Effect of End-Stage Renal Disease on self-perception, anxiety and depression of patients undergoing haemodialysis

Postgraduate Thesis uoadl:2867530 424 Read counter

Unit:
Κατεύθυνση Διασυνδετική Ψυχιατρική και Απαρτιωμένη Φροντίδα Σωματικής και Ψυχικής Υγείας
Library of the School of Health Sciences
Deposit date:
2019-04-13
Year:
2019
Author:
Papanastasiou Artemis
Supervisors info:
Ιωάννης Μιχόπουλος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ρωσέττος Γουρνέλλης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αθανάσιος Δουζένης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Διερεύνηση της επίδρασης της νεφρικής νόσου στην αυτοαντίληψη ασθενών που βρίσκονται σε διαφορετικές θεραπείες υποκατάστασης και η επίδραση του άγχους και της κατάθλιψης σε αυτή
Languages:
Greek
Translated title:
Effect of End-Stage Renal Disease on self-perception, anxiety and depression of patients undergoing haemodialysis
Summary:
INTRODUCTION:
Depression and Anxiety are major clinical concerns for end-stage renal disease (ESRD) patients, involving increased risk for suicidality, compromised quality of life and poorer prognosis. Moreover, the concept of self-perception has been linked to life expectancy, adherence to treatment and adaptability in many chronic diseases, including ESRD. To date, the correlation of various aspects of self-perception with depression, anxiety and demographic factors has not been studied in this patient group. Highlighting these associations will enable the design of a comprehensive therapeutic plan for ESRD patients.
MATERIALS&METHODS:
Thirty-two ESRD patients undergoing hemodialysis and thirty three healthy controls completed the Hospital Anxiety and Depression Scale (HADS) and the Messer&Harter Self-Perception Profile for Adults. Demographic data including age, sex, marital and occupational status, place of residence, years of education and time of hemodialysis were collected by two clinicians and dementia was ruled out using the Mini Mental State Examination (MMSE). Data analysis was conducted through the Statistical Package for the Social Sciences (SPSS) software, using non-parametric tests due to non-normal data distribution.
RESULTS:
No differences were found between patients and controls in anxiety and depression. Regarding self-perception, patients scored worse than controls in athletic competence (p=0,043), especially male patients and those living in rural areas. Anxiety and depression levels were negatively correlated with self-assessment in sociability (p=0.016) and interpersonal relationships (p=.020) only in patients. Female patients rated themselves lower than their male counterparts in terms of sociability (p=0.026) and intelligence (p=0.016). Age was negatively correlated with self-image for sense of humor (p=0.022) and intelligence (p=0.032), whereas years of education were positively correlated with sense of humor (p= 0.030) in the ESRD group.
DISCUSSION: Lack of difference in depression and anxiety rates between the two groups may reflect the long-term adjustment of ESDR patients, as shown in previous studies. Despite global self-worth is well preserved in the patient group, self-perception of athletic competence is significantly lower and may mark a risk for avoidance of physical exercise. Patients presented a negative correlation of depression and anxiety rates with self-perception in sociability and interpersonal relationships, which is possibly interactive and bidirectional. However, female ESRDs may be at risk regarding their self-image of sociability and intelligence.
CONCLUSION: Self-assessment of athletic competence is compromised and self-perception of sociability and interpersonal relationships correlates with anxiety and depression in ESRD. Patients, especially females, should be encouraged to take regular exercise and be more supported to engage in social activities. Moreover, regular cognition assessment should be incorporated as a routine part of the therapeutic regime.
Main subject category:
Health Sciences
Keywords:
End-Stage renal disease, Anxiety, Depression, Self-perception, Self-image, Haemodialysis
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
116
Number of pages:
97
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