ANXIETY, DEPRESSION, FAMILY INCIVILITY, AND QUALITY OF LIFE AMONG HEMODIALYSIS PATIENTS
Main Article Content
Keywords
Anxiety, depression, family incivility, quality of life, hemodialysis patients
Abstract
The current study aimed to investigate the relationship between anxiety, depression, family incivility, and quality of life among hemodialysis patients. Predictors of the quality of life were also determined. A correlational research design and survey method were used. Participants (N = 100) were approached through a purposive sampling technique. A demographic information sheet, the Pakistan Anxiety and Depression Questionnaire, the Family Incivility Scale, and the World Health Organization Quality of Life Scale- 26 (WHOQOL-26) were used for data collection. The Cronbach alpha reliability coefficient results show a satisfactory level of internal consistency of the scales. The findings of the person product-moment correlation indicated that anxiety, depression, family incivility, and social relations have a significant positive relationship with high magnitude. In contrast, these variables have a significant inverse relationship with quality of life, physical health, psychological, and environmental factors. Predictive variables accounted for 36 % accumulative variances in the outcome variables, demonstrating that 64 % of unknown variables must be investigated in further studies. Implications of the study have been discussed in the cultural context of Pakistan.
References
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29. Lim, S., & Tai, K. (2014). Family incivility and job performance: A moderated mediation model of psychological distress and core self-evaluation. Journal of Applied Psychology, 99(2), 351-359.
30. Motalebi, S. A., Yousefi, B., Hosseinpoor, F., & Hosseinigolafshani, S. (2022). Predictors of Happiness Among Hemodialysis Patients.
31. Mousa., Ibrahim., Ataba., Raed., Al-ali., Khaled., Alkaiyat., Abdulsalam., Zyoud.,. . . & Sa'ed. (2018). Dialysis-related factors affecting self-efficacy and quality of life in patients on hemodialysis: a cross-sectional study from Palestine. Renal Replacement Therapy. 4. 10.
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34. Nabolsi, M., Wardam, L., & Al-Halabi, J. (2013). Quality of life, depression, adherence to treatment, and illness perception of patients on hemodialysis. International Journal of Nursing Practice, 21(1), 1-10.
35. Naderifar, M., Tafreshi, M., Ilkhani, M., Akbarizadeh, M., & Ghaljaei, F. (2018). Correlation between quality of life and adherence to treatment in hemodialysis patients. Journal of Renal Injury Prevention, 8(1), 22-27.
36. Nadort, E., Schouten, R. W., Witte, S. H., Broekman, B. F., Honig, A., Siegert, C. E., & van Oppen, P. (2020). Treatment of current depressive symptoms in dialysis patients: a systematic review and meta-analysis. General Hospital Psychiatry, 67, 26-34.
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42. Samoudi, A. F., Marzouq, M. K., Samara, A. M., Zyoud, S. E. H., & Al-Jabi, S. W. (2021). The impact of pain on the quality of life of patients with end-stage renal disease undergoing hemodialysis: a multicenter cross-sectional study from Palestine. Health and quality of life outcomes, 19(1), 1-10.
43. Schouten, R. W., Haverkamp, G. L., Loosman, W. L., Chandie Shaw, P. K., van Ittersum, F. J., Smets, Y., Vleming, L. J., Dekker, F. W., Honig, A., & Siegert, C. (2019). Anxiety Symptoms, Mortality, and Hospitalization in Patients Receiving Maintenance Dialysis: A Cohort Study. American journal of kidney diseases: the official journal of the National Kidney Foundation, 74(2), 158–166.
44. Senanayake, S., Gunawardena, N., Palihawadana, P., Senanayake, S., Karunarathna, R., Kumara, P., … & Kularatna, S. (2020). Health-related quality of life in chronic kidney disease; a descriptive study in a rural Sri Lankan community affected by chronic kidney disease. Health and quality of life Outcomes, 18(1).
