Key result
Psychosocial disorders, particularly anxiety symptoms (Standardized Beta -0.425), and higher cognition levels were independent predictors of poorer quality of life among chronic hemodialysis patients.
Why the study?
The study was conducted to examine the association of several psychosocial disorders with quality of life among chronic hemodialysis patients.
Cross-Sectional (n=101)
Yes
Effect estimate: Standardized Beta -0.425 for anxiety
p-value: p=0.001
Psychosocial disorders, particularly anxiety, and surprisingly better cognitive function, are independent predictors of poorer quality of life among chronic hemodialysis patients.
Anxiety symptoms may flag hemodialysis patients for psychosocial support; hypothesis-generating from cross-sectional data and needs prospective validation.
OBJECTIVES: To examine the association of several psychosocial disorders with quality of life (QoL) among chronic hemodialysis patients. METHODS: A cross-sectional observational study was conducted in 2018 and recruited chronic hemodialysis patients from 3 major hemodialysis centers in Riyadh, Kingdom of Saudi Arabia (KSA). Quality of life was assessed using a previously validated Arabic version of the dialysis version-III of the QoL index. RESULTS: A total of 101 patients (56 males and 45 females) were included. The mean age was 54.0±12.3 years. The overall mean of QoL was 88.8/100 points (out of 100). The family (95.0%) and psychological/spiritual (94.7%) domains had the highest scores. The prevalence of psychosocial disorders was 24.8% for depressive symptoms, 15.8% for anxiety symptoms, 88.1% for cognitive impairment, 76.8% for insecure attachment style, and 38.6% for medium/high severity of somatic symptoms. All psychosocial disorders and higher cognition level were negatively correlated with QoL (Spearman correlation r ranged between -0.228- -0.468). After adjusting for sociodemographic and clinical characteristics, anxiety symptoms and higher cognition level were independent predictors of poor QoL, while marital status (married) was an independent predictor of good QoL. CONCLUSION: We report higher QoL and relatively better psychosocial profiles among current chronic hemodialysis patients than reported before. Psychosocial disorders specially anxiety can negatively impact QoL. Patients who were not cognitively impaired were more negatively affected in QOL. The findings re-emphasize the importance of the early detection and management of psychosocial disorders to improve QoL in chronic hemodialysis patients.
No takes yet. Share an insight, caveat, or question.
Alosaimi et al. (2020) conducted a cross-sectional in End-stage renal disease on chronic hemodialysis (n=101). Psychosocial disorders (anxiety, depression, cognitive impairment, insecure attachment, somatic symptoms) vs. Absence or lower severity of psychosocial disorders was evaluated on Quality of life (QoL) index score (Standardized Beta -0.425 for anxiety, p=0.001). Psychosocial disorders, particularly anxiety symptoms (Standardized Beta -0.425), and higher cognition levels were independent predictors of poorer quality of life among chronic hemodialysis patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: