Social support, psychological distress and depression in hemodialysis patients

Author/s Maria Monica Ratti, Alessandro Rossi, Giulia Bruna Delli Zotti, Lucio Sarno, Donatella Spotti
Publishing Year 2017 Issue 2017/1 Language English
Pages 11 P. 112-122 File size 210 KB
DOI 10.3280/PDS2017-001006
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The End Stage Renal Disease (ESRD) and the need for hemodialysis treatment, forces patients to make numerous changes in their daily lives in order to cope with this chronic illness. Such changes often trigger the onset of notable psychological distress and depressive symptoms. Furthermore, these negative feelings may undermine the effectiveness of medical treatment, consequently worsening the patients’ health and quality of life. However, in patients affected by chronic disease the presence of social support seems to be associated with less psychological distress. Thus, the aim of this study ? in a sample group of ESDR patients ? was to explore if a high (vs. low) social support system is associated to a better (vs. a worse) state of psychological well-being. The results seemingly confirm our hypothesis. ESRD patients who benefit from social support resources display less psychological distress and depressive symptoms. These findings highlight - once more - the importance of a psychological evaluation in patients affected by chronic illnesses, such as ESDR. Specifically, identifying the presence (or absence) of the patients’ social support resources. This would be essential when setting up a program of psychotherapeutic sessions, in order to manage the remission of psychological distress.�

Keywords: End Stage Renal Disease, social support, psychological distress, depression, quality of life, health psychology

  1. Beck A.T., Ward C.H., Mendelson M., Mock J. and Erbaugh J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4 (6): 561-571.
  2. Bertolin D.C., Pace A.E., Kusumota L. and Haas V. (2011). An association between forms of coping and the socio-demographic variables of people on chronic hemodialysis. Revista da Escola de Enfermagem da USP, 45 (5): 1068-1074. DOI: 10.1590/S0080-6234201100050000
  3. Chan R., Steel Z., Brooks R., Heung T., Erlich J., Chow J. and Suranyi M. (2011). Psychosocial risk and protective factors for depression in the dialysis population: A systematic review and meta-regression analysis. Journal of Psychosomatic Research, 71 (5): 300-310.
  4. Christensen A.J., Smith T.W., Turner C.W., Holman J.M. and Gregory M.C. (1990). Type of hemodialysis and preference for behavioral involvement: Interactive effects on adherence in end-stage renal disease. Health Psychology, 9 (2): 225-236. DOI: 10.1037//0278-6133.9.2.22
  5. Christensen A.J., Turner C.W., Smith T.W., Holman J.M. and Gregory M.C. (1991). Health locus of control and depression in end-stage renal disease. Journal of Consulting and Clinical Psychology, 59 (3): 419-424. DOI: 10.1037/0022-006X.59.3.41
  6. Christensen A.J., Wiebe J.S., Smith T.W. and Turner C.W. (1994). Predictors of survival among hemodialysis patients: Effect of perceived family support. Health Psychology, 13 (6): 521-525. DOI: 10.1037/0278-6133.13.6.52
  7. Cohen S. and Wills T.A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98 (2): 310-357. DOI: 10.1037/0033-2909.98.2.31
  8. Cukor D., Cohen S.D., Peterson R.A. and Kimmel P.L. (2007). Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness. Journal of the American Society of Nephrology, 18 (12): 3042-3055. DOI: 10.1681/ASN.200703034
  9. Cukor D., Ver Halen N., Asher D.R., Coplan J.D., Weedon J., Wyka K.E., Saggi S.J. and Kimmel P.L. (2014). Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. Journal of the American Society of Nephrology, 25 (1): 196-206. DOI: 10.1681/ASN.201211113
  10. Cutler D.M. and McClellan M. (2001). Is technological change in medicine worth it?. Health Affairs, 20 (5): 11-29.
  11. De Boer A.G.E.M., Van Lanschot J.J.B., Stalmeier P.F.M., Van Sandick J.W., Hulscher J.B.F., De Haes J.C.J.M. and Sprangers M.A.G. (2004). Is a single-item visual analogue scale as valid, reliable and responsive as multi-item scales in measuring quality of life? Quality of Life Research, 13(2): 311-320. DOI: 10.1023/B:QURE.0000018499.64574.1
  12. Devins G.M. and Binik Y.M. (1996). Facilitating coping with chronic physical illness. In: Zeidner M. and Endler N.S. (eds.), Handbook of Coping: Theory, Research, Applications. New York, NY: John Wiley & Sons, pp. 640-688.