45. Sharma, R., Khan, R., & Khan, R. (2020). Family incivility and mental health outcomes among hemodialysis patients. Journal of Renal Care, 44(2), 180–187.
46. Smith, J., Khan, R., & Khan, R. (2018). Prevalence and determinants of depressive symptoms among hemodialysis patients: A cross-sectional study. Journal of Renal Care, 42(4), 312–321.
47. Tao, X., Chow, S., Hai-fen, Z., Huang, J., Gu, A., Jin, Y., … & Li, N. (2020). Family caregiver's burden and the social support for older patients undergoing peritoneal dialysis. Journal of Renal Care, 46(4), 222–232.
48. World Health Organization (2000). The World Health Organization Quality of Life assessment (WHOQOL): the World Health Organization position paper. Soc Sci Med, 41(10),1403–1409.
49. World Health Organization. (2015). Prevalence of Chronic Kidney Disease and Its Impact on Public Health: A Global Update. Retrieved from https://www.who.int/chp/chronic-kidney-disease/prevalence/en/
50. Wu, X., Li, Y., Zhang, X., et al. (2015). Depressive symptoms and quality of life in hemodialysis patients: A meta-analysis. Nephrology, 20(4), 317–326.
51. Zeidabadi, S., Abbas, J., Mangolian Shahrbabaki, P., & Dehghan, M. (2022). The effect of foot reflexology on the quality of sexual life in hemodialysis patients: a randomized controlled clinical trial. Sexuality and Disability, 40(3), 567–581.
52. Zukerman, G., Maor, M., Reichard, T., & Ben-Itzhak, S. (2023). Beyond illness perception: the effects of psychological flexibility when coping with a chronic medical condition. Psychology, Health & Medicine, 28(7), 1795-1802.
2. Alshelleh, S., Alhouri, A., Taifour, A., Abu-Hussein, B., Alwreikat, F., Abdelghani, M., … & Oweis, A. (2022). Prevalence of depression and anxiety with their effect on the quality of life in chronic kidney disease patients. Scientific Reports, 12(1).
3. Alshraifeen, A., Al-Rawashdeh, S., Herth, K., Alnuaimi, K., Alzoubi, F., Khraim, F., & Ashour, A. (2020). The association between hope and quality of life in hemodialysis patients. British Journal of Nursing, 29(21), 1260–1265.
4. Anderson, M., Khan, R., & Khan, R. (2018). Anxiety among hemodialysis patients: A systematic review. Journal of Renal Care, 42(4), 305-315.
5. Auneau-Enjalbert, L., Hardouin, J. B., Blanchin, M., Giral, M., Morelon, E., Cassuto, E., ... & Sébille, V. (2020). Comparison of longitudinal quality of life outcomes in preemptive and dialyzed patients on the waiting list for kidney transplantation. Quality of Life Research, 29, 959-970.
6. Aylward, L., Johnson, M., & Vincent, G. (2018). Depression, anxiety, and quality of life in chronic kidney disease: A systematic review. Journal of Renal Nutrition, 28(4), 357–365.
7. Bakewell, A., Higgins, R. & Edmunds, M. (2002). Quality of life in peritoneal dialysis patients declines over time and is associated with clinical outcomes. Kidney International, pp. 61, 239–248.
8. Barzegar, H., Jafari, H., Charati, J. Y., & Esmaeili, R. (2017). Relationship between duration of dialysis and quality of life in hemodialysis patients. Iran J Psychiatry Behav Sci, 11(4), 2-6.
9. Bautovich, A., Katz, I., Loo, C. K., & Harvey, S. B. (2018). Beck Depression Inventory as a screening tool for depression in chronic hemodialysis patients. Australasian Psychiatry, 26(3), 281-284.
10. Bopaeda, M. M. A. (2022). Prevalence of Anxiety and Depression in Kidney Failure Patients Undergoing Hemodialysis. Journal of Medical and Health Studies, 3(1), 77–94.
11. Brito, D. C. S. D., Machado, E. L., Reis, I. A., Carmo, L. P. D. F. D., & Cherchiglia, M. L. (2019). Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study. Sao Paulo Medical Journal, 137, 137-147.
12. Butt, M. D., Butt, R. Z., Butt, F. Z., Rasool, F., Ramzan, B., & Ong, S. C. (2021). Prevalence of Depression, Adherence, and Quality of Life in Advance Chronic Kidney Disease and Hemodialysis Patients: A Prospective Follow-up Study.
13. Elhadad, A. A., Ragab, A. Z. E. A., & Atia, S. A. A. (2020). Psychiatric comorbidity and quality of life in patients undergoing hemodialysis. Middle East Current Psychiatry, 27(1), 1-8.
14. Espelage, D. L., Spitzberg, B. H., and Craig, W. M. (2016). Family incivility: A conceptual review and guidelines for assessment. Journal of Marriage and Family, 78(4), 1026-1044.
15. Fradelos, E. (2020). Clinical and demographic factors affect quality of life in end-stage renal disease. A multicenter cross-sectional study. Journal of Renal and Hepatic Disorders, 4(1), 1–9.
16. Gerogianni, G., Lianos, E., Kouzoupis, A., Polikandrioti, M., & Grapsa, E. (2018). The role of socio-demographic factors in depression and anxiety of patients on hemodialysis: an observational cross-sectional study. International urology and nephrology, 50, 143-154.
17. Gerogianni, G., Polikandrioti, M., Babatsikou, F., Zyga, S., Alikari, V., Vasilopoulos, G., … & Grapsa, E. (2019). anxiety–depression of dialysis patients and their caregivers. Medicina, 55(5), 168.
18. Goyal, E., Chaudhury, S., & Saldanha, D. (2018). Psychiatric comorbidity in patients undergoing hemodialysis. Industrial Psychiatry Journal, 27(2), 206–212.
19. Halili, S. A., Kharaj, M., Sabetnia, L., Hayati, F., & Pourshams, M. (2021). Relationship Between Depression and Its Severity with Dialysis Adequacy in Hemodialysis Patients in Ahvaz Teaching Hospitals. Jundishapur Journal of Chronic Disease Care, 10(4).
20. Hamdi Elzeiny, H., & Mahmoud Mohamed El-Emary, F. (2023). Efficacy of Psychological Interventions in Reducing the Prevalence and Intensity of Depression in Patients with Long-Term Hemodialysis. Egyptian Journal of Health Care, 14(1), 132-143.
21. Hayat, M., Ahmad, N., Khan, S. L. A., Mohkumuddin, S., Siddique, W., Khan, A., & Atif, M. (2023). Pattern, frequency, and factors associated with inappropriate high dosing in chronic kidney disease patients at a tertiary care hospital in Pakistan. BMC nephrology, 24(1), 118.
22. Hossain, M., Islam, M. A., Akter, S., & Islam, M. S. (2019). Depression and suicidal ideation among hemodialysis patients in Bangladesh. Journal of Psychiatr Research, 85(4), 661-668.
23. Jain, P., Mishra, M., & Sharma, R. (2017). Depression, anxiety, and quality of life in chronic renal failure patients on hemodialysis. Indian Journal of Palliative Care, 23(3), 277–282.
24. Jankowska-Polańska, B., Uchmanowicz, I., Wysocka, A., Uchmanowicz, B., Lomper, K., & Fal, A.M. (2017). Factors affecting the quality of life of chronic dialysis patients. European Journal of Public Health, 7(2), 262 -267.
25. Khan, R., Anderson, M., & Khan, R. (2019). Social support and depressive symptoms among hemodialysis patients. Journal of Renal Care, 43(2), 170-177.
26. Khan, R., Khan, R., & Anderson, M. (2019). Impact of family incivility on quality of life among hemodialysis patients. Journal of Renal Care, 43(2), 178-183.
27. Khorramabad, I. (2022). Depression Prevalence and Its Relationship with Dialysis Adequacy and Demographic Characteristics in Hemodialysis Patients. Journal of Health and Care, 23(4), 313-321.
