1
|
Knowles SR, Apputhurai P, Jenkins Z, O'flaherty E, Ierino F, Langham R, Ski CF, Thompson DR, Castle DJ. Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life. PSYCHOL HEALTH MED 2023; 28:1963-1976. [PMID: 36794381 DOI: 10.1080/13548506.2023.2179644] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 02/07/2023] [Indexed: 02/17/2023]
Abstract
Chronic kidney disease (CKD) negatively impacts psychological well-being and quality of life (QoL). Underpinned by the Common Sense Model (CSM), this study evaluated the potential mediating role of self-efficacy, coping styles and psychological distress on the relationship between illness perceptions and QoL in patients living with CKD. Participants were 147 people with stage 3-5 kidney disease. Measures included eGFR, illness perceptions, coping styles, psychological distress, self-efficacy and QoL. Correlational analyses were performed, followed by regression modelling. Poorer QoL was associated with greater distress, engagement in maladaptive coping, poorer illness perceptions and lower self-efficacy. Regression analysis revealed that illness perceptions predicted QoL, with psychological distress acting as a mediator. The proportion of variance explained was 63.8%. These findings suggest that psychological interventions are likely to enhance QoL in CKD, if they target the mediating psychological processes associated with illness perceptions and psychological distress.
Collapse
Affiliation(s)
- Simon R Knowles
- School of Health Sciences, Swinburne University, Melbourne, Australia
| | | | - Zoe Jenkins
- Mental Health Services, St. Vincent's Hospital, Melbourne, Australia
| | - Emmet O'flaherty
- Nephrology Service, St. Vincent's Hospital, Melbourne, Australia
| | - Francesco Ierino
- Nephrology Service, St. Vincent's Hospital, Melbourne, Australia
| | - Robyn Langham
- St. Vincent's Hospital, University of Melbourne Department of Medicine, Melbourne, Australia
| | - Chantal F Ski
- Department of Psychiatry, The University of Melbourne, Melbourne, Australia
- Integrated Care Academy, University of Suffolk, Ipswich, UK
| | - David R Thompson
- Department of Psychiatry, The University of Melbourne, Melbourne, Australia
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - David J Castle
- Mental Health Services, St. Vincent's Hospital, Melbourne, Australia
- Centre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, Canada
- Department of Psychiatry, University of Toronto, Toronto, Canada
| |
Collapse
|
2
|
Fradelos EC, Alikari V, Tsaras K, Papathanasiou IV, Tzavella F, Papagiannis D, Zyga S. Assessment of psychological distress in end stage renal disease: is it spirituality related? Med Pharm Rep 2021; 94:79-87. [PMID: 33629053 PMCID: PMC7880071 DOI: 10.15386/mpr-1623] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 04/27/2020] [Accepted: 05/23/2020] [Indexed: 11/23/2022] Open
Abstract
Introduction Patients undergoing hemodialysis (HD) are faced with bearing this burden and report poor mental health. Spirituality can be a key factor in managing these problems among HD patients. Aim This cross-sectional study aimed at exploring possible factors that are associated with psychological distress among HD patients and testing its relation to spirituality. Methods HD patients were recruited from six dialysis units in Greece. Psychological distress was assessed using the scale Symptom Check List 90-R and spirituality using the Facit Sp-12 questionnaire. In addition, a special design questionnaire regarding demographic, social, and clinical characteristic was administrated. Results According to the results, factors such age, gender, marital status and area of residence are associated with psychological distress, while dimensions of spirituality such Meaning in Life and Peace can have a positive influence on psychological distress. Conclusion This study highlights the vital role of spirituality, which can act as a mechanism for managing stressful situations. In particular, this study highlights the positive effect of the meaning and purpose of life, as well as the role of peace and harmony.
Collapse
Affiliation(s)
- Evangelos C Fradelos
- Community Nursing Lab, Nursing department, University of Thessaly, Larissa, Greece.,Department of Nursing, University of Peloponnese, Sparta, Greece
| | - Victoria Alikari
- Department of Nursing, University of Peloponnese, Sparta, Greece
| | - Konstantinos Tsaras
- Community Nursing Lab, Nursing department, University of Thessaly, Larissa, Greece
| | | | - Foteini Tzavella
- Community Nursing Lab, Nursing department, University of Thessaly, Larissa, Greece
| | | | - Sofia Zyga
- Department of Nursing, University of Peloponnese, Sparta, Greece
| |
Collapse
|
3
|
Liu CH, Yeh MK, Weng SC, Bai MY, Chang JC. Suicide and chronic kidney disease: a case-control study. Nephrol Dial Transplant 2018; 32:1524-1529. [PMID: 27638910 DOI: 10.1093/ndt/gfw244] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 05/05/2016] [Indexed: 01/22/2023] Open
Abstract
Background The association of chronic kidney disease (CKD) and dialysis with suicide is not well established. The objectives of this study were to assess the association of suicide with CKD and dialysis and investigate whether differences exist between dialysis modalities or the durations of dialysis. Methods Data were obtained from the Taiwan National Health Insurance Research Database. A total of 51 642 patients who died from suicide between 2000 and 2012 and 206 568 living control patients matched by age, gender and residency area were examined. Known risk factors included sociodemographic characteristics, physical comorbidities and psychiatric disorders, which were controlled for as covariates in the analysis. The crude odds ratios (ORs) and adjusted ORs (aORs) for various risk factors were obtained using conditional logistic regression. Results After potential confounders were controlled for, CKD was significantly associated with an increased risk of suicide [aOR = 1.25, 95% confidence interval (CI) = 1.17-1.34]. End-stage renal disease patients on haemodialysis (HD) had an increased risk of suicide compared with controls (aOR = 3.35, 95% CI = 3.02-3.72). Moreover, patients who initially underwent dialysis within 0-3 months had a significantly increased risk of suicide (aOR = 20.26, 95% CI = 15.99-25.67). Conclusions CKD and HD are positively associated with suicide. Suicide is preventable; therefore, assessing mental and physical disorders is essential and recommended to all physicians, particularly those treating patients in the early phase of HD.