  13. Finkelstein F.O. and Finkelstein S.H. (1999). Psychological adaptation and quality of life of the patient with end-stage renal disease. In: Brown E. and Parfrey P. (eds.), Complications of Long Term Dialysis. Oxford, UK: Oxford University Press, pp. 168-187.
  14. Finkelstein F.O. and Finkelstein S.H. (2000). Depression in chronic dialysis patients: Assessment and treatment. Nephrology Dialysis Transplantation, 15 (12): 1911-1913.
  15. Fontana L., Partridge L. and Longo V.D. (2010). Extending healthy life span ‒ from yeast to humans. Science, 328 (5976): 321-326.
  16. Hays R.D., Kallich J.D., Mapes D.L., Coons S.J., Amin N., Carter W.B. and Kamberg C. (1997). Kidney Disease Quality of Life Short Form (KDQOL-SFTM), Version 1.3: A manual for use and scoring. Santa Monica, CA: RAND Corporation.
  17. Hedayati S.S., Bosworth H.B., Briley L.P., Sloane R.J., Pieper C.F., Kimmel P.L. and Szczech L.A. (2008). Death or hospitalization of patients on chronic hemodialysis is associated with a physician-based diagnosis of depression. Kidney International, 74 (7): 930-936.
  18. Jensen M.P., Keefe F.J., Lefebvre J.C., Romano J.M. and Turner J.A. (2003). One-and two-item measures of pain beliefs and coping strategies. Pain, 104 (3): 453-469. DOI: 10.1016/S0304-3959(03)00076-
  19. Kelly T.M., Donovan J.E., Chung T., Bukstein O.G. and Cornelius J.R. (2009). Brief Screens for Detecting Alcohol Use Disorder Among 18–20 Year Old Young Adults in Emergency Departments: Comparing AUDIT-C, CRAFFT, RAPS4-QF, FAST, RUFT-Cut, and DSM-IV 2-Item Scale. Addictive Behaviors, 34 (8): 668-674.
  20. Kessler R.C., Berglund P., Demler O., Jin R., Koretz D., Merikangas K.R., Rush A.J., Walters E.E. and Wang P.S. (2003). The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association, 289 (23): 3095-3105.
  21. Kimmel P.L., Weihs K. and Peterson R.A. (1993). Survival in hemodialysis patients: The role of depression. Journal of the American Society of Nephrology, 4 (1): 12-27.
  22. Kimmel P.L., Peterson R.A., Weihs K.L., Simmens S.J., Alleyne S., Cruz I. and Veis J.H. (1998). Psychosocial factors, behavioral compliance and survival in urban hemodialysis patients. Kidney International, 54 (1): 245-254.
  23. Kimmel P.L., Peterson R.A., Weihs K.L., Simmens S.J., Alleyne S., Cruz I. and Veis J.H. (2000). Multiple measurements of depression predict mortality in a longitudinal study of chronic hemodialysis outpatients. Kidney International, 57 (5): 2093-2098.
  24. Kimmel P.L., Emont S.L., Newmann J.M., Danko H. and Moss A.H. (2003). ESRD patient quality of life: Symptoms, spiritual beliefs, psychosocial factors, and ethnicity. American Journal of Kidney Diseases, 42 (4): 713-721. DOI: 10.1016/S0272-6386(03)00907-
  25. Klersy C., Callegari A., Giorgi I., Sepe V., Efficace E. and Politi P. (2007). Italian translation, cultural adaptation and validation of KDQOL-SF, version 1.3, in patients with severe renal failure. Journal of Nephrology, 20 (1): 43-51.
  26. Kroenke K., Spitzer R.L. and Williams J.B. (2003). The Patient Health Questionnaire-2: validity of a two-item depression screener. Medical Care, 41 (11): 1284-1292.
  27. Kupfer D.J. and Frank E. (1997). Role of psychosocial factors in the onset of major depression. Annals of the New York Academy of Sciences, 807: 429-439.
  28. Loo R. (2002). A caveat on using single-item versus multiple-item scales. Journal of Managerial Psychology, 17(1): 68-75. DOI: 10.1108/0268394021041593
  29. Lopes A.A., Albert J.M., Young E.W., Satayathum S., Pisoni R.L., Andreucci V.E., Mapes D.L., Mason N.A., Fukuhara S., Wikstrom B., Saito A. and Port F.K. (2004). Screening for depression in hemodialysis patients: Association with diagnosis, treatment, and outcomes in the DOPPS. Kidney International, 66 (5): 2047-2053.