28. Kumar, V., Khandelia, V., & Garg, A. (2018). Depression and anxiety in patients with chronic kidney disease undergoing hemodialysis. Ann Indian Psychiatry, 2,115-9.
29. Lim, S., & Tai, K. (2014). Family incivility and job performance: A moderated mediation model of psychological distress and core self-evaluation. Journal of Applied Psychology, 99(2), 351-359.
30. Motalebi, S. A., Yousefi, B., Hosseinpoor, F., & Hosseinigolafshani, S. (2022). Predictors of Happiness Among Hemodialysis Patients.
31. Mousa., Ibrahim., Ataba., Raed., Al-ali., Khaled., Alkaiyat., Abdulsalam., Zyoud.,. . . & Sa'ed. (2018). Dialysis-related factors affecting self-efficacy and quality of life in patients on hemodialysis: a cross-sectional study from Palestine. Renal Replacement Therapy. 4. 10.
32. Movahedi, M., Nehrir, B., Moayed, M. S., & Nir, M. S. (2023). Structural Equation Modeling of Treatment Adherence Based on General Health and Demographic Characteristics in Patients Undergoing Hemodialysis. Nephro-Urology Monthly, 15(4).
33. Mumford, D. B., Ayub, M., Karim, R., Izhar, N., Asif, A., & Bavington, J. T. (2005). Development and validation of a questionnaire for anxiety and depression in Pakistan. Journal of Affective Disorders, 88(2), 175–182.
34. Nabolsi, M., Wardam, L., & Al-Halabi, J. (2013). Quality of life, depression, adherence to treatment, and illness perception of patients on hemodialysis. International Journal of Nursing Practice, 21(1), 1-10.
35. Naderifar, M., Tafreshi, M., Ilkhani, M., Akbarizadeh, M., & Ghaljaei, F. (2018). Correlation between quality of life and adherence to treatment in hemodialysis patients. Journal of Renal Injury Prevention, 8(1), 22-27.
36. Nadort, E., Schouten, R. W., Witte, S. H., Broekman, B. F., Honig, A., Siegert, C. E., & van Oppen, P. (2020). Treatment of current depressive symptoms in dialysis patients: a systematic review and meta-analysis. General Hospital Psychiatry, 67, 26-34.
37. Nagasawa, H., Tachi, T., Sugita, I., Esaki, H., Yoshida, A., Kanematsu, Y., ... & Teramachi, H. (2018). The effect of quality of life on medication compliance among dialysis patients. Frontiers in Pharmacology, 9, 488.
38. Norozi Firoz, M., Shafipour, V., Jafari, H., Hosseini, S. H., & Yazdani-Charati, J. (2019). Relationship of hemodialysis shifts with sleep quality and depression in hemodialysis patients. Clinical nursing research, 28(3), 356-373.
39. Ramasubramanian, V., Ponnudurai, R., Soundararajan, P., Balakrishnan, K., & Srinivasan, B. (2015). Psychiatric morbidity in patients with chronic kidney disease undergoing hemodialysis. Asian J Pharm Clin Res, 8, 312-6.
40. Sabapathy, V., Keshto, S., & Gururajan, T. (2015). Family functioning and the quality of life among adult renal transplant recipients. Journal of Renal Care, 40(4), 330–335.
41. Sallam, L., Alsharif, F., Abaalalaa, S., Alakeely, R., Abdullah, Z., Alkhamis, Z., ... & Sharif, L. S. (2022). Prevalence of depression in patients with end-stage renal disease undergoing hemodialysis in Saudi Arabia: A cross-sectional study. Belitung Nursing Journal, 8(4), 296-303.
42. Samoudi, A. F., Marzouq, M. K., Samara, A. M., Zyoud, S. E. H., & Al-Jabi, S. W. (2021). The impact of pain on the quality of life of patients with end-stage renal disease undergoing hemodialysis: a multicenter cross-sectional study from Palestine. Health and quality of life outcomes, 19(1), 1-10.
