Browse > Article
http://dx.doi.org/10.7586/jkbns.2018.20.4.221

Control Effect of Illness Perception on Depression and Quality of Life in Patients with Hemodialysis: Using Structural Equation Modeling  

Kim, Sisook (Department of Nursing, Kyung-Min University)
Ryu, Eunjung (Department of Nursing, Chung-Ang University)
Publication Information
Journal of Korean Biological Nursing Science / v.20, no.4, 2018 , pp. 221-227 More about this Journal
Abstract
Purpose: This study aimed to evaluate the effect of illness perception on depression and quality of life in patients with hemodialysis. Methods: This is a cross-sectional study using structural equation modeling. Depression, quality of life and cognitive and emotional illness perceptions were measured by the Center for Epidemiologic Studies Depression-10 (CESD-10), Short Form-36 version 2 (SF-36v2), and Brief Illness Perception Questionnaire (BIPQ) in 272 hemodialysis patients. Results: Prevalence of depression was 76.1%, and higher in female patients on hemodialysis. Cognitive illness perception had effect on depression and quality of life, while emotional illness perception had effect only on depression. Quality of life was explained 69.6% through depression (${\beta}=-.74$, t= -8.17) and cognitive illness perceptions (${\beta}=.21$, t= 3.06), while depression was explained 40.5% through cognitive (${\beta}=-.34$, t= -5.99) and emotional (${\beta}=.59$, t= 9.37) illness perceptions. Conclusion: In the inevitable choice of dialysis, illness perception could decrease depression and improve quality of life in hemodialysis patients.
Keywords
Illness perception; Depression; Quality of life; Hemodialysis; Structural equation modeling;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Yu JP. Concept and understanding of structural equation modeling. Seoul: Hannarae Publishing Co. 2012:568.
2 Palmer S, Vecchio M, Craig JC, Tonelli M, Johnson DW, Nicolucci A, et al. Prevalence of depression in chronic kidney disease: Systematic review and meta-analysis of observational studies. Kidney International. 2013;84(1):179-191. https://doi.org/10.1038/ki.2013.77   DOI
3 Song MK, Ward SE, Hladik GA, Bridgman JC, Gilet CA. Depressive symptom severity, contributing factors, and self-management among chronic dialysis patients. Hemodialysis International. 2016;20(2):286-292. https://doi.org/10.1111/hdi.12317   DOI
4 Timmers L, Thong M, Dekker FW, Boeschoten EW, Heijmans M, Rijken M, et al. Illness perceptions in dialysis patients and their association with quality of life. Psychology and Health. 2008;23(6):679-690. https://doi.org/10.1080/14768320701246535   DOI
5 Broadbent E, Wilkes C, Koschwanez H, Weinman J, Norton S, Petrie KJ. A systematic review and meta-analysis of the brief illness perception questionnaire. Psychology & Health. 2015;30(11):1361-1385. https://doi.org/10.1080/08870446.2015.1070851   DOI
6 Kim JW, Shin SE, Kim HK, Jang EY, Jung G, Lee KS. The comparison study of quality of life between hemodialysis patients and depressive or anxious psychiatric patients. Korean Journal of Psychosomatic Medicine. 2003;11(2):170-181.
7 Perl J, Karaboyas A, Morgenstern H, Sen A, Rayner HC, Vanholder RC, et al. Association between changes in quality of life and mortality in hemodialysis patients: Results from the DOPPS. Nephrology Dialysis Transplantation. 2016;32(3):521-527. https://doi.org/10.1093/ndt/gfw233
8 Park H, Yoon H, Son M, Jung E, Joo K, Chin H, et al. Depression and health-related quality of life in maintenance hemodialysis patients. Clinical Nephrology. 2010;73(5):374-380. https://doi.org/10.5414/cnp73374   DOI
9 Kim S, Yang J. Factors influencing the stress of patients on hemodialysis. The Journal of Korean Academic Society of Nursing Education. 2015;21(3):340-349. https://doi.org/10.5977/jkasne.2015.21.3.340   DOI
10 Park Y, Lee H. The levels of physical activity and its relationships with depression, health-related quality of life, sleep disturbance, and physiological indicators in hemodialysis patients. The Journal of Korean Academic Society of Adult Nursing. 2015;27(6):718-727. https://doi.org/10.7475/kjan.2015.27.6.718   DOI
11 Kim CG, Cho MK. Effects on depression intervention programs of hemodialysis patients in Korea: Meta-analysis. Journal of the Korean Data Analysis Society. 2012;14(5):2513-2528.
