Tags

Type your tag names separated by a space and hit enter

Religious coping methods predict depression and quality of life among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study.
BMC Nephrol 2017; 18(1):197BN

Abstract

BACKGROUND

Poor quality of life (QOL) and a high prevalence of depression have been identified among end-stage renal disease (ESRD) patients undergoing hemodialysis (HD). We aimed to evaluate the associations between religious/spiritual (R/S) coping methods and both QOL and depression among ESRD patients undergoing hemodialysis (HD).

METHODS

The sample included 161 ESRD patients over 18 years of age who had been undergoing HD for more than 3 months. R/S coping methods were assessed using the Religious Coping Questionnaire (RCOPE). The RCOPE generates scores (from 1 to 5) for positive and negative R/S coping methods. The higher the score, the more frequent the use of that coping method. Depression was evaluated using the 20-item version of the Center for Epidemiologic Studies Depression Scale (CES-D). Scores on the CES-D range from 0 to 60. A cutoff of 18 was used to define depression. QOL was evaluated using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36); this survey was used to generate scores for the eight dimensions of QOL, which can vary from 0 (worst) to 100 (best).

RESULTS

We identified a depression prevalence of 27.3%. Positive R/S coping scores were higher among non-depressed than depressed patients (2.98 vs. 2.77; p = 0.037). Positive R/S coping scores were negatively correlated with depression scores (r = -0.200; p = 0.012) and were an independent protective factor for depression (OR = 0.13; CI 95% = 0.02-0.91; p = 0.039). Regarding QOL, a positive correlation was identified between positive R/S coping scores and scores related to general health (r = 0.171; p = 0.030) and vitality (r = 0.183; p = 0.019), and an inverse correlation was identified between negative R/S coping scores and scores in the social functioning (r = -0.191; p = 0.015) and mental health (r = -0.214; p = 0.006) dimensions. In addition, positive R/S coping scores were an independent predictor of higher scores in the bodily pain (β = 14.401; p = 0.048) and vitality (β = 12.580; p = 0.022) dimensions. In contrast, negative R/S coping scores independently predicted lower social functioning scores (β = -21.158; p = 0.017).

CONCLUSIONS

Our results provide further evidence suggesting that R/S coping methods may be associated with QOL and depression among HD patients. In our opinion, the use of religious resources should be encouraged among HD patients, and psycho-spiritual interventions should be attempted to target religious struggles (negative R/S coping) in patients undergoing HD.

Authors+Show Affiliations

Graduate Program in Health Sciences, Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil. prsantos@fortalnet.com.br. Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil. prsantos@fortalnet.com.br. , Rua Tenente Amauri Pio, 380 apt. 900, Fortaleza, CE, CEP 60.160-090, Brazil. prsantos@fortalnet.com.br.Graduate Program in Health Sciences, Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil.Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil.Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil.Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil.Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28623903

Citation

Santos, Paulo Roberto, et al. "Religious Coping Methods Predict Depression and Quality of Life Among End-stage Renal Disease Patients Undergoing Hemodialysis: a Cross-sectional Study." BMC Nephrology, vol. 18, no. 1, 2017, p. 197.
Santos PR, Capote Júnior JRFG, Cavalcante Filho JRM, et al. Religious coping methods predict depression and quality of life among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study. BMC Nephrol. 2017;18(1):197.
Santos, P. R., Capote Júnior, J. R. F. G., Cavalcante Filho, J. R. M., Ferreira, T. P., Dos Santos Filho, J. N. G., & da Silva Oliveira, S. (2017). Religious coping methods predict depression and quality of life among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study. BMC Nephrology, 18(1), p. 197. doi:10.1186/s12882-017-0619-1.
Santos PR, et al. Religious Coping Methods Predict Depression and Quality of Life Among End-stage Renal Disease Patients Undergoing Hemodialysis: a Cross-sectional Study. BMC Nephrol. 2017 Jun 17;18(1):197. PubMed PMID: 28623903.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Religious coping methods predict depression and quality of life among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study. AU - Santos,Paulo Roberto, AU - Capote Júnior,José Roberto Frota Gomes, AU - Cavalcante Filho,José Renan Miranda, AU - Ferreira,Ticianne Pinto, AU - Dos Santos Filho,José Nilson Gadelha, AU - da Silva Oliveira,Stênio, Y1 - 2017/06/17/ PY - 2016/06/02/received PY - 2017/06/12/accepted PY - 2017/6/19/entrez PY - 2017/6/19/pubmed PY - 2018/4/4/medline KW - Depression KW - Quality of life KW - Religion and medicine KW - Renal dialysis KW - Spirituality SP - 197 EP - 197 JF - BMC nephrology JO - BMC Nephrol VL - 18 IS - 1 N2 - BACKGROUND: Poor quality of life (QOL) and a high prevalence of depression have been identified among end-stage renal disease (ESRD) patients undergoing hemodialysis (HD). We aimed to evaluate the associations between religious/spiritual (R/S) coping methods and both QOL and depression among ESRD patients undergoing hemodialysis (HD). METHODS: The sample included 161 ESRD patients over 18 years of age who had been undergoing HD for more than 3 months. R/S coping methods were assessed using the Religious Coping Questionnaire (RCOPE). The RCOPE generates scores (from 1 to 5) for positive and negative R/S coping methods. The higher the score, the more frequent the use of that coping method. Depression was evaluated using the 20-item version of the Center for Epidemiologic Studies Depression Scale (CES-D). Scores on the CES-D range from 0 to 60. A cutoff of 18 was used to define depression. QOL was evaluated using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36); this survey was used to generate scores for the eight dimensions of QOL, which can vary from 0 (worst) to 100 (best). RESULTS: We identified a depression prevalence of 27.3%. Positive R/S coping scores were higher among non-depressed than depressed patients (2.98 vs. 2.77; p = 0.037). Positive R/S coping scores were negatively correlated with depression scores (r = -0.200; p = 0.012) and were an independent protective factor for depression (OR = 0.13; CI 95% = 0.02-0.91; p = 0.039). Regarding QOL, a positive correlation was identified between positive R/S coping scores and scores related to general health (r = 0.171; p = 0.030) and vitality (r = 0.183; p = 0.019), and an inverse correlation was identified between negative R/S coping scores and scores in the social functioning (r = -0.191; p = 0.015) and mental health (r = -0.214; p = 0.006) dimensions. In addition, positive R/S coping scores were an independent predictor of higher scores in the bodily pain (β = 14.401; p = 0.048) and vitality (β = 12.580; p = 0.022) dimensions. In contrast, negative R/S coping scores independently predicted lower social functioning scores (β = -21.158; p = 0.017). CONCLUSIONS: Our results provide further evidence suggesting that R/S coping methods may be associated with QOL and depression among HD patients. In our opinion, the use of religious resources should be encouraged among HD patients, and psycho-spiritual interventions should be attempted to target religious struggles (negative R/S coping) in patients undergoing HD. SN - 1471-2369 UR - https://www.unboundmedicine.com/medline/citation/28623903/Religious_coping_methods_predict_depression_and_quality_of_life_among_end_stage_renal_disease_patients_undergoing_hemodialysis:_a_cross_sectional_study_ L2 - https://www.biomedcentral.com/1471-2369/18/197 DB - PRIME DP - Unbound Medicine ER -