This study examined the impact of end-stage renal disease life-related couple/family stressors and strains on marital satisfaction, parental satisfaction, life satisfaction, and depression on end-stage renal disease patients and their spouses, as well as quality of life for patients. Also, it examined the moderating effects of three styles of religious problem-solving on the relationship between the ESRD couple/family stressors and strains and the outcome variables. Data included a sample of two hundred subjects and their spouses. Subjects were recruited from seven dialysis centers in southern California. Both patients and spouses were given survey questionnaires (i.e. Personal History Inventory, Religious Problem-Solving Styles Scale, Family Inventory of Life Events and Changes Seale, Kansas Marital Satisfaction Scale, Parental Satisfaction Scale, Beck Depression Inventory, Life Satisfaction Scale) that contained the variables to be assessed. Each patient received the Kidney Disease Quality of Life Short Form. Regression analysis outcomes showed that the collaborative religious problem-solving style, the self-directing religious problem-solving style and the deferring religious problem-solving style all moderated the relationship between ESRD life-related couple/family stressors and strains and outcome variables. Implications for research, theory, and practice were noted.

LLU Discipline

Marital and Family Therapy


Marital and Family Therapy


Graduate School

First Advisor

Curtis Fox

Second Advisor

James Dyer

Third Advisor

Suzanne Midori Hanna

Fourth Advisor

Graham Stacey

Degree Name

Doctor of Philosophy (PhD)

Degree Level


Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Kidney Failure, Chronic; Kidney Diseases -- psychology; Religion and Psychology; Problem Solving; Adaptation, Psychological; Family Relations; Family Health.



Page Count

xiii; 223

Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website



Loma Linda University. Del E. Webb Memorial Library. University Archives