Exploring the Relationships Between Health Status, Illness Perceptions, Coping Strategies and Psychological Morbidity in a Chronic Kidney Disease Cohort

Knowles, Sandra R.; Swan, L.; Salzberg, Michael; Castle, David; Langham, Robyn G

doi:10.1097/maj.0000000000000242

Cited by 37 publications

(59 citation statements)

References 54 publications

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“…Furthermore, the beliefs of an illness rather than the symptoms themselves have been shown to account for patients´ illness adaptation [51]. The results of this study show that besides examining pain characteristics and the impact of pain, illness beliefs of patients and level of anxiety and depression are important to address when offering rehabilitation for patients with CWP.…”

Section: Discussionmentioning

confidence: 97%

Illness beliefs among patients with chronic widespread pain - associations with self-reported health status, anxiety and depressive symptoms and impact of pain

et al. 2017

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BackgroundChronic widespread pain (CWP) is a disabling condition associated with a decrease in health. Illness beliefs are individual and are acquired during life. Constraining beliefs may prevent patients from regaining health. Understanding these patients’ illness beliefs may be a way to improve the health care they are offered. The aim of this study was to describe illness beliefs among patients with CWP and associations with self-reported health, anxiety and depressive symptoms, and impact of pain.MethodIn this cross-sectional study, questionnaires were sent by mail to 330 patients including socio-demographic information, the Illness Perception Questionnaire (IPQ-R), the Short-Form General Health Survey (SF-36) and the Hospital Anxiety and Depression Scale (HADS). Data were analysed using descriptive statistics, non-parametric tests and linear regression analyses.ResultsPatients experienced and related a high number of symptoms to CWP (mean (SD) 9 (3)). The patients believed their illness to be long lasting, to affect their emotional well being, and to have negative consequences for their lives. Some 72% reported having severe or very severe pain, and impact of pain according to SF-36 was negatively correlated to several illness beliefs dimensions, anxiety- and depressive symptoms. In regression analyses, the Identity, Consequences and Personal control dimensions of IPQ-R and Anxiety- and Depressive symptoms explained 32.6–56.1% of the variance in the two component scores of SF-36.ConclusionConstraining illness beliefs in patients with CWP are related to worse health status, especially in cases of high number of physical or mental symptoms, beliefs of negative consequences or the illness affecting them emotionally. Identification and understanding of these beliefs may reduce patients’ suffering if they are taken into consideration in rehabilitation programs and in development of new evidence-based interventions aimed at increasing health in patients with CWP.

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Section: Discussionmentioning

confidence: 97%

Illness beliefs among patients with chronic widespread pain - associations with self-reported health status, anxiety and depressive symptoms and impact of pain

et al. 2017

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“…In terms of illness intrusiveness, patients who perceived greater disruption to their lives as a result of the renal disease experienced increased depression and distress. 75,76 …”

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confidence: 99%

Anxiety and depression in patients with end-stage renal disease: impact and management challenges – a narrative review

Goh¹,

Griva²

2018

IJNRD

166

125

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Psychiatric disorders commonly co-exist with the diagnosis of chronic kidney disease (CKD). Research on depression and CKD has increased to a great extent. Multiple studies have demonstrated that depression is more prevalent in CKD and that end-stage renal disease is a robust risk factor for adverse outcomes such as hospitalization and mortality, yet these are often underdiagnosed or untreated. This review provides a selective overview on the prevalence rates of depression and anxiety in patients with CKD and across renal replacement therapies, the factors most consistently associated with symptoms of distress and their clinical implications. Finally, treatment and management strategies from relevant literature are appraised and discussed.

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“…; Knowles et al . ); one comprised patients with CKD mixed with other patient groups (Cohen et al . ).…”

Section: Resultsmentioning

confidence: 99%

“…() and Knowles et al . () comprised mixed samples, with less than 50% of participants diagnosed with CKD (Table ). These studies were still included since, considering the restricted body of knowledge and research looking at illness perceptions and depression in CKD prior to commencement of dialysis, they add up more to the data.…”

Section: Resultsmentioning

confidence: 99%

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Exploring the relationship between illness perceptions and depression in patients with chronic kidney disease: A systematic literature review

Muscat

Chilcot

Weinman

et al. 2018

Journal of Renal Care

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Sixty-four studies met the criteria for full text review and of these, only four studies met the inclusion criteria following data extraction and quality assessment. Consistent with the common sense model, disease severity was found to be significantly associated with illness perceptions, and both were found to be associated with depression CONCLUSIONS: The results from this review provide further evidence that the illness perceptions and disease severity play a crucial role in the adaption to CKD. This review highlights the lack of research in this area and concludes that more studies are needed to determine the nature and impact of illness perceptions in relation to depression in pre-dialysis CKD.

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Exploring the Relationships Between Health Status, Illness Perceptions, Coping Strategies and Psychological Morbidity in a Chronic Kidney Disease Cohort

Cited by 37 publications

References 54 publications

Illness beliefs among patients with chronic widespread pain - associations with self-reported health status, anxiety and depressive symptoms and impact of pain

Illness beliefs among patients with chronic widespread pain - associations with self-reported health status, anxiety and depressive symptoms and impact of pain

Anxiety and depression in patients with end-stage renal disease: impact and management challenges – a narrative review

Exploring the relationship between illness perceptions and depression in patients with chronic kidney disease: A systematic literature review

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Exploring the Relationships Between Health Status, Illness Perceptions, Coping Strategies and Psychological Morbidity in a Chronic Kidney Disease Cohort

Cited by 37 publications

References 54 publications

Illness beliefs among patients with chronic widespread pain - associations with self-reported health status, anxiety and depressive symptoms and impact of pain

Illness beliefs among patients with chronic widespread pain - associations with self-reported health status, anxiety and depressive symptoms and impact of pain

Anxiety and depression in patients with end-stage renal disease: impact and management challenges &ndash; a narrative review

Exploring the relationship between illness perceptions and depression in patients with chronic kidney disease: A systematic literature review

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Anxiety and depression in patients with end-stage renal disease: impact and management challenges – a narrative review