Stressors, coping and depression in haemodialysis patients

Authors: Welch J.L.; Austin J.K.

Source: Journal of Advanced Nursing, Volume 33, Number 2, January 2001 , pp. 200-207(8)

Publisher: Wiley-Blackwell

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Abstract:

Stressors, coping and depression in haemodialysis patients

Background: Depression is common in persons receiving outpatient haemodialysis, but little work has been done to explore the variables associated with depression.

Aims: The primary purposes of this study were to (i) examine relationships among stressors, coping and depression and (ii) test the mediating role of coping.

Design/Methods: Data were collected at two points in time, three months apart in 1995/1996. The final convenience sample at Time 2 was 86 participants from two United States midwestern, inner-city dialysis units. Structured interviews were conducted using the Centre for Epidemiologic Studies Depression Scale, the haemodialysis stressor scale (HSS) and the coping strategy indicator.

Results: At Time 1 more psychosocial stressors were associated with greater use of problem-solving, social-support and avoidance coping. Both avoidance coping and more psychosocial stressors at Time 1 were related to depression at Time 2. Finally, avoidance coping was found to explain much of the relationship between psychosocial stressors and depression.

Conclusions: Research is now needed that explicates the causal relationships among stress, coping and depression in haemodialysis patients.

Keywords: women; chronic illness; symptom perception; symptom evaluation; symptom management; integrative review; coping; self-care strategies; practice implications

Language: English

Document Type: Research article

Publication date: 2001-01-01