Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients

Depression and anxiety are highly prevalent psychological disorders in end-stage renal disease (ESRD) that have a negative clinical impact. The purpose of our study was to identify factors associated with the presence of depression and anxiety, in a sample of ESRD patients treated with hemodialysis....

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Autores principales:	Cristina J. González-Flores, Guillermo García-García, Abel Lerma, Héctor Pérez-Grovas, Rosa M. Meda-Lara, Rebeca M. E. Guzmán-Saldaña, Claudia Lerma
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	anxiety cognitive distortions depression dialysis ESRD quality of life Medicine R
Acceso en línea:	https://doaj.org/article/dd7af30b1f0c4a1eb0daa51ef07f8d22
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spelling	oai:doaj.org-article:dd7af30b1f0c4a1eb0daa51ef07f8d222021-11-25T17:49:48ZResilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients10.3390/ijerph1822119571660-46011661-7827https://doaj.org/article/dd7af30b1f0c4a1eb0daa51ef07f8d222021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11957https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Depression and anxiety are highly prevalent psychological disorders in end-stage renal disease (ESRD) that have a negative clinical impact. The purpose of our study was to identify factors associated with the presence of depression and anxiety, in a sample of ESRD patients treated with hemodialysis. We included 187 patients from two dialysis facilities, age 18–65 years. Beck’s depression and anxiety inventories, KDQOL36 questionnaire, the cognitive distortion scale and the Mexican scale of resilience were used. Socio-demographic and clinical information was obtained from medical records. Depression was present in 143 (76.4%) patients. Patient with depression were older (33 (26–52) years vs. 30 (24.43) years, <i>p</i> = 0.025), had a lower education level (36% vs. 9%, <i>p</i> = 0.001), used more medications (67% vs. 36%, <i>p</i> = 0.001), had a comorbidity (75% vs. 41%, <i>p</i> = 0.001), and a higher proportion were waiting for a kidney transplant. Anxiety was present in 112 (59.8%) cases. By multivariate analysis, depression was independently associated with lower education, absence of previous kidney transplant, anxiety, higher cognitive distortion, lower psychological resilience, and lower quality of life scores. In conclusion, lower psychological resilience, lower education level, and higher cognitive distortions are factors associated with depression and anxiety in ESRD patients.Cristina J. González-FloresGuillermo García-GarcíaAbel LermaHéctor Pérez-GrovasRosa M. Meda-LaraRebeca M. E. Guzmán-SaldañaClaudia LermaMDPI AGarticleanxietycognitive distortionsdepressiondialysisESRDquality of lifeMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11957, p 11957 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anxiety cognitive distortions depression dialysis ESRD quality of life Medicine R
spellingShingle	anxiety cognitive distortions depression dialysis ESRD quality of life Medicine R Cristina J. González-Flores Guillermo García-García Abel Lerma Héctor Pérez-Grovas Rosa M. Meda-Lara Rebeca M. E. Guzmán-Saldaña Claudia Lerma Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients
description	Depression and anxiety are highly prevalent psychological disorders in end-stage renal disease (ESRD) that have a negative clinical impact. The purpose of our study was to identify factors associated with the presence of depression and anxiety, in a sample of ESRD patients treated with hemodialysis. We included 187 patients from two dialysis facilities, age 18–65 years. Beck’s depression and anxiety inventories, KDQOL36 questionnaire, the cognitive distortion scale and the Mexican scale of resilience were used. Socio-demographic and clinical information was obtained from medical records. Depression was present in 143 (76.4%) patients. Patient with depression were older (33 (26–52) years vs. 30 (24.43) years, <i>p</i> = 0.025), had a lower education level (36% vs. 9%, <i>p</i> = 0.001), used more medications (67% vs. 36%, <i>p</i> = 0.001), had a comorbidity (75% vs. 41%, <i>p</i> = 0.001), and a higher proportion were waiting for a kidney transplant. Anxiety was present in 112 (59.8%) cases. By multivariate analysis, depression was independently associated with lower education, absence of previous kidney transplant, anxiety, higher cognitive distortion, lower psychological resilience, and lower quality of life scores. In conclusion, lower psychological resilience, lower education level, and higher cognitive distortions are factors associated with depression and anxiety in ESRD patients.
format	article
author	Cristina J. González-Flores Guillermo García-García Abel Lerma Héctor Pérez-Grovas Rosa M. Meda-Lara Rebeca M. E. Guzmán-Saldaña Claudia Lerma
author_facet	Cristina J. González-Flores Guillermo García-García Abel Lerma Héctor Pérez-Grovas Rosa M. Meda-Lara Rebeca M. E. Guzmán-Saldaña Claudia Lerma
author_sort	Cristina J. González-Flores
title	Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients
title_short	Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients
title_full	Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients
title_fullStr	Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients
title_full_unstemmed	Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients
title_sort	resilience: a protective factor from depression and anxiety in mexican dialysis patients
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/dd7af30b1f0c4a1eb0daa51ef07f8d22
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_version_	1718412016278831104

Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients

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