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Psychosomatic Medicine 35:64-82 (1973)
© 1973 American Psychosomatic Society

Psychobiologic Factors and Individual Survival on Chronic Renal Hemodialysis--A Two Year Follow-up: Part I

F. GORDON FOSTER M.D.1, GEORGE L. COHN M.D.2, and F. PATRICK MCKEGNEY M.D.3

1 From the Department of Psychiatry, the Veteran's Administration Hospital, West Haven, Connecticut, and Yale University School of Medicine, New Haven, Connecticut; Psychiatric Research Ward, Connecticut Mental Health Center, New Haven, Connecticut
2 From the Department of Psychiatry, the Veteran's Administration Hospital, West Haven, Connecticut, and Yale University School of Medicine, New Haven, Connecticut
3 From the Department of Psychiatry, the Veteran's Administration Hospital, West Haven, Connecticut, and Yale University School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Vermont School of Medicine, Burlington, Vermont

All patients being treated in the chronic renal hemodialysis unit at the Veteran's Administration Hospital, West Haven, Connecticut between September 1, 1969 and June 30, 1970 (n=21) were evaluated on psychological, biochemical, and physiological parameters and followed prospectively through September 1, 1971. During this two-year interval, 7 patients expired and 14 survived. Factors associated with membership in the survival group included: (1) affiliation with Roman Catholic faith, (2) continued presence of one or both parents, (3) low mean blood urea nitrogen levels, and (4) length of survival that was significantly correlated with the constraint scale on the Miller-Quinlan Boundary Image Test. The implication of this latter finding is that marked indifference to fellow dialysis patients has positive survival value.

Note:

Portions of this study were presented at the 1971 Annual American Psychosomatic Society Meeting in Denver, Colorado.

Submitted on December 20, 1971
Revised on May 19, 1972




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