Collapse
Affiliation(s)
- Chao-Han Liu
- Biomedical Engineering Program, Graduate Institute of Applied Science and Technology, National Taiwan University of Science and Technology, Taipei, Taiwan
| | - Ming-Kung Yeh
- Taipei Hospital, Ministry of Health and Welfare, Taipei, Taiwan.,School of Pharmacy, National Defense Medical Center, Taipei, Taiwan
| | - Shu-Chuan Weng
- Department of Business Administration, Taipei City University of Science and Technology, Taipei, Taiwan
| | - Meng-Yi Bai
- Graduate Institute of Biomedical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan
| | - Jung-Chen Chang
- School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan
| |
Collapse
|
4
|
Muscat P, Chilcot J, Weinman J, Hudson J. Exploring the relationship between illness perceptions and depression in patients with chronic kidney disease: A systematic literature review. J Ren Care 2018; 44:174-185. [PMID: 29806175 DOI: 10.1111/jorc.12243] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The prevalence of depression is found to increase from early stages to later stages of chronic kidney disease. Research on illness perceptions in patients undergoing dialysis has confirmed that patients' beliefs are associated with important outcomes; one of the most significant being depression. However, the association between illness perceptions and depression in patients in pre-dialysis care remains unclear. OBJECTIVE The main objective of this systematic review was to explore the associative relationship between illness perceptions and depression in patients with CKD prior to the commencement of dialysis. METHODS The inclusion criteria for papers in this review were studies investigating illness perceptions and depression in patients diagnosed with CKD. Eligible studies were identified by searching the following electronic databases; Medline, CENTRAL, Embase, Psych INFO, Web of Science and Scopus. Data on the participants and the severity of kidney disease, illness perceptions and depression were extracted. RESULTS Sixty-four studies met the criteria for full text review and of these, only four studies met the inclusion criteria following data extraction and quality assessment. Consistent with the common sense model, disease severity was found to be significantly associated with illness perceptions, and both were found to be associated with depression CONCLUSIONS: The results from this review provide further evidence that the illness perceptions and disease severity play a crucial role in the adaption to CKD. This review highlights the lack of research in this area and concludes that more studies are needed to determine the nature and impact of illness perceptions in relation to depression in pre-dialysis CKD.
Collapse
Affiliation(s)
- Priscilla Muscat
- Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5th floor Bermondsey Wing, Guy's Campus, London, UK
| | - Joseph Chilcot
- Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5th floor Bermondsey Wing, Guy's Campus, London, UK
| | - John Weinman
- Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5th floor Bermondsey Wing, Guy's Campus, London, UK
| | - Joanna Hudson
- Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5th floor Bermondsey Wing, Guy's Campus, London, UK
| |
Collapse
|
5
|
Cain LR, Glover L, Young B, Sims M. Goal-Striving Stress Is Associated with Chronic Kidney Disease Among Participants in the Jackson Heart Study. J Racial Ethn Health Disparities 2018; 6:64-69. [PMID: 29785706 DOI: 10.1007/s40615-018-0499-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Revised: 05/01/2018] [Accepted: 05/07/2018] [Indexed: 10/16/2022]
Abstract
OBJECTIVE Research that assesses the relationship between psychosocial factors and chronic kidney disease (CKD) among African Americans (AAs) is limited. Using the Jackson Heart Study (JHS) cohort data, we investigated the association of goal-striving stress (GSS)-the stress experienced from not reaching goals-with prevalent CKD among AAs. DESIGN This was a cross-sectional analysis of JHS exam 1 data that assessed the relationship between GSS and CKD. SETTING AND PARTICIPANTS We utilized a sample from the JHS (n = 4967), an AA sample of women and men, 35-84 years old from the Jackson, MS metro area. MAIN OUTCOME MEASURES The baseline relationship between GSS levels (low, moderate, and high) and CKD (eGFR < 60 mL/min/1.73m2) was evaluated using a logistic regression model to estimate odds ratios (OR) on a 95% confidence interval (CI). The final model was adjusted for sex, age, socioeconomic status, health behaviors, risk factors, and total stress. RESULTS After full adjustment, the odds of prevalent CKD increased by 52% (OR 1.52; 95% CI 1.04, 2.24) for those reporting high (versus low) GSS. CONCLUSIONS Deficiencies between goal aspiration and achievement were associated with prevalent CKD. Potential interventions might consider the impact GSS contributes to prevalent CKD.
