Perceived Stress in Relation to Quality of Life and Resilience in Patients with Advanced Chronic Kidney Disease Undergoing Hemodialysis

Abstract

Background: Patients with chronic kidney disease undergo various stages of therapeutic adaptation which involve lifestyle modifications, physical changes, and adjustment to renal replacement therapy. This process produces adaptive stress. Objective: To identify how resilience, health- related quality of life, and sociodemographic, clinical, and hemodialysis routine-related variables are related to perceived stress in patients with chronic kidney disease receiving hemodialysis for more than six months. Methods: This was a multicenter and cross-sectional study involving 144 patients from the Valencian Community (Spain). The assessment scales used for the study were the Perceived Stress Scale 10, the Kidney Disease Quality of Life 36, and the Connors–Davidson Resilience Scale. To identify variables with predictive power over Perceived Stress Scale 10 scores, multiple regression analyses were performed. Results: Employment status (p = 0.003), resilience (p < 0.001), and quality of life (p < 0.001) were shown to be significantly related to perceived stress. The regression models determined that health-related quality of life and resilience explained up to 27.1% of the variance of total PSS10 scores. Conclusions: Resilience was identified as one of the most important predictors of Perceived Stress Scale 10 scores. Thus, the development of interventions to promote resilience may have a positive impact on perceived stress in patients with chronic kidney disease.

Chain Mediation Model of Perceived Stress, Resilience, and Social Support on Coping Styles of Chinese Patients on Hemodialysis During COVID-19 Pandemic Lockdown

“…In this study, perceived stress had a significant negative correlation with positive coping styles of patients on MHD, which is consistent with previous research results [ 28 , 29 ]. Our results showed that the score of the Perceived Stress Scale was higher than that reported in a previous study [ 17 ], indicating that patients on MHD perceived higher stress during the COVID-19 pandemic lockdown period. This may have been related to the following.…”

“…Some patients experience fear and excessive tension, or even mild insomnia and lack of appetite, which makes them unable to respond with a positive attitude. Therefore, perceived stress is an external risk factor for patients with MHD, and the continuous accumulation of perceived stress will damage the patient’s physical and mental health [ 17 ]. Thus, early warning and making interventions are important to prevent the effects of an accumulation of negative life event by relaxing the psychological pressure of patients.…”

“…Better resilience helps people actively cope with the pressure encountered in work and life [ 16 ]. García-Martínez et al have confirmed that resilience is one of the important predictors of perceived stress [ 17 ]. Therefore, the development of interventions to promote resilience may have a positive impact on the perceived stress of patients on MHD.…”

The Role of Socioeconomic Status, Family Resilience, and Social Support in Predicting Psychological Resilience Among Chinese Maintenance Hemodialysis Patients

“…Psychological resilience, defined as an individual's ability to actively mobilize all favorable factors to maintain or restore relatively stable mental and physical functions in the face of stressful life events and adversity ( 11 ), is widely recognized as an individual's competency and strength to successfully cope with stress ( 12 ). Higher psychological resilience is associated with greater acceptance of the disease, higher compliance with therapeutic regimens, and more favorable outcomes in patients with chronic renal diseases ( 13 , 14 ). Lower psychological resilience is associated with emotional dysregulation ( 15 ) and variations in sensory processing ( 16 , 17 ), which can increase the risk of suicidality in some patient populations ( 18 ).…”

Enfermedad renal crónica avanzada: ansiedad, depresión y percepción de amenaza

“…La PAE hace referencia a las representaciones mentales que tiene la persona de su enfermedad, en relación a la identidad (nombre y síntomas), causas, consecuencias, curso y control de la misma (Lau, Bernard, & Hartman, 1989;Petrie & Weinman, 2012). En este sentido, parece que quienes perciben como más amenazante su enfermedad, presentan más ansiedad, depresión y peor calidad de vida (Broadbent et al, 2015;Chew et al, 2017;García-Martínez et al, 2021;Nowicka-Sauer et al, 2016;Valero-Moreno et al, 2020).…”