Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life

被引：6

作者：

Knowles, Simon R. ^{[1
]}

Apputhurai, Pragalathan ^{[1
]}

Jenkins, Zoe ^{[2
]}

O'flaherty, Emmet ^{[3
]}

Ierino, Francesco ^{[3
]}

Langham, Robyn ^{[4
]}

Ski, Chantal F. ^{[5
,6
]}

Thompson, David R. ^{[5
,7
]}

Castle, David J. ^{[2
,8
,9
,10
]}

机构：

[1] Swinburne Univ, Sch Hlth Sci, Melbourne, Australia

[2] St Vincents Hosp, Mental Hlth Serv, Melbourne, Australia

[3] Univ Melbourne, St Vincents Hosp, Dept Med, Melbourne, Australia

[4] Univ Melbourne, St Vincents Hosp, Dept Med, Melbourne, Australia

[5] Univ Melbourne, Dept Psychiat, Melbourne, Australia

[6] Univ Suffolk, Integrated Care Acad, Ipswich, England

[7] Queens Univ Belfast, Sch Nursing & Midwifery, Belfast, North Ireland

[8] Ctr Addict & Mental Hlth, Ctr Complex Intervent, Toronto, ON, Canada

[9] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[10] Univ Tasmania, Dept Psychiat, Level 2,22 Elizabeth St, Hobart, Tas 7000, Australia

来源：

PSYCHOLOGY HEALTH & MEDICINE | 2023年

关键词：

Chronic kidney disease; common sense model; illness perceptions; coping; self-efficacy; CHRONIC RENAL-DISEASE; COMMON-SENSE MODEL; CARE BEHAVIORS; DEPRESSION; DIALYSIS; REPRESENTATIONS; HEMODIALYSIS; STRATEGIES; MORBIDITY; IDENTIFICATION;

D O I：

10.1080/13548506.2023.2179644

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：1963 / 1976

页数：14

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