Psychological Adaptation to Serious Illness: A Qualitative Study of Culturally Diverse Patients With Advanced Chronic Kidney Disease.

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Abstract

Psychological distress is associated with adverse health outcomes in serious illness and magnified among patients of low socioeconomic status. Aspects of one's culture, such as religion and spirituality, can influence these patients' coping response to distress. Advanced chronic kidney disease (CKD) is a serious illness that disproportionately affects patients of low socioeconomic status, but a theory-based understanding of this group's lived experience of CKD is lacking.

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Author and article information

Journal

Journal ID (iso-abbrev): J Pain Symptom Manage

Title: Journal of pain and symptom management

Publisher: Elsevier BV

ISSN (Electronic): 1873-6513

ISSN (Print): 0885-3924

Publication date (Electronic): January 2021

Volume: 61

Issue: 1

Affiliations

[1 ] Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Vanderbilt O'Brien Center for Kidney Disease, Nashville, Tennessee, USA. Electronic address: devika.nair@vumc.org.

[2 ] Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA.

[3 ] Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Vanderbilt O'Brien Center for Kidney Disease, Nashville, Tennessee, USA.

[4 ] Division of Nephrology, Meharry Medical College, Nashville, Tennessee, USA.

[5 ] Program for Research on Faith, Justice, and Health, Department of Population Health, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, Mississippi, USA; Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

[6 ] Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Center for Effective Health Communication, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

[7 ] Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Vanderbilt O'Brien Center for Kidney Disease, Nashville, Tennessee, USA; Center for Effective Health Communication, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Article

Publisher Item ID: S0885-3924(20)30600-X Mid ID: NIHMS1613924

DOI: 10.1016/j.jpainsymman.2020.07.014

PMC ID: 7770006

PubMed ID: 32711122

SO-VID: 48107ba5-cf14-4824-b821-bbbb4c9bff7b

History

Keywords: Qualitative,existential distress,kidney,socioeconomic disadvantage

Data availability:

Keywords: Qualitative, existential distress, kidney, socioeconomic disadvantage

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