Procci W R
Gen Hosp Psychiatry. 1981 Jun;3(2):111-8. doi: 10.1016/0163-8343(81)90052-9.
Thirty-one maintenance hemodialysis patients were observed for a six-month period. Seven of these patients (22.6%) were severe and persistent abusers of the hemodialysis diet. Because there are serious, even lethal, consequences of the sequelae of hemodialysis diet abuse such as fluid overload and/or hyperkalemia, this finding demands explanation. All seven severe abusers were men and, as a group, their current life situation was devoid of typical adult male gratifications. Their developmental histories indicated major difficulties with resolution of dependency/independency conflicts. Statistical analysis of demographic data and extensive psychiatric interviews support this. The author postulates that severe abuse of the hemodialysis diet results in part from the combination of unresolved dependency conflict, unfavorable current environmental circumstances, and a dependency-provoking treatment regimen. Severe abuse of the hemodialysis diet may serve an adaptive function by allowing at least some gratification in one area of the lives of these patients who suffers severe deprivation.
对31名维持性血液透析患者进行了为期6个月的观察。其中7名患者（22.6%）是严重且持续的血液透析饮食滥用者。由于血液透析饮食滥用的后遗症，如液体过载和/或高钾血症，会产生严重甚至致命的后果，这一发现需要解释。所有7名严重滥用者均为男性，总体而言，他们目前的生活状况缺乏典型成年男性的满足感。他们的成长史表明在解决依赖/独立冲突方面存在重大困难。人口统计学数据的统计分析和广泛的精神科访谈证实了这一点。作者推测，血液透析饮食的严重滥用部分是由于未解决的依赖冲突、不利的当前环境状况以及引发依赖的治疗方案共同作用的结果。严重滥用血液透析饮食可能通过在这些遭受严重剥夺的患者生活的一个领域中至少提供一些满足感来发挥一种适应功能。
