| Autor: |
Knowles SR; School of Health Sciences, Swinburne University, Melbourne, Australia., Apputhurai P; School of Health Sciences, Swinburne University, Melbourne, Australia., Jenkins Z; Mental Health Services, St. Vincent's Hospital, Melbourne, Australia., O'flaherty E; Nephrology Service, St. Vincent's Hospital, Melbourne, Australia., Ierino F; Nephrology Service, St. Vincent's Hospital, Melbourne, Australia., Langham R; St. Vincent's Hospital, University of Melbourne Department of Medicine, Melbourne, Australia., Ski CF; Department of Psychiatry, The University of Melbourne, Melbourne, Australia.; Integrated Care Academy, University of Suffolk, Ipswich, UK., Thompson DR; Department of Psychiatry, The University of Melbourne, Melbourne, Australia.; School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK., Castle DJ; Mental Health Services, St. Vincent's Hospital, Melbourne, Australia.; Centre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, Canada.; Department of Psychiatry, University of Toronto, Toronto, Canada. |
| Abstrakt: |
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. |