Collapse
Affiliation(s)
- Loretta R Cain
- Department of Data Science, University of Mississippi Medical Center, Jackson, MS, USA.
| | - LáShauntá Glover
- Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| | - Bessie Young
- Division of Nephrology and Kidney Research Institute, University of Washington, Seattle, WA, USA.,Veterans Affairs, Hospital and Specialty Medicine and Center for Innovation, Seattle, WA, USA
| | - Mario Sims
- Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| |
Collapse
|
6
|
Prevalence of Depression in Jordanian Hemodialysis Patients. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES 2018. [DOI: 10.5812/ijpbs.11286] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
7
|
Barberis N, Cernaro V, Costa S, Montalto G, Lucisano S, Larcan R, Buemi M. The relationship between coping, emotion regulation, and quality of life of patients on dialysis. Int J Psychiatry Med 2017; 52:111-123. [PMID: 28792286 DOI: 10.1177/0091217417720893] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Previous studies have investigated constructs that facilitate adaptation to chronic disease and improve quality of life and constructs that lead to psychopathological complications. The purpose of this research is to investigate the impact of coping and emotional regulation on the quality of life of patients on dialysis. Three questionnaires were administered to 78 patients on dialysis: Coping Orientations to Problems Experienced, Short Form (36), and Cognitive Emotion Regulation Questionnaire. Regressions analyses indicated that age, Rumination, Positive Refocusing, Avoidance Strategies, Approach to the Problem, and Transcendent Orientation predicted Physical Health. With regard to Mental Health, the predictors were gender, Self-Blame, Acceptance, Rumination, Positive Reappraisal, Catastrophizing, Avoidance Strategies, and Transcendent Orientation. This study confirms the relationship between emotional regulation, coping, and quality of life. The results highlight the need for total care of the patients, including an assessment of both physical state and psychological functioning in order to promote total well-being.
Collapse
Affiliation(s)
- Nadia Barberis
- 1 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Valeria Cernaro
- 1 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Sebastiano Costa
- 1 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Gaetano Montalto
- 1 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Silvia Lucisano
- 1 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Rosalba Larcan
- 1 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Michele Buemi
- 1 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| |
Collapse
|
8
|
Sakraida TJ, Weber MT. The Relationship Between Depressive Symptoms and Self-Management Behaviors in Patients With T2DM and Stage 3 CKD. Perspect Psychiatr Care 2016; 52:273-282. [PMID: 26095370 DOI: 10.1111/ppc.12128] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2013] [Revised: 03/31/2015] [Accepted: 04/27/2015] [Indexed: 11/26/2022] Open
Abstract
PURPOSE This study aimed to assess the relationship of depressive symptoms with self-management by adults with type 2 diabetes mellitus and chronic kidney disease. DESIGN AND METHODS Using a descriptive correlational design, participants completed Beck's Depression Inventory (BDI-II) and Summary of Diabetes Self-Care Activities measure. FINDINGS Reported were energy loss, sleep change, and fatigue. Performed less were exercise, physical activity, eating vegetables, and blood checks. Significant correlations were BDI-II total score with feet checking, energy loss with feet checking and exercise, and sleep change with feet soaking. PRACTICE IMPLICATIONS Depressive symptoms were associated to self-management behaviors that require physical energy. Assess for advancing symptoms.
Collapse
Affiliation(s)
- Teresa J Sakraida
- Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida, USA.
| | - Mary T Weber
- University of Colorado Denver College of Nursing, Aurora, Colorado, USA
| |
Collapse
|
9
|
Abstract
Cognitive impairment is very common in chronic kidney disease (CKD) and is strongly associated with increased mortality. This review article will discuss the pathophysiology of cognitive impairment in CKD, as well as the effect of dialysis and transplantation on cognitive function. In CKD, uremic toxins, hyperparathyroidism and Klotho deficiency lead to chronic inflammation, endothelial dysfunction and vascular calcifications. This results in an increased burden of cerebrovascular disease in CKD patients, who consistently have more white matter hyperintensities, microbleeds, microinfarctions and cerebral atrophy on magnetic resonance imaging scans. Hemodialysis, although beneficial in terms of uremic toxin clearance, also contributes to cognitive decline by causing rapid fluid and osmotic shifts. Decreasing the dialysate temperature and increasing total dialysis time limits these shifts and helps maintain cognitive function in hemodialysis patients. For many patients, kidney transplantation is the preferred treatment modality, because it reverses the underlying mechanisms causing cognitive impairment in CKD. These positive effects have to be balanced against the possible neurotoxicity of infections and immunosuppressive medications, especially glucocorticosteroids and calcineurin inhibitors. A limited number of studies have addressed the overall effect of transplantation on cognitive function. These have mostly found an improvement after transplantation, but have a limited applicability to daily practice because they have only included relatively young patients.
