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J Clin Psychol Med Settings. 1996 Dec;3(4):337-53. doi: 10.1007/BF01994018.

Depression and coping in candidates for kidney transplantation: Racial and ethnic differences.

Journal of clinical psychology in medical settings

P Greco, A L Brickman, D K Routh

Affiliations

  1. Nemours Children's Clinic, Jacksonville, Florida.

PMID: 24226844 DOI: 10.1007/BF01994018

Abstract

Subjects were 288 adolescents and adults with end-stage renal disease who were candidates for kidney transplantation, a group identified at risk for noncompliance. The purpose was to examine racial and ethnic variations in coping-variables that may underlie noncompliance and impact upon health outcome. Secondarily, the relationship between depression and particular styles of coping was investigated. Race/Ethnicity was divided into three categories: Black/Non-Hispanic, White/Non-Hispanic, and Hispanic. Coping and depression were assessed using the COPE and Beck Depression Inventory, respectively. Results indicated that Hispanic and Black subjects were more likely to use maladaptive styles of coping and less likely to use adaptive coping than were White subjects and that Black subjects reported more physical symptoms of depression. These findings point to possible mechanisms underlying the occurrence of noncompliance and resulting poorer health outcome for individuals of different racial and ethnic groups.

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