Paulsen G, Wendland K L
Z Psychosom Med Psychoanal. 1985;31(3):226-34.
In order to find out how far center hemodialysis (ZD) and limited-care hemodialysis (LCD) influence adjustment and being of the afflicted persons, 21 ZD-patients and 19 LCD-patients were examined psychodiagnostically with the following tests: Rosenzweig Picture-Frustration Study, Taylor's Manifest Anxiety Scale (adapted to German conditions), and Freiburger Persönlichkeits-Inventar. By means of statistical analysis it could be shown that the hemodialysis patients do not present themselves to their fellow-men in accordance with their real thinking and feeling. This behaviour brings on the peril of deviating attitudes which can affect their vigour. The LDC-patients gave much more indications of autonomous self-responsibility than the ZD-patients did. Psychotherapeutic efforts primarily should counteract regressive tendencies.
为了弄清楚中心血液透析（ZD）和有限护理血液透析（LCD）对患者适应能力和生活状况的影响程度，我们使用以下测试对21名ZD患者和19名LCD患者进行了心理诊断：罗森茨威格图片挫折研究、泰勒显性焦虑量表（根据德国情况改编）以及弗莱堡人格问卷。通过统计分析可以看出，血液透析患者在与他人交往时，其表现与他们的真实想法和感受不符。这种行为会带来形成偏差态度的风险，而这可能会影响他们的活力。与ZD患者相比，LDC患者表现出更多自主自我负责的迹象。心理治疗的努力主要应抵消退行性倾向。