Collapse
|
10
|
Almutary H, Douglas C, Bonner A. Multidimensional symptom clusters: an exploratory factor analysis in advanced chronic kidney disease. J Adv Nurs 2016; 72:2389-400. [DOI: 10.1111/jan.12997] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2016] [Indexed: 12/12/2022]
Affiliation(s)
- Hayfa Almutary
- School of Nursing; Queensland University of Technology; Brisbane Queensland Australia
- School of Nursing; King Abdulaziz University; Jeddah Saudi Arabia
- Chronic Kidney Disease Centre for Research Excellence; University of Queensland; Brisbane Queensland Australia
| | - Clint Douglas
- School of Nursing; Queensland University of Technology; Brisbane Queensland Australia
| | - Ann Bonner
- School of Nursing; Queensland University of Technology; Brisbane Queensland Australia
- Chronic Kidney Disease Centre for Research Excellence; University of Queensland; Brisbane Queensland Australia
- Renal Medicine; Royal Brisbane and Women's Hospital; Brisbane Queensland Australia
| |
Collapse
|
11
|
Perales Montilla CM, Duschek S, Reyes Del Paso GA. Quality of life related to health chronic kidney disease: Predictive importance of mood and somatic symptoms. Nefrologia 2016; 36:275-82. [PMID: 27068350 DOI: 10.1016/j.nefro.2015.12.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Revised: 07/03/2015] [Accepted: 12/05/2015] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To compare the predictive capacity of self-reported somatic symptoms and mood (depression and anxiety) on health-related quality of life (HRQOL) in patients with chronic renal disease. METHOD Data were obtained from 52 patients undergoing haemodialysis. Measures included a) the SF-36 health survey, b) the somatic symptoms scale revised (ESS-R) and c) the hospital anxiety and depression scale (HADS). Multiple regression was the main method of statistical analysis. RESULTS Patients exhibited HRQOL levels below normative values, with anxiety and depression prevalence at 36.5% and 27%, respectively. Mood was the strongest predictor of physical (β=-.624) and mental (β=-.709) HRQOL. Somatic symptoms were also associated with physical HRQOL, but their predictive value was weaker (β=-.270). CONCLUSIONS These results indicate that mood is a superior predictor of the physical and mental components of HRQOL in patients compared with the number and severity of physical symptoms. The data underline the importance of assessing negative emotional states (depression and anxiety) in kidney patients as a basis for intervention, which may facilitate reduction of the impact of chronic renal disease on HRQOL.
Collapse
Affiliation(s)
| | - Stefan Duschek
- UMIT, University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
| | | |
Collapse
|
12
|
Coutinho MDPDL, Costa FG. DEPRESSÃO E INSUFICIÊNCIA RENAL CRÔNICA: UMA ANÁLISE PSICOSSOCIOLÓGICA. PSICOLOGIA & SOCIEDADE 2015. [DOI: 10.1590/1807-03102015v27n2p449] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Este estudo objetivou apreender as representações sociais (RS) elaboradas por pacientes nefrológicos em tratamento da hemodiálise e por seus familiares acerca da depressão e da insuficiência renal crônica (IRC). A amostra foi não probabilística, com 52 participantes, dos quais 26 eram pacientes, submetidos a um questionário sociodemográfico, à Escala Hospitalar de Ansiedade e Depressão, (subescala de depressão) e a uma entrevista semiestruturada. Os dados foram coletados em três hospitais e processados pelo SPSS 19.0 e pelo Alceste, sendo analisados por meio da estatística descritiva e análise lexical. Verificou-se que a RS da depressão foi ancorada nos elementos psico/cognitivo, físico/orgânico e psicossocial, objetivada principalmente na tristeza e no isolamento. A IRC foi representada com base nas adversidades psicossociais vivenciadas pelos grupos de pertença investigados. Observou-se que esta doença foi ancorada no suporte familiar e espiritual, nas restrições hídricas e alimentares, sendo associada ao desconhecimento da hemodiálise.
Collapse
|
13
|
Guo X, Li Z, Yu S, Yang H, Guo L, Zheng L, Zhu L, Zhang Y, Sun Y. Depression and quality of life in relation to decreased glomerular filtration rate among adults with hypertension in rural northeast China. Kidney Blood Press Res 2015; 40:31-40. [PMID: 25791235 DOI: 10.1159/000368480] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND/AIMS We aim to investigate the extent to which depression and quality of life might be associated with decreased glomerular filtration rate (GFR) in a large hypertensive population in rural Northeast China. METHODS A total of 5566 hypertensive participants aged 35 years and older were screened with a stratified cluster multistage sampling scheme in rural areas of Liaoning Province during 2012-2013. Decreased GFR was defined as estimated GFR <60 ml/min/1.73 m2. RESULTS The overall prevalence of decreased GFR was 3.2%. In the multivariable regression model, participants with moderate or greater depression had a greater risk for having a decreased GFR (OR: 1.739, 95%CI: 1.004 to 3.014) after full adjustment. Every -point increase of all the domains in WHOQOL-BREF, except for physical and environment domains, was significantly related to a lower risk for decreased GFR adjusting for age, gender and race. However, after fully adjustment, only social relations remained significant (OR: 0.899, 95%CI: 0.820 to 0.985). Increasing in total scores of WHOQOL-BREF was a protective factor against decreased GFR after fully adjustment. CONCLUSION We found that moderate or greater depression and lower quality of life were associated with higher risks for developing decreased GFR.
Collapse
|
14
|
Exploring the relationships between health status, illness perceptions, coping strategies and psychological morbidity in a chronic kidney disease cohort. Am J Med Sci 2015; 348:271-6. [PMID: 24751421 DOI: 10.1097/maj.0000000000000242] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND Using the common sense model of illness adjustment, this study aimed to explore the impact of chronic kidney disease (CKD) on individual illness perceptions, coping styles and psychological well-being. METHODS Eighty individuals (50 men and 30 women) with an average age of 62.66 years (standard deviation, 11.98) were included in the study. All participants were under the care of the Renal Unit of a metropolitan tertiary referral hospital. Twenty-nine patients (36%) had CKD stage 3b-4, and 51 (64%) had CKD stage 5 (or end stage kidney disease [ESKD]). Disease severity was evaluated using the health perceptions questionnaire, coping styles assessed with the Carver brief COPE scale, illness perceptions explored with the brief illness perceptions questionnaire and anxiety and depression measured using the hospital anxiety and depression scale. RESULTS The hospital anxiety and depression scale assessment revealed 13 patients (16.3%) with moderate or severe anxiety and 6 (7.5%) with moderate depression. Consistent with the common sense model, disease activity had a significant direct influence on illness perceptions, while, in turn, illness perceptions had a significant direct influence on depression and anxiety. Adaptive and maladaptive coping were found to mediate the relationship between illness perceptions, and anxiety and depression. CONCLUSIONS The results provide evidence that it is the perception of an illness rather than the actual symptoms themselves that best account for adaption to CKD. These findings suggest that intervention strategies aimed at increasing psychological well-being need to focus on changing illness perceptions rather than improving symptoms of CKD or coping mechanisms.
