Health-related quality of life in chronic kidney desease: Predictive relevance of mood and somatic symptoms
Autor: | Stefan Duschek, Gustavo A. Reyes del Paso, Carmen M. Perales Montilla |
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Rok vydání: | 2016 |
Předmět: |
Chronic renal disease
medicine.medical_specialty Síntomas somáticos Health-related quality of life 030232 urology & nephrology Anxiety lcsh:RC870-923 Hospital Anxiety and Depression Scale Ansiedad 03 medical and health sciences 0302 clinical medicine Quality of life Depresión Internal medicine medicine 030212 general & internal medicine Enfermedad renal crónica Depression (differential diagnoses) Calidad de vida relacionada con la salud Health related quality of life Kidney Hemodiálisis Depression business.industry Somatic symptoms lcsh:Diseases of the genitourinary system. Urology humanities Haemodialysis Mood medicine.anatomical_structure Nephrology Physical therapy medicine.symptom business |
Zdroj: | Nefrología (English Edition), Vol 36, Iss 3, Pp 275-282 (2016) |
ISSN: | 2013-2514 |
DOI: | 10.1016/j.nefroe.2016.06.003 |
Popis: | Objective To compare the predictive capacity of self-reported somatic symptoms and mood (depression and anxiety) on health-related quality of life (HRQoL) in patients with chronic renal disease. Method Data were obtained from 52 patients undergoing haemodialysis. Measures included (a) the SF-36 health survey, (b) the somatic symptoms scale revised (ESS-R) and (c) the hospital anxiety and depression scale (HADS). Multiple regression was the main method of statistical analysis. Results Patients exhibited HRQoL levels below normative values, with anxiety and depression prevalence at 36.5% and 27%, respectively. Mood was the strongest predictor of physical ( β = −.624) and mental ( β = −.709) HRQoL. Somatic symptoms were also associated with physical HRQoL, but their predictive value was weaker ( β = −.270). Conclusions These results indicate that mood is a superior predictor of the physical and mental components of HRQoL in patients compared with the number and severity of physical symptoms. The data underline the importance of assessing negative emotional states (depression and anxiety) in kidney patients as a basis for intervention, which may facilitate reduction of the impact of chronic renal disease on HRQoL. |
Databáze: | OpenAIRE |
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