12 Gabbay E, Meyer KB, Griffith JL, Richardson MM, Miskulin DC. Temporal trends in health-related quality of life among hemodialysis patients in the United States. Clinical Journal of the American Society of Nephrology. 2010;5(2):261-267. https://doi.org/10.2215/cjn.03890609   DOI
13 Fowler C, Baas LS. Illness representations in patients with chronic kidney disease on maintenance hemodialysis. Nephrology Nursing Journal. 2006;33(2):173-186.
14 McDonald SM. Perception: A concept analysis. International Journal of Nursing Knowledge. 2012;23(1):2-9. https://doi.org/10.1111/j.2047-3095.2011.01198.x   DOI
15 Leventhal H, Diefenbach M, Leventhal EA. Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research. 1992;16(2):143-163. https://doi.org/10.1007/BF01173486   DOI
16 Jones CJ, Smith HE, Llewellyn CD. A systematic review of the effectiveness of interventions using the common sense self-regulatory model to improve adherence behaviours. Journal of Health Psychology. 2016;21(11):2709-2724. https://doi.org/10.1177/1359105315583372   DOI
17 Chilcot J. The importance of illness perception in end-stage renal disease: Associations with psychosocial and clinical outcomes. Seminars in Dialysis; 2012;25(1):59-64. https://doi.org/10.1111/j.1525-139x.2011.00987.x   DOI
18 Cha J, Yi M. Relationships between treatment belief, personal control, depressive mood and health-related quality of life in patients with hemodialysis. The Journal of Korean Academic Society of Adult Nursing. 2014;26(6):693-702. https://doi.org/10.7475/kjan.2014.26.6.693   DOI
19 Cha JE, Han DL. Relationships between meaning-focused coping, depression and health status in patients with hemodialysis. Journal of The Korea Socity of Health Informatics and Statistics. 2016;41(2):194-202.   DOI
20 Iacobucci D. Structural equations modeling: fit indices, sample size, and advanced topics. Journal of Consumer Psychology. 2010;20(1):90-98. https://doi.org/10.1016/j.jcps.2009.09.003   DOI
21 Westland JC. Lower bounds on sample size in structural equation modeling. Electronic Commerce Research and Applications. 2010;9(6):476-487. https://doi.org/10.1016/j.elerap.2010.07.003   DOI
22 Min J, Chang Y, Lee KM, Choe KH, An JY. Transcultural adaptation and validation of the Korean version of the brief illness perception questionnaire for patients with pulmonary tuberculosis. Journal of Global Infectious Diseases. 2017;9(3):113-116. https://doi.org/10.4103/0974-777X.212583   DOI
23 Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine. 1994;10(2):77-84. https://doi.org/10.1016/s0749-3797(18)30622-6   DOI
24 Kim S, Kim J. The effect of lifestyle, fatigue, stress and depression on the biased constitution types in Chinese medicine. Korea Socirty for Wellness. 2016;11(2):363-377.   DOI
25 Maruish ME. User's Manual for the SF-36v2 Health Survey [Internet]. Lincoln (RI): Quality Metric Incorporated; 2011 [cited 2017 May 7]. Available from: http://eprovide.mapi-trust.org/instruments/sf-36-health-survey
26 Kim SH, Jo MW, Lee S. Psychometric properties of the Korean short form-36 health survey version 2 for assessing the general population. Asian Nursing Research. 2013;7(2):61-66. https://doi.org/10.1016/j.anr.2013.03.001   DOI
27 Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. Journal of Psychosomatic Research. 2006;60(6):631-637. https://doi.org/ https://doi.org/10.1016/j.jpsychores.2005.10.020   DOI
28 Kim HY. Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restorative Dentistry & Endodontics. 2013;38(1):52-54. https://doi.org/10.5395/rde.2013.38.1.52   DOI
29 Weston R, Gore Jr PA. A brief guide to structural equation modeling. The Counseling Psychologist. 2006;34(5):719-751. https://doi.org/10.1177/0011000006286345   DOI
30 Vaske JJ, Beaman J, Sponarski CC. Rethinking internal consistency in cronbach's alpha. Leisure Sciences. 2017;39(2):163-173. https://doi.org/10.1080/01490400.2015.1127189   DOI