Collapse
|
15
|
AlDukhayel A. Prevalence of Depressive Symptoms among Hemodialysis and Peritoneal Dialysis Patients. Int J Health Sci (Qassim) 2015; 9:9-16. [PMID: 25901128 PMCID: PMC4394933 DOI: 10.12816/0024678] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION End stage renal disease (ESRD) affects patient's physical and psychological health. Depression is the most common psychiatric illness among patients with ESRD. This study aimed to identify the prevalence of depressive symptoms among patients undergoing peritoneal (PD) and hemodialysis (HD), also to correlate these symptoms with the demographic data. METHODS this is a cross-sectional study that includes 133 PD patients and 133 HD patients attending the King Fahad Dialysis Center at King Saud Medical Complex (KSMC), Riyadh, Saudi Arabia. Socio-demographic data were documented. Depression was evaluated by using the zung self- rating depression scale (Zung SDS). RESULTS using the Zung SDS; the prevalence of depression was significantly higher among PD patients (98.5%) in compare with HD patients (83.5%). CONCLUSION the study reveals that there is a high prevalence of depressive symptoms among PD and HD patients. This will lead us to think of adding a system for screening, diagnosis and treatment of depression for all dialysis patients to improve their life.
Collapse
Affiliation(s)
- AbdulRhman AlDukhayel
- Correspondence: Dr. AbdulRhman AlDukhayel, College of Medicine, Qassim University, E-mail: , Mobile No.: 00966504979101
| |
Collapse
|
16
|
Bruce MA, Griffith DM, Thorpe RJ. Stress and the kidney. Adv Chronic Kidney Dis 2015; 22:46-53. [PMID: 25573512 DOI: 10.1053/j.ackd.2014.06.008] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2014] [Revised: 06/19/2014] [Accepted: 06/30/2014] [Indexed: 12/30/2022]
Abstract
The prevalence of CKD has increased considerably over the past 2 decades. The rising rates of CKD have been attributed to known comorbidities such as diabetes, hypertension, and obesity; however, recent research has begun to explore the degree to which social, economic, and psychological factors have implications for the prevalence and progression of CKD, especially among high-risk populations such as African Americans. It has been suggested that stress can have implications for CKD, but this area of research has been largely unexplored. One contributing factor associated with the paucity of research on CKD is that many of the social, psychological, and environmental stressors cannot be recreated or simulated in a laboratory setting. Social science has established that stress can have implications for health, and we believe that stress is an important determinant of the development and progression of CKD. We draw heavily from the social scientific and social epidemiologic literature to present an intersectional conceptual frame specifying how stress can have implications for kidney disease, its progression, and its complications through multiple stressors and pathways.
Collapse
|
17
|
Costa FG, Coutinho MDPDL, Santana IOD. Insuficiência renal crônica: representações sociais de pacientes com e sem depressão. PSICO-USF 2014. [DOI: 10.1590/1413-82712014019003002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Este estudo objetivou apreender as representações sociais acerca da insuficiência renal crônica (IRC) elaboradas por pacientes com e sem depressão no contexto da hemodiálise. Participaram do estudo 26 pacientes nefrológicos, com idades entre 22 e 73 anos (M=44,19; DP=11,83), que responderam a uma entrevista semiestruturada e à Escala Hospitalar de Ansiedade e Depressão (HADS). Os resultados evidenciaram que 20% apresentaram sintomas depressivos. Os pacientes com a síndrome depressiva apontaram, em suas representações acerca da IRC, o impacto do diagnóstico em suas vidas, que foi permeado por sentimentos de medo da morte e recusa em iniciar o tratamento. Os pacientes sem a depressão destacaram elementos associados ao significado positivo do tratamento e ao apoio recebido pela família. Os resultados apontam para a importância de uma abordagem interdisciplinar que enfoque o suporte psicossociológico e nutricional no tratamento da doença renal.
