Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-10T09:38:13.880Z Has data issue: false hasContentIssue false
  • English
  • Français

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: sonia.mtnez-sanchis@uv.es
Get access Rights & Permissions [Opens in a new window]

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 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alavi, N. M., Aliakbarzadeh, Z., & Sharifi, K. (2009). Depression, anxiety, activities of daily living, and quality of life scores in patients undergoing renal replacement therapies. Transplantation Proceedings, 41, 3693–3396. http://dx.doi.org/10.1016/j.transproceed.2009.06.217 Google Scholar
Alonso, J., Prieto, L., & Antó, J. M. (1995). La versión española del SF-36 Health Survey (Cuestionario de salud SF-36): Un instrumento para la medida de los resultados clínicos [The Spanish version of the SF-36 Health Survey (SF Health Questionnaire-36): An instrument for measuring clinical outcomes]. Medicina Clínica, 104, 771–776.Google Scholar
Alvares, J., Cesar, C. C., Acurcio, F. de A., Andrade, E. I., & Cherchiglia, M. L. (2012). Quality of life of patients in renal replacement therapy in Brazil: Comparison of treatment modalities. Quality of Life Research, 21, 983–991. http://dx.doi.org/10.1007/s11136-011-0013-6 CrossRefGoogle ScholarPubMed
Avramovic, M., & Stefanovic, V. (2012). Health-related quality of life in different stages of renal failure. Artificial Organs, 36, 581–589. http://dx.doi.org/10.1111/j.1525-1594.2011.01429.x CrossRefGoogle ScholarPubMed
Baldree, K., Murphy, S., & Powers, M. (1982). Stress identification and coping patterns in patients on hemodialysis. Nursing Research, 31, 107–112.Google Scholar
Bertrand, D., Desbuissons, G., Pallet, N., Debure, A., Sartorius, A., Anglicheau, D., … Sberro-Soussan, R. (2013). Sirolimus therapy may cause cardiac tamponade. Transplant International, 26, e4–e7. http://dx.doi.org/10.1111/tri.12025 Google Scholar
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213. http://dx.doi.org/10.1016/0165-1781(89)90047-4 CrossRefGoogle ScholarPubMed
Cameron, J. I., Whiteside, C., Katz, J., & Devins, G. M. (2000). Differences in quality of life across renal replacement therapies: A meta-analytic comparison. American Journal of Kidney Disease, 35, 629–637. http://dx.doi.org/10.1016/S0272-6386(00)70009-6 CrossRefGoogle ScholarPubMed
Chen, C. K., Tsai, Y. C., Hsu, H. J., Wu, I. W., Sun, C. Y., Chou, C. C., …Wang, L. J. (2010). Depression and suicide risk in hemodialysis patients with chronic renal failure. Psychosomatics, 51, 528–528. http://dx.doi.org/10.1016/S0033-3182(10)70747-7 Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2 nd Edition). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Eryavuz, N., Yuksel, S., Acarturk, G., Uslan, I., Demir, S., Demir, M., & Sezer, T. (2008). Comparison of sleep quality between hemodialysis and peritoneal dialysis patients. International Urology and Nephrology, 40, 785–791. http://dx.doi.org/10.1007/s11255-008-9359-2 Google Scholar
Feroze, U., Martin, D., Reina-Patton, A., Kalantar-Zadeh, K., & Kopple, J. K. (2010). Mental health, depression, and anxiety in patients on maintenance dialysis. Iranian Journal of Kidney Diseases, 4, 173–180.Google Scholar
Field, A. P. (2005). Discovering statistics using SPSS (2 nd Edition). Thousand Oaks, CA: SAGE Publications.Google Scholar
Franke, G. H., Reimer, J., Kohnle, M., Luetkes, P., Maehner, N., & Heemann, U. (1999). Quality of life in end-stage renal disease patients after successful kidney transplantation: Development of the ESRD symptom checklist transplantation module. Nephron, 83, 31–39. http://dx.doi.org/10.1159/000045470 Google Scholar
