The association between hope, anxiety, depression, coping strategies and perceived social support in patients with chronic kidney disease

Abstract

Objective: Patients with chronic kidney disease (CKD) may experience psychiatric problems while having to cope with the various characteristics of the disease. Identifying the level of hope, coping strategies, and perceived social support may provide valuable information to improve treatment plans and the response to treatment. This study aimed to evaluate the association between hope, anxiety, depression, coping strategies, and perceived social support in patients with CKD.Method: A total of 65 grade 3 or 4 CKD patients and a healthy control group (51 volunteers) with matched baseline sociodemographic characteristics were included. The participants were evaluated using a sociodemographic data form, the Herth Hope Scale (HHS), Hospital Anxiety Depression Scale (HADS), COPE Inventory, and the Multidimensional Scale of Perceived Social Support (MSPSS). Results:The level of hope was lower, depression scores were higher and non-functional coping strategies were observed more often in patients with CKD compared to the healthy control group. In multiple linear regression analysis, anxiety and depression levels were found to have a negative effect and perceived social support by the family a positive effect on the level of hope in patients with CKD. Conclusion:Anxiety, depression, and perceived social support by the family predict the hope level of patients with CKD. A multidisciplinary approach including psychiatric consultation should be adopted in the treatment of patients with CKD as hope plays an important role in treatment compliance.

Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease

“…Motivators of treatment regimen adherence are predominantly family and system related in people with CKD (Chironda & Bhengu, 2018). Yucens et al (2018) showed that, as a strategy for reducing depression in patients with grade 3 or 4 CKD, multidisciplinary psychological counseling to instill hope and provide social support will facilitate treatment compliance.…”

Social Support as a Mediator of the Relationship between Hope and Decisional Conflict in Patients Deciding Whether to Receive Dialysis

“…A correlation between hope and social support has been demonstrated by numerous scholars—namely, Alshraifeen et al, Lin et al, and Yucens et al [ 16 – 18 ]. When people face life-threatening diseases or require long-term treatment, hope and social support can serve as buffer factors against physiological or psychological distress and coping and adjustment strategies.…”

“…When people face life-threatening diseases or require long-term treatment, hope and social support can serve as buffer factors against physiological or psychological distress and coping and adjustment strategies. Patients with good levels of hope and social support are more capable of resisting the stresses and effects of disease and treatment than patients without them; moreover, they have more faith in their treatment [ 16 , 18 ]. The findings reflect that hope, social support, and decisional conflict play crucial roles in how patients with ESRD cope with stressful events.…”

Correlations Between Family Support with Coping Mechanisms in Patients with Chronic Renal Failure Undergoing Hemodialysis in Wijayakusuma Military Hospital, Purwokerto

“…Decreased ability for emptying the bladder completely thus increasing the risk of infection and obstruction and decreased fluid intake is a risk factor for kidney damage [12]. Results of research [13] also showed that the average age of respondents with chronic renal failure is 48 years old. Supported also by the results of research [14] showed that most respondents have a range of 35 to 65 years of age.…”