Collapse
|
18
|
Knuth B, Radtke V, Rocha P, da Silva KS, Dalsóglio F, Gazal M, Jansen K, Souza DO, Portela LV, Kaster M, Oses JP. Prevalence of depression symptoms and serum levels of interleukin-6 in hemodialysis patients. Psychiatry Clin Neurosci 2014; 68:275-82. [PMID: 24372974 DOI: 10.1111/pcn.12130] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2013] [Revised: 10/01/2013] [Accepted: 10/03/2013] [Indexed: 01/05/2023]
Abstract
AIM In hemodialysis patients, depression appears as the most common psychopathological condition. States of advanced chronic kidney disease and dialysis are associated with a state of chronic inflammation. Depression has been linked to activation of the immune system characterized by high levels of pro-inflammatory cytokines. In this study, we investigated the possible correlations between depression, and interleukin-6 (IL-6) in hemodialysis patients. METHODS Seventy-five hemodialysis patients were enrolled in a cross-sectional study from September to November 2011 in Pelotas, Rio Grande do Sul. Demographic data were obtained from a questionnaire and the Beck Depression Inventory (BDI) was used to determine the presence or absence of depression symptoms. Biochemical parameters, dialysisdosage delivery, and IL-6 serum levels were measured. RESULTS Prevalence of depression among hemodialysis patients was 48% (BDI ≥ 14). In biochemical assessments, depressed patients showed a decrease in urea (P = 0.01) and increase of IL-6 (P = 0.04) levels. The correlation analysis between BDI scores and the biochemical variables showed that BDI was negatively correlated with urea (P = 0.03) and potassium (P = 0.04), but not with IL-6 levels. CONCLUSION Hemodialysis patients with depression showed higher levels of IL-6 but the severity of depressive symptoms was not correlated with levels of this cytokine.
Collapse
Affiliation(s)
- Berenice Knuth
- Laboratory of Clinical Neuroscience, Postgraduate Program in Health and Behavior, Center for Life Sciences and Health, Pelotas, Brazil
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
19
|
Cukor D, Ver Halen N, Asher DR, Coplan JD, Weedon J, Wyka KE, Saggi SJ, Kimmel PL. Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. J Am Soc Nephrol 2014; 25:196-206. [PMID: 24115478 PMCID: PMC3871769 DOI: 10.1681/asn.2012111134] [Citation(s) in RCA: 162] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2012] [Accepted: 08/02/2013] [Indexed: 01/12/2023] Open
Abstract
Patients with ESRD have high rates of depression, which is associated with diminished quality of life and survival. We determined whether individual cognitive behavioral therapy (CBT) reduces depression in hemodialysis patients with elevated depressive affect in a randomized crossover trial. Of 65 participants enrolled from two dialysis centers in New York, 59 completed the study and were assigned to the treatment-first group (n=33) or the wait-list control group (n=26). In the intervention phase, CBT was administered chairside during dialysis treatments for 3 months; participants were assessed 3 and 6 months after randomization. Compared with the wait-list group, the treatment-first group achieved significantly larger reductions in Beck Depression Inventory II (self-reported, P=0.03) and Hamilton Depression Rating Scale (clinician-reported, P<0.001) scores after intervention. Mean scores for the treatment-first group did not change significantly at the 3-month follow-up. Among participants with depression diagnosed at baseline, 89% in the treatment-first group were not depressed at the end of treatment compared with 38% in the wait-list group (Fisher's exact test, P=0.01). Furthermore, the treatment-first group experienced greater improvements in quality of life, assessed with the Kidney Disease Quality of Life Short Form (P=0.04), and interdialytic weight gain (P=0.002) than the wait-list group, although no effect on compliance was evident at follow-up. In summary, CBT led to significant improvements in depression, quality of life, and prescription compliance in this trial, and studies should be undertaken to assess the long-term effects of CBT on morbidity and mortality in patients with ESRD.
Collapse
Affiliation(s)
- Daniel Cukor
- Departments of Psychiatry and Behavioral Sciences
| | | | | | | | | | - Katarzyna E. Wyka
- Department of Psychiatry, Weil Cornell Medical Center, New York, New York; and
| | | | - Paul L. Kimmel
- Department of Medicine, George Washington University, Washington, DC
| |
Collapse
|
20
|
Alshraifeen A, McCreaddie M, Evans JMM. Quality of life and well-being of people receiving haemodialysis treatment in Scotland: A cross-sectional survey. Int J Nurs Pract 2013; 20:518-23. [DOI: 10.1111/ijn.12194] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Affiliation(s)
- Ali Alshraifeen
- School of Nursing, Midwifery and Health; University of Stirling; Stirling UK
| | - May McCreaddie
- School of Nursing, Midwifery and Health; University of Stirling; Stirling UK
| | - Josie MM Evans
- School of Nursing, Midwifery and Health; University of Stirling; Stirling UK
| |
Collapse
|
21
|
Campbell KL, Murray EM. ALLIED HEALTH SERVICES TO NEPHROLOGY: AN AUDIT OF CURRENT WORKFORCE AND MEETING FUTURE CHALLENGES. J Ren Care 2013; 39:52-61. [DOI: 10.1111/j.1755-6686.2012.00330.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | - Eryn M. Murray
- Princess Alexandra Hospital; Woollongabba, Brisbane, Queensland; Australia
| |
Collapse
|
22
|
Nagler EV, Webster AC, Vanholder R, Zoccali C. Antidepressants for depression in stage 3–5 chronic kidney disease: a systematic review of pharmacokinetics, efficacy and safety with recommendations by European Renal Best Practice (ERBP)*. Nephrol Dial Transplant 2012; 27:3736-45. [DOI: 10.1093/ndt/gfs295] [Citation(s) in RCA: 90] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
23
|
Garcia TW, Veiga JPR, Motta LDCD, Moura FJDD, Casulari LA. Depressed mood and poor quality of life in male patients with chronic renal failure undergoing hemodialysis. ACTA ACUST UNITED AC 2011; 32:369-74. [PMID: 21308257 DOI: 10.1590/s1516-44462010005000025] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2009] [Accepted: 03/05/2010] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To assess mood and quality of life in male hemodialysis patients, and to correlate mood swings with the different domains of the quality of life questionnaire. METHOD Forty-seven male patients undergoing regular hemodialysis for more than six months were included in the study. The Hamilton Rating Scale for Depression and the Kidney Disease Quality of Life Questionnaire, in a version translated into and adapted to Portuguese, were used. RESULTS The patients' age was 39.4±8.9 years (median±SD). Depression was observed in 32 (68.1%) patients according to the Hamilton Rating Scale for Depression. A significant negative correlation was found between the results from the Hamilton Rating Scale for Depression and the following parameters of the specific dimensions of the Kidney Disease Quality of Life Questionnaire: list of symptoms and problems (rs=-0.399; p=0.005), quality of social interaction (rs=-0.433; p=0.002), and quality of sleep (rs=-0.585; p<0.001). Among the generic domains, mood showed a significant negative correlation with general health (rs=-0.475; p<0.001), emotional well-being (rs=-0.354; p=0.015), social functioning and energy/fatigue (rs=-0.518; p<0.001). The other parameters of the Kidney Disease Quality of Life Questionnaire did not show significant correlations with the Hamilton Rating Scale for Depression. CONCLUSION Mood showed a negative correlation with the various scores of quality of life assessed by the Kidney Disease Quality of Life Questionnaire, suggesting a possible influence of mood on the quality of life of chronic renal patients undergoing hemodialysis.