Franke, G. H., Yücetin, L., Yaman, H., Reimer, J., & Demirbas, A. (2006). Disease-specific quality of life in Turkish patients after successful kidney transplantation. Transplantation Proceedings, 38, 457–459. http://dx.doi.org/10.1016/j.transproceed.2005.12.110 Google Scholar
Fructuoso, M., Castro, R., Oliverira, I., Prata, C., & Morgado, T. (2011). Quality of life in chronic kidney disease. Nefrología, 31, 91–96.Google Scholar
Harris, S. A., Lamping, D. L., Brown, E. A., & Constantinovici, N. (2002). Clinical outcomes and quality of life in elderly patients on peritoneal dialysis versus hemodialysis. Peritoneal Dialysis International, 22, 463–470.Google Scholar
Herrero, M. J., Blanch, J., Peri, J. M., De Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General Hospital Psychiatry, 25, 277–283. http://dx.doi.org/10.1016/S0163-8343(03)00043-4 CrossRefGoogle Scholar
Howden, E. J., Fassett, R. G., Isbel, N. M., & Coombes, J. S. (2012). Exercise training in chronic kidney disease patients. Sports Medicine, 42, 473–488. http://dx.doi.org/10.2165/11630800-000000000-00000 Google Scholar
Krishnan, A. V., & Kiernan, M. C. (2009). Neurological complications of chronic kidney disease. Nature Reviews Neurology, 5, 542–551. http://dx.doi.org/10.1038/nrneurol.2009.138 Google Scholar
Lamping, D. L., Constantinovici, N., Roderick, P., Normand, C., Henderson, L., Harris, S., … Victor, C. (2000). Clinical outcomes, quality of life, and costs in the North Thames Dialysis Study of elderly people on dialysis: A prospective cohort study. Lancet, 356, 1543–1550. http://dx.doi.org/10.1016/S0140-6736(00)03123-8 Google Scholar
Liem, Y. S., Bosch, J. L., Arends, L. R., Heijenbrok-Kal, M. H., & Hunink, M. G. (2007). Quality of life assessed with the Medical Outcomes Study Short Form 36-Item health survey of patients on renal replacement therapy: A systematic review and meta-analysis. Value in Health, 10, 390–397. http://dx.doi.org/10.1111/j.1524-4733.2007.00193.x Google Scholar
López Revuelta, K., García López, F. J., De Alvaro Moreno, F., & Alonso, J. (2004). Perceived mental health at the start of dialysis as a predictor of morbidity and mortality in patients with end-stage renal disease (CALVIDIA Study). Nephrology Dialysis Transplantion, 19, 2347–2353. http://dx.doi.org/10.1093/ndt/gfh392 Google Scholar
Macías, F. J., & Royuela, R. A. (1996). La versión española del Índice de Calidad de Sueño de Pittsburgh [Spanish version of the Pittsburgh Sleep Quality Index]. Informaciones Psiquiátricas, 146, 465–472.Google Scholar
Manson, S. C., Brown, R. E., Cerulli, A., & Fernandez Vidaurre, C. (2009). The cumulative burden of oral corticosteroid side effects and the economic implications of steroid use. Respiratory Medicine, 103, 975–994. http://dx.doi.org/10.1016/j.rmed.2009.01.003 Google Scholar
Mansour, A. A., Odaa, A. H., & Wanoose, H. L. (2010). Corticosteroid nonprescription use: A cross-sectional hospital-based study in Basrah. Medical Principles and Practice, 19, 182–187. http://dx.doi.org/10.1159/000285283 Google Scholar
Martínez-Sanchis, S., Bernal, M. C., Montagud, J. V., Candela, G., Crespo, J., Sancho, A., & Pallardo, J. L. (2011). Effects of immunosuppressive drugs on the cognitive functioning of renal transplant recipient: A pilot study. Journal of Clinical and Experimental Neuropsychology, 33, 1016–1024. http://dx.doi.org/10.1080/13803395.2011.595396 CrossRefGoogle ScholarPubMed
Matesanz, R., Domínguez-Gil, B., Coll, E., de la Rosa, G., & Marazuela, R. (2011). Spanish experience as a leading country: What kind of measures were taken? Transplant International, 24, 333–343. http://dx.doi.org/10.1111/j.1432-2277.2010.01204.x Google Scholar
