J Korean Neuropsychiatr Assoc.  2012 Nov;51(6):439-444.

The Effect of Resilience on Depression and Life Satisfaction in Patients with Hemodialysis

• Lee KY
• Wang SM
• Kim YR
• Lee HK
• Lee KU
• Lee CT
• Kweon YS

Abstract

OBJECTIVES
The aim of this study was to investigate the effect of resilience on depression and life satisfaction in patients with end-stage renal disease (ESRD) on Hemodialysis.
METHODS
Fifty ESRD patients, aged 18 or older, on hemodialysis visiting the hemodialysis room at Catholic University of Korea, Uijeongbu St. Mary's Hospital were included in this study. All patients were divided into two groups based on a Mini International Neuropsychiatric Interview : ESRD patients with major depressive disorder (MDD), and ESRD patients without MDD. The 17-item Hamilton Depression Rating Scale (HAM-D) and the Montgomery-Asberg Depression Rating Scale were used for assessment of the severity of depression symptoms. The Conner-Davidson Resilience Scale (CD-RISC) and Index of Well-being were used for measurement of resilience and life satisfaction, respectively.
RESULTS
Sixteen (32%) patients were included in the MDD group, and 34 (68%) patients were included in the non-MDD group. The MDD group had significantly lower CD-RISC (p<0.005) and Index of well-being scores (p<0.005). The CD-RISC score showed a significant negative correlation with HAM-D-17 (r=-0.36, p<0.05) score and a positive correlation with Index of well-being score (r=0.37, p<0.01). Multiple regression analysis showed a significant relation of CD-RISC score with HAM-D-17 (beta=-0.36, p<0.05) and well-being score (beta=-0.56, p<0.005).
CONCLUSION
Results of this study suggest that ESRD patients with higher resilience might be less depressed and have higher life satisfaction. Therefore, identification of clinical approaches that could increase resilience of ESRD patients might be important to prevention of depression and enhancement of life quality in ESRD patients on hemodialysis.

Keyword

Resilience; Depression; Life satisfaction; Hemodilalysis

MeSH Terms

Aged
Depression
Depressive Disorder, Major
Humans
Kidney Failure, Chronic
Korea
Quality of Life
Renal Dialysis

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