Psychological and relational factors in ESRD hemodialysis treatment in an underserved community |
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Authors: | Mariela Reyes Jairo N Fuertes Michael T Moore George Jojo Punnakudiyil Luis Calvo Sofia Rubinstein |
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Institution: | 1. Derner School of Psychology, Adelphi University, Garden City, NY 11530, USA;2. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 11549 USA;3. Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USA;1. National Institute of Physical Education of Catalonia (INEFC), Campus Lleida, Catalonia, Spain;2. Complex systems and sport research group, Spain;1. Institute for Medical Education, University of Bern, Bern, Switzerland;2. Department of Health Professions, University of Applied Sciences, Bern, Switzerland |
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Abstract: | ObjectiveThe researchers investigated the association of depression with treatment adherence, and examined the possible moderating roles of social support and of the physician-patient working alliance (PPWA) on treatment adherence, satisfaction with treatment, and quality of life.MethodsThe current study sampled ninety-five patients with End Stage Renal Disease who were receiving outpatient hemodialysis (HD) treatment.ResultsFindings indicated that higher levels of depression were significantly associated with lower ratings of adherence, quality of life, and social support. In contrast, higher levels of social support and of the PPWA were significantly associated with higher ratings of adherence, satisfaction with treatment, and quality of life. Analyses of moderation showed no effect for PPWA between depression and adherence, satisfaction, or quality of life; however, there was a significant moderation effect for social support.ConclusionThere are mild but significant associations between PPWA and social support. Positive associations between the PPWA and social support on adherence, satisfaction, and quality of life indicate that each one, PPWA and social support, plays its own role on patients’ experiences of and behavior in treatment. Affective social support significantly limits the negative influence of depression on adherence.Practice ImplicationsAssessment of depression and social support is essential in hemodialysis treatment. |
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Keywords: | Depression Social support Quality of life Adherence Physician-patient working alliance End-stage renal disease |
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