Temporal perspective and other psychological factors making it difficult to adapt to requirements of treatment in chronic dialysis patients
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Kierownik: prof. dr hab. C. Włodarczyk, Zakład Polityki Zdrowotnej i Zarządzania, Instytut Zdrowia Publicznego UJ CM
Kierownik: mgr Z. Bartoszewicz, Środowiskowy Dom Samopomocy w Kościejowie
Kierownik: prof. dr hab. n. med. M. Krawczyk, Wydział I Lekarski WUM
Barbara Zawadzka   

Kierownik: prof. dr hab. C. Włodarczyk, Zakład Polityki Zdrowotnej i Zarządzania, Instytut Zdrowia Publicznego UJ CM, ul. Grzegórzzecka 20, 31-501 Kraków, Polska
Submission date: 2013-11-28
Final revision date: 2014-03-27
Acceptance date: 2014-03-31
Publication date: 2014-10-31
Psychiatr Pol 2014;48(5):961–974
The study analyzed the relationship between temporal perspective, selected personal resources, and unhealthy behavior, manifesting in problems with adherence to fluid intake restrictions, in chronic hemodialyzis patients. The authors tried to answer the question whether there is temporal perspective and other psychological factors increasing the risk of non-adaptive behaviors.

Sixty-one patients, aged 23–81 years (M = 59; SD = 13,9) on chronic hemodialysis at the Department of Nephrology University Hospital were qualified to the study. The study group consisted of 30 patients with poorer fluid regimen adherence and 31 controls, who maintained fluid regimen. The patients were qualified on the bases of the average interdialysis weight gains measured nine times during three weeks. The following research tools were used: P. Zimbardo and J. Boyd ZTPI test; P.T. Costa and R.R. McCrae NEO-FFI Inventory; J. Strelau Temperament Inventory, R. Schwarzer GSES; M. F. Scheier; C. S. Carver and M. W. Bridges LOT-R; M. Watson and S. Greer CECS; BJ. Felton, TA. Revenson, GA. Hinrichsen AIS.

Difficulties in adapting to the fluid intake restrictions are significantly associated with temporal orientation towards negative aspects of the present and the past. Non-adaptive health behaviors are typical for patients with temperamental lack of balance between agitation and inhibition processes and are characterized by high agreeableness and low conscientiousness. The association between excessive anger control and the risk of non-adherence medical recommendations.

Time perception and other personality factors form mechanisms regulating health behaviors in chronically treated patients.