Abstract
Background
The aim of this study was to explore the effect of kidney transplantation (KT) on
psychological distress and quality of life (QoL) in patients with end-stage kidney
disease using the Common Sense Model of illness adjustment.
Materials and Methods
A total of 52 individuals (35 men and 17 women) with an average age of 53.54 years
from a large metropolitan nephrology outpatient clinic participated.
Results
Poorer health status, illness perceptions and increased engagement in maladaptive
coping were associated with psychological distress (specifically anxiety and depression)
and poorer QoL. Hierarchical regression, after correcting for KT characteristics (years
since most recent KT, number of transplants) indicated that poorer illness status
and illness perception predicted QoL. After controlling for KT characteristics, poorer
illness status and greater engagement in maladaptive coping predicted depression.
In contrast, poorer illness perceptions and greater engagement in maladaptive coping
predicted anxiety. Adaptive problem-focused and emotion-focused coping styles were
not found to predict anxiety, depression or QoL.
Conclusions
The finding of the present study emphasize on the importance of exploring and understanding
the effect of illness status, illness perceptions and coping patterns in patients
who have underwent KT.
Key Indexing Terms
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Article info
Publication history
Accepted:
October 22,
2015
Received:
July 28,
2015
Footnotes
☆The authors have no financial or other conflicts of interest to disclose.
Identification
Copyright
© 2016 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