Collapse
Affiliation(s)
- Thales Weber Garcia
- Clinical Medicine, Department of Psychiatry, Universidade de Brasília, and Department of Nephrology, University Hospital of Brasilia, Brasília, DF, Brazil.
| | | | | | | | | |
Collapse
|
24
|
Chan R, Steel Z, Brooks R, Heung T, Erlich J, Chow J, Suranyi M. Psychosocial risk and protective factors for depression in the dialysis population: a systematic review and meta-regression analysis. J Psychosom Res 2011; 71:300-10. [PMID: 21999973 DOI: 10.1016/j.jpsychores.2011.05.002] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2010] [Revised: 05/05/2011] [Accepted: 05/05/2011] [Indexed: 01/29/2023]
Abstract
OBJECTIVE Research into the association between psychosocial factors and depression in End-Stage Renal Disease (ESRD) has expanded considerably in recent years identifying a range of factors that may act as important risk and protective factors of depression for this population. The present study provides the first systematic review and meta-analysis of this body of research. METHODS Published studies reporting associations between any psychosocial factor and depression were identified and retrieved from Medline, Embase, and PsycINFO, by applying optimised search strategies. Mean effect sizes were calculated for the associations across five psychosocial constructs (social support, personality attributes, cognitive appraisal, coping process, stress/stressor). Multiple hierarchical meta-regression analysis was applied to examine the moderating effects of methodological and substantive factors on the strength of the observed associations. RESULTS 57 studies covering 58 independent samples with 5956 participants were identified, resulting in 246 effect sizes of the association between a range of psychosocial factors and depression. The overall mean effect size (Pearsons correlation coefficient) of the association between psychosocial factor and depression was 0.36. The effect sizes between the five psychosocial constructs and depression ranged from medium (0.27) to large levels (0.46) with personality attributes (0.46) and cognitive appraisal (0.46) having the largest effect sizes. In the meta-regression analyses, identified demographic (gender, age, location of study) and treatment (type of dialysis) characteristics moderated the strength of the associations with depression. CONCLUSION The current analysis documents a moderate to large association between the presence of psychosocial risk factors and depression in ESRD.
Collapse
Affiliation(s)
- Ramony Chan
- Consultation Liaison Psychiatry, Liverpool Hospital, Sydney, Australia.
| | | | | | | | | | | | | |
Collapse
|
25
|
Ramer S, Germain A, Dohar S, Unruh M. Event-related distress in kidney disease patients. Nephrol Dial Transplant 2011; 27:299-303. [PMID: 21624943 DOI: 10.1093/ndt/gfr305] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Non-dialysis-dependent chronic kidney disease (CKD) and dialysis-dependent Stage 5 CKD (CKD5) are associated with a significant physical and psychosocial burden. Little is known, however, about the impact of stressful life events on CKD and CKD5 patients. This study aimed to determine the prevalence of stressful life events in CKD and CKD5 patients and identify the factors correlated with high levels of event-related distress. METHODS This cross-sectional study's sample consisted of 181 patients (91 with non-dialysis-dependent CKD Stages 4 and 5, 90 with CKD5) who filled out the Impact of Event Scale (IES), which measures subjective distress related to stressful life events. Other measures included scores from the Medical Outcomes Study Short Form-36, Patient Health Questionnaire-9 (PHQ-9) and Dialysis Symptom Index (DSI). RESULTS One hundred and three subjects reported stressors on the IES. Almost half the stressors (49.5%) related to personal health; the rest fell into other categories. There were significant differences between the no stressor, low event-related distress and high event-related distress groups in age (P < 0.001), PHQ-9 score (P < 0.001) and DSI score (P = 0.002). After adjustment, PHQ-9 score was associated with high event-related distress [odds ratio (OR) 1.20, 95% confidence interval (CI) 1.10-1.32], as was DSI score (OR 1.04, 95% CI 1.02-1.07) in a separate model. CONCLUSIONS Event-related distress is common in CKD and CKD5 patients. High event-related distress is associated with worse depressive symptoms and greater somatic and emotional symptom burden, even with adjustments for age and gender. The renal practitioner may need to address patients' event-related distress in order to provide optimal care.
