Using Problem-solving Therapy to Improve Problem-solving Orientation, Problem-solving Skills and Quality of Life in Older Hemodialysis Patients

Abstract

PST is an effective, efficient, and easy to implement intervention that can benefit problem-solving abilities and mental health-related quality of life in older HD patients. In turn, this will help patients manage their daily living activities related to their medical condition and reduce daily stressors.

Effects of Psychotherapy on Quality of Life in End-stage Renal Disease Patients: A Systematic Review with Meta-analysis

“…The subjects of the current systematic review and meta-analysis comprised of 448 kidney disease patients (239 men and 209 women) from across the eight selected studies. Three studies had been conducted in the USA, 29 , 31 , 35 two in Taiwan, 33 , 36 two in Iran, 32 , 34 and one in Brazil. 30 Only five papers reported the mean ages of their participants.…”

“…The studies used different measures to assess QoL, SF-36 being the most common, 33 , 35 , 36 followed by KDQOL-SF, 29 , 30 Ferrans and Powers quality of life questionnaire, 32 , 34 KDQOL-36, 31 and quality of life inventory (QOLI). 35 Regarding therapeutic interventions, three studies applied CBT, 29 , 30 , 33 while the others used problem-solving therapy (PST), 31 self-care education, 32 empowerment intervention, 34 quality of life therapy (QOLT), 35 and adaptation training program (ATP). 36 In addition, in half of the studies, the average duration of intervention was two months.…”

“…For meta-analysis, we included only five studies. 30 , 31 , 33 , 35 , 36 Specifically, the mean differences in physical component summary (PCS) and mental component summary (MCS) scores from the KDQOL-SF, KDQOL-36, and SF-36 were examined to attain a direct picture of QoL. These subscale outcomes were selected because previous studies found a significant relationship between these subscale scores and their respective patient outcomes.…”

Negative Problems Orientation Questionnaire for Chinese Adolescents: Bifactor Model and Measurement Invariance

“…It shows excellent internal consistency (α = 0.92), good test-retest reliability (r = 0.80, over interval 5 weeks), and demonstrates both convergent and discriminant validity (Robichaud and Dugas, 2005a,b). Over the past 15 years, the NPOQ has been used in most psychosocial studies of NPO including clinical evaluation and diagnosis of anxiety and mood disorders (Dupuy and Ladouceur, 2008;Fergus and Wu, 2010), treatment outcome trails (Humphrey, 2016;Erdley-Kass et al, 2018), and also assessment of the social problem solving-ability in adolescent population (Barahmand, 2008;Zumberg et al, 2008). Despite the popularity and empirical utility of the NPOQ, its construct validity and measurement invariance across age and gender have not been sufficiently tested in adolescents.…”

Psychotherapy with Older Adults: Implementing and Refining Best Practices

“…The authors have generously shared the treatment manual in an online supplement. Next we have a comparison of Problem Solving Therapy (PST) as offered in a 6-week bedside intervention to hemodialysis patients (Erdley-Kass et al, 2017). Adults (N = 15) who completed the protocol reported improved mental health and functional problem solving methods compared to those assigned to usual care (N = 18).…”