  30. Mann H.B. and Whitney D.R. (1947). On a test of whether one of two random variables is stochastically larger than the other. The Annals of Mathematical Statistics, 18 (1): 50-60.
  31. McKercher C., Sanderson K. and Jose M.D. (2013). Psychosocial factors in people with chronic kidney disease prior to renal replacement therapy. Nephrology, 18 (9): 585-591.
  32. Morasso G., Costantini M., Baracco G., Borreani C. and Capelli M. (1996). Assessing psychological distress in cancer patients: Validation of a self-administered questionnaire. Oncology, 53 (4): 295-302. DOI: 10.1159/00022757
  33. Novak M., Mucsi I. and Mendelssohn D.C. (2013). Screening for depression: Only one piece of the puzzle. Nephrology Dialysis Transplantation, 28 (6): 1336-1340.
  34. Patel S.S., Peterson R.A. and Kimmel P.L. (2005). The impact of social support on end-stage renal disease. Seminars in Dialysis, 18 (2): 98-102.
  35. Ratti M.M., Rossi A., Borroni D. and Verusio C. (2015). Higher social functioning and a better satisfaction for medical care in order to reduce cancer-related depression. Mediterranean Journal of Clinical Psychology, 3 (2): 23-24. DOI: 10.6092/2282-1619/2015.1.109
  36. Rodrigue J.R., Mandelbrot D.A. and Pavlakis M. (2011). A psychological intervention to improve quality of life and reduce psychological distress in adults awaiting kidney transplantation. Nephrology Dialysis Transplantation, 26 (2): 709-715.
  37. Rohland B.M., Kruse G.R. and Rohrer J.E. (2004). Validation of a single‐item measure of burnout against the Maslach Burnout Inventory among physicians. Stress and Health, 20(2): 75-79.
  38. Rossi A., Frera F., Cavedoni S. and Giannelli A. (2015a). The mediating role of social support protect economic crisis-related patients from suicidal ideation: Preliminary study. The European Health Psychologist, 17 (S): 892.
  39. Rossi A., Marconi M., Guarnerio C. and Verusio C. (2015b). Psychosocial distress and individual needs: A HuCARE-Based mediation moderation analysis in oncological population – A preliminary study. Annals of Oncology, 26 (S6): 123.
  40. Rossi A., Marconi M., Di Lucca G., Morena R., Rossini C., Banfi L. and Verusio C. (2016). The (Emotive) worm at the core: The role of emotional problems in the process from physical suffering to psychological distress – A multiple step mediation analysis. Journal of Clinical Oncology, 34 (15S): 10063.
  41. Stein M.B., Cox B.J., Afifi T.O., Belik S.L. and Sareen J. (2006). Does co-morbid depressive illness magnify the impact of chronic physical illness? A population-based perspective. Psychological Medicine, 36 (5): 587-596. DOI: 10.1017/S003329170600723
  42. Thong M.S., Kaptein A.A., Krediet R.T., Boeschoten E.W. and Dekker F.W. (2007). Social support predicts survival in dialysis patients. Nephrology Dialysis Transplantation, 22 (3): 845-850.
  43. Uchino B.N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29 (4): 377-387. DOI 10.1007/s10865-006-9056-5
  44. Valderrábano F., Jofre R. and López-Gómez J.M. (2001). Quality of life in end-stage renal disease patients. American Journal of Kidney Diseases, 38 (3): 443-464.
  45. Ware J. and Sherbourne C. (1992). The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection. Medical Care, 30(6): 473-483.
  46. World Health Organization (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
  47. Zalai D., Szeifert L. and Novak M. (2012). Psychological distress and depression in patients with chronic kidney disease. Seminars in Dialysis, 25 (4): 428-438.
  48. Zimmerman M., Ruggero C.J., Chelminski I., Young D., Posternak M.A., Friedman M., Boerescu D. and Attiullah N. (2006). Developing brief scales for use in clinical practice: the reliability and validity of single-item self-report measures of depression symptom severity, psychosocial impairment due to depression, and quality of life. The Journal of Clinical Psychiatry, 67 (10): 1536-1541.

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Maria Monica Ratti, Alessandro Rossi, Giulia Bruna Delli Zotti, Lucio Sarno, Donatella Spotti, Social support, psychological distress and depression in hemodialysis patients in "PSICOLOGIA DELLA SALUTE" 1/2017, pp 112-122, DOI: 10.3280/PDS2017-001006