Mezzich, J. E., Ruipérez, M. A., Pérez, C., Yoon, G., Liu, J., & Mahmud, S. (2000). The Spanish version of the quality of life index: Presentation and validation. The Journal of Nervous and Mental Disease, 188, 301–305. http://dx.doi.org/10.1097/00005053-200005000-00008 Google Scholar
Mittal, S. K., Ahern, L., Flaster, E., Maesaka, J. K., & Fishbane, S. (2001). Self-assessed physical and mental function of haemodialysis patients. Nephrology Dialysis Transplantation, 16, 1387–1394. http://dx.doi.org/10.1093/ndt/16.7.1387 Google Scholar
Ortega, T., Valdés, C., Rebollo, P., & Ortega, F. (2007). Evaluation of reliability and validity of Spanish version of the end-stage renal disease symptom checklist-transplantation module. Transplantation, 84, 1428–1435. http://dx.doi.org/10.1097/01.tp.0000290231.39240.df Google Scholar
Østhus, T. B. H., Preljevic, V. T., Sandvik, L., Leivestad, T., Nordhus, I. H., Dammen, T., & Os, I. (2012). Mortality and health-related quality of life in prevalent dialysis patients: Comparison between 12-items and 36-items short-form health survey. Health and Quality of Life Outcomes, 10. http://www.hqlo.com/content/10/1/46 Google Scholar
Overbeck, I., Bartels, M., Decker, O., Harms, J., Hauss, J., & Fangmann, J. (2005). Changes in quality of life after renal transplantation. Transplantation Proceedings, 37, 1618–1621. http://dx.doi.org/10.1016/j.transproceed.2004.09.019 Google Scholar
Riis, J., Loewenstein, G., Baron, J., Jepson, C., Fagerlin, A., & Ubel, P. A. (2005). Ignorance of hedonic adaptation to hemodialysis: A study using ecological momentary assessment. Journal of Experimental Psychology: General, 134, 3–9. http://dx.doi.org/10.1037/0096-3445.134.1.3 Google Scholar
Sayin, A., Mutluay, R., & Sindel, S. (2007). Quality of life in hemodialysis, peritoneal dialysis, and transplantation patients. Transplantation Proceedings, 39, 3047–3053. http://dx.doi.org/10.1016/j.transproceed.2007.09.030 Google Scholar
Spoletini, I., Vitale, C., Malorni, W., & Rosano, G. M. (2012). Sex differences in drug effects: Interaction with sex hormones in adult life. Handbook of Experimental Pharmacology, 214, 91–105. http://dx.doi.org/10.1007/978-3-642-30726-3_5 CrossRefGoogle Scholar
Suls, J., & Rothman, A. (2004). Evolution of the biopsychosocial model: Prospects and challenges for health psychology. Health Psychology, 23, 119–125. http://dx.doi.org/10.1037/0278-6133.23.2.119 Google Scholar
Vázquez, I., Valderrábano, F., Fort, J., Jofré, R., López-Gómez, J. M., Moreno, F., & Sanz-Guajardo, D. (2005). Psychosocial factors and health-related quality of life in hemodialysis patients. Quality of Life Research, 14, 179–190. http://dx.doi.org/10.1007/s11136-004-3919-4 Google Scholar
Wang, T. J., Lin, M. Y., Liang, S. Y., Wu, S. F., Tung, H. H., & Tsay, S. L. (2014). Factors influencing peritoneal dialysis patients' psychosocial adjustment. Journal of Clinical Nursing. 23, 82–90. http://dx.doi.org/10.1111/jocn.12045 Google Scholar
Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short form health survey (SF-36). Medical Care, 30, 473–483. http://dx.doi.org/10.1097/00005650-199206000-00002 Google Scholar
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA, 273, 59–65. http://dx.doi.org/10.1001/jama.1995.03520250075037 Google Scholar
Ye, X. Q., Chen, W. Q., Lin, J. X., Wang, R. P., Zhang, Z. H., Yang, X., & Yu, X. Q. (2008). Effect of social support on psychological-stress-induced anxiety and depressive symptoms in patients receiving peritoneal dialysis. Journal of Psychosomatic Research, 65, 157–164. http://dx.doi.org/10.1016/j.jpsychores.2008.04.007 Google Scholar
Zigmond, A. S., & Snaith, R. P. (1983). The hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x CrossRefGoogle ScholarPubMed