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Original Research

PBS. 2025; 15(2): 49-61


Compliance in Hemodialysis, Influence of Comorbid Axis-I Psychiatric Disorders and Temperament and Character Features on Compliance

Arzu Erkan, Meltem Seziş, Gülay Aşçı, Ercan Ok, Hayriye Elbi.



Abstract
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INTRODUCTION: Success in hemodialysis treatment mainly depends on patient’s compliance. At least 50% of patients believed to be non-compliant. This study aims to investigate the factors associated compliance in hemodialysis. Sociodemographic features, social support levels, quality of life, cognitive impairments, comorbid Axis-I disorders and stressors according to DSM-IV, symptom scales, temperament and character features according to Cloninger’s psychobiological model, will be determined and compared between compliant and non-compliant patients.
METHODS: Diagnostic interviews of 61 patients -undergoing 4-hour thrice weekly hemodialysis for more than six months- were performed via SCID-I, on the following day of the last session. Standardized Mini Mental State Examination (MMSE), Hamilton Anxiety and Depression Rating Scales, and Temperament and Character Inventory (TCI) were performed. Proportion of ‘inter-dialytic weight gain’ to ‘end session patient weight’ was calculated as percentage and mean of previous 3 months’ data were collected. Patients divided in to two groups (IDWG (%)

Key words: Hemodialysis, Dialysis, Compliance, Adherence, Non-Compliance, Cloninger’s Temperament And Character Inventory, Interdialytic Weight Gain







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06070809101112
2025

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