor compliance and poor coping. Perceived control is associated with positive coping but is unrelated to compliance. Finally, patients who wondered, "Why me?" but had not arrived at an answer received the poorest coping and compliance ratings from staff. Results are discussed in light of current theory regarding the beneficial effects of perceived contingency between actions and outcomes, and the need to find a meaning for one's illness.

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