Collapse
Affiliation(s)
- Sarah Ramer
- Department of Medicine, Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
| | | | | | | |
Collapse
|
26
|
Barros A, Pinheiro da Costa BE, Poli-de-Figueiredo CE, Antonello IC, d'Avila DO. Nutritional Status Evaluated by Multi-Frequency Bioimpedance Is Not Associated With Quality of Life or Depressive Symptoms in Hemodialysis Patients. Ther Apher Dial 2010; 15:58-65. [DOI: 10.1111/j.1744-9987.2010.00874.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
27
|
Thompson DA, Leimig R, Gower G, Winsett RP. Assessment of depressive symptoms during post-transplant follow-up care performed via telehealth. Telemed J E Health 2010; 15:700-6. [PMID: 19694599 DOI: 10.1089/tmj.2009.0021] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Telehealth provides a successful medium for the treatment of depression and other mental health illnesses. Often, inadequate treatment for this condition is found in patients with chronic co-morbid conditions such as those presented by the transplant recipient, a population at risk for depression. One concern of healthcare providers is the inability to adequately screen for symptoms of depression. This secondary analysis describes depression screening of 138 transplant recipients receiving follow-up care via telehealth (TH) and standard care (SC) as part of a larger National Institute of Nursing Research-funded randomized clinical trial. Of subjects who consented, 70 (51%) were randomized to the TH portion of the study. Depressive symptoms were measured by the Center for Epidemiologic Studies-Depression (CES-D) survey at study entry and at 6 and 12 months postconsent into the study. Univariate and subgroup analyses using SAS found no differences between the TH (n = 70) and SC (n = 68) group for demographic and social characteristics. No differences in CES-D scores were found between TH and SC groups. The concern in adding distance in the care of this medically fragile population was not substantiated in this study.
Collapse
Affiliation(s)
- Denise A Thompson
- College of Nursing, University of Tennessee Health Science Center, Memphis, Tennessee 38104, USA
| | | | | | | |
Collapse
|
28
|
Alavi N, Aliakbarzadeh Z, Sharifi K. Depression, Anxiety, Activities of Daily Living, and Quality of Life Scores in Patients Undergoing Renal Replacement Therapies. Transplant Proc 2009; 41:3693-6. [DOI: 10.1016/j.transproceed.2009.06.217] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2008] [Revised: 05/01/2009] [Accepted: 06/01/2009] [Indexed: 11/30/2022]
|
29
|
Watnick S. Quality of life and depression in CKD: improving hope and health. Am J Kidney Dis 2009; 54:399-402. [PMID: 19700059 DOI: 10.1053/j.ajkd.2009.06.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2009] [Accepted: 06/17/2009] [Indexed: 11/11/2022]
|
30
|
Cognitive-behavioral group therapy is an effective treatment for major depression in hemodialysis patients. Kidney Int 2009; 76:414-21. [PMID: 19455196 DOI: 10.1038/ki.2009.156] [Citation(s) in RCA: 164] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Depression is an important target of psychological assessment in patients with end-stage renal disease because it predicts their morbidity, mortality, and quality of life. We assessed the effectiveness of cognitive-behavioral therapy in chronic hemodialysis patients diagnosed with major depression by the Mini International Neuropsychiatric Interview (MINI). In a randomized trial conducted in Brazil, an intervention group of 41 patients was given 12 weekly sessions of cognitive-behavioral group therapy led by a trained psychologist over 3 months while a control group of 44 patients received the usual treatment offered in the dialysis unit. In both groups, the Beck Depression Inventory, the MINI, and the Kidney Disease and Quality of Life-Short Form questionnaires were administered at baseline, after 3 months of intervention or usual treatment, and after 9 months of follow-up. The intervention group had significant improvements, compared to the control group, in the average scores of the Beck Depression Inventory overall scale, MINI scores, and in quality-of-life dimensions that included the burden of renal disease, sleep, quality of social interaction, overall health, and the mental component summary. We conclude that cognitive-behavioral group therapy is an effective treatment of depression in chronic hemodialysis patients.
Collapse
|
31
|
Bruce MA, Beech BM, Sims M, Brown TN, Wyatt SB, Taylor HA, Williams DR, Crook E. Social environmental stressors, psychological factors, and kidney disease. J Investig Med 2009; 57:583-9. [PMID: 19240646 PMCID: PMC2824501 DOI: 10.2310/jim.0b013e31819dbb91] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Kidney disease is one of the most striking examples of health disparities in American public health. Disparities in the prevalence and progression of kidney disease are generally thought to be a function of group differences in the prevalence of kidney disease risk factors such as diabetes, hypertension, and obesity. However, the presence of these comorbidities does not completely explain the elevated rate of progression from chronic kidney disease (CKD) to end-stage renal disease among high-risk populations such as African Americans. We believe that the social environment is an important element in the pathway from CKD risk factors to CKD and end-stage renal disease. This review of the literature draws heavily from social science and social epidemiology to present a conceptual frame specifying how social, economic, and psychosocial factors interact to affect the risks for and the progression of kidney disease.
Collapse
Affiliation(s)
- Marino A. Bruce
- Department of Family and Community Medicine, Meharry Medical College, Nashville, TN
| | | | - Mario Sims
- University of Mississippi Medical Center, Jackson, MS
| | | | | | | | | | | |
Collapse
|