43. Schouten, R. W., Haverkamp, G. L., Loosman, W. L., Chandie Shaw, P. K., van Ittersum, F. J., Smets, Y., Vleming, L. J., Dekker, F. W., Honig, A., & Siegert, C. (2019). Anxiety Symptoms, Mortality, and Hospitalization in Patients Receiving Maintenance Dialysis: A Cohort Study. American journal of kidney diseases: the official journal of the National Kidney Foundation, 74(2), 158–166.
44. Senanayake, S., Gunawardena, N., Palihawadana, P., Senanayake, S., Karunarathna, R., Kumara, P., … & Kularatna, S. (2020). Health-related quality of life in chronic kidney disease; a descriptive study in a rural Sri Lankan community affected by chronic kidney disease. Health and quality of life Outcomes, 18(1).
45. Sharma, R., Khan, R., & Khan, R. (2020). Family incivility and mental health outcomes among hemodialysis patients. Journal of Renal Care, 44(2), 180–187.
46. Smith, J., Khan, R., & Khan, R. (2018). Prevalence and determinants of depressive symptoms among hemodialysis patients: A cross-sectional study. Journal of Renal Care, 42(4), 312–321.
47. Tao, X., Chow, S., Hai-fen, Z., Huang, J., Gu, A., Jin, Y., … & Li, N. (2020). Family caregiver's burden and the social support for older patients undergoing peritoneal dialysis. Journal of Renal Care, 46(4), 222–232.
48. World Health Organization (2000). The World Health Organization Quality of Life assessment (WHOQOL): the World Health Organization position paper. Soc Sci Med, 41(10),1403–1409.
49. World Health Organization. (2015). Prevalence of Chronic Kidney Disease and Its Impact on Public Health: A Global Update. Retrieved from https://www.who.int/chp/chronic-kidney-disease/prevalence/en/
50. Wu, X., Li, Y., Zhang, X., et al. (2015). Depressive symptoms and quality of life in hemodialysis patients: A meta-analysis. Nephrology, 20(4), 317–326.
51. Zeidabadi, S., Abbas, J., Mangolian Shahrbabaki, P., & Dehghan, M. (2022). The effect of foot reflexology on the quality of sexual life in hemodialysis patients: a randomized controlled clinical trial. Sexuality and Disability, 40(3), 567–581.
52. Zukerman, G., Maor, M., Reichard, T., & Ben-Itzhak, S. (2023). Beyond illness perception: the effects of psychological flexibility when coping with a chronic medical condition. Psychology, Health & Medicine, 28(7), 1795-1802.
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Jan 4, 2024
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Dr. Wahida Anjum, Dr. Zainab Qazi, Dr. Maryam Gul, Dr. Ayesha Khalid, & Iqra Sageer. (2024). ANXIETY, DEPRESSION, FAMILY INCIVILITY, AND QUALITY OF LIFE AMONG HEMODIALYSIS PATIENTS. Journal of Population Therapeutics and Clinical Pharmacology, 31(1), 66–74. https://doi.org/10.53555/jptcp.v31i1.3926
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Author Biographies
Dr. Wahida Anjum
Assistant Professor, Lahore School of Behavioral Sciences, The University of Lahore, Lahore-Pakistan. https://orcid.org/0009-0003-9709-2801
Dr. Zainab Qazi
Assistant Professor , Department of Psychology, Women Sub Campus University of Malakand. https://orcid.org/0009-0009-5114-741X
Dr. Maryam Gul
Assistant Professor, Department of Applied Psychology Lahore College for Women University, Lahore. https://orcid.org/0009-0002-2267-7939
Dr. Ayesha Khalid
Assistant Professor of Psychology, Department of Psychology, University of Home Economics Lahore. https://orcid.org/0000-0002-0862-7161
Iqra Sageer
Lahore School of Behavioral Sciences, The University of Lahore, Lahore-Pakistan. https://orcid.org/0000-0003-1940-9984