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Quality of Life and Stressors in Patients with Chronic Kidney Disease Depending on Treatment

Published online by Cambridge University Press:  28 April 2015

Sonia Martínez-Sanchis ,
M. Consuelo Bernal ,
José V. Montagud ,
Anna Abad ,
Josep Crespo  and
Luis M. Pallardó
Sonia Martínez-Sanchis*
Affiliation:
Universidad de Valencia (Spain)
M. Consuelo Bernal
Affiliation:
Universidad de Valencia (Spain)
José V. Montagud
Affiliation:
ATENEU Associació-Fundació Dany Cerebral Adquirit (Spain)
Anna Abad
Affiliation:
Centro de Estimulación Infantil -CEI Valencia (Spain)
Josep Crespo
Affiliation:
Hospital Dr Peset (Spain)
Luis M. Pallardó
Affiliation:
Hospital Dr Peset (Spain)
*
*Correspondence concerning this article should be addressed to Sonia Martínez-Sanchis. Departamento de Psicobiología. Universidad de Valencia. Avenida Blasco Ibáñez 21. 46010. Valencia (Spain). E-mail: [email protected]
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Abstract

This study evaluated health-related quality of life (HRQOL) in a Spanish sample of chronic kidney disease patients (n = 90) undergoing different renal replacement therapies, considering the influence of treatment stressors, mood, anxiety and quality of sleep. While all patients had worse physical functioning than controls (p < .01), only those undergoing haemodialysis (HD) showed worse physical well-being, occupational functioning, spiritual fulfillment and more health interference with work (p < .05). They also obtained higher depression scores than renal transplant patients (TX) (p = .005). Those TX receiving the immunosuppressor sirolimus exhibited more cardiac/renal, cognitive and physical limitations than the rest (p < .05). Dialysis vintage correlated positively with sleep disturbances and depression scores and negatively with total Quality of Life (QLI) (p < .05). HD patients experienced more psychological distress than peritoneal dialysis patients (PD) (p = .036). Regression models including sleep, anxiety and depression were estimated for subscales of HRQOL. In TX patients, low depressive scores related to an optimal QLI in almost all subscales, while in HD patients they explained part of the variability in psychological well-being, interpersonal functioning and personal fulfillment. HD condition results in a QLI more distant to the standards of controls.

Keywords

health-related quality of liferenal substitutive treatmentschronic kidney diseasestressors
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 18 , 2015 , E25
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2015 

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