Abstract/Details

Predictors of quality of life in individuals with end stage renal disease


2008 2008

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Abstract (summary)

The primary purpose of this study was to examine the role of posttraumatic growth in determining quality of life outcomes for patients with a chronic medical condition. Predictors of quality of life were examined for 65 hemodialysis patients with End Stage Renal Disease, 82% of whom were Caucasian, 14% African American, 3% Hispanic, and 2% Native American. Multiple regression analyses were performed in which depressive symptomatology, posttraumatic growth, gender, interval since diagnosis, nutritional status, optimism, and social support were examined as main effects and moderators. Depressive symptomatology was associated with better quality of life when controlling for other variables. Optimism moderated the relationship between depressive symptomatology and quality of life, such that individuals high in optimism and depressive symptomatology had quality of life scores similar to scores obtained by those reporting few depressive symptoms. Similarly, there was a trend toward posttraumatic growth moderating the relationship between depressive symptomatology and quality of life, such that individuals high in posttraumatic growth and depressive symptomatology had quality of life scores similar to those obtained by individuals reporting few depressive symptoms. An exploratory analysis provided evidence that depressive symptomatology and optimism were positively associated with posttraumatic growth in this group. Findings suggest that perceptions of growth, or benefit finding, may be especially beneficial for patients prone to depression. Treatment implications and suggestions for future research are discussed.

Indexing (details)


Subject
Clinical psychology
Classification
0622: Clinical psychology
Identifier / keyword
Psychology; ESRD; End stage renal disease; Hemodialysis; Posttraumatic growth, quality of life; Quality of life; Renal
Title
Predictors of quality of life in individuals with end stage renal disease
Author
McDonald, Kristen L.
Number of pages
106
Publication year
2008
Degree date
2008
School code
0118
Source
DAI-B 69/09, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780549786252
Advisor
Halgin, Richard P.
Committee member
Chandler, Genevieve; Janoff-Bulman, Ronnie; Ready, Rebecca
University/institution
University of Massachusetts Amherst
Department
Psychology
University location
United States -- Massachusetts
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3325142
ProQuest document ID
304566252
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/304566252
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