Psychiatry Investig.  2020 Apr;17(4):356-365. 10.30773/pi.2019.0204.

The Associations of Family Functioning, General Well-Being,and Exercise with Mental Health among End-Stage RenalDisease Patients

• Wang Q
• Liu H
• Ren Z
• Xiong W
• He M
• Li N
• Fan X
• Guo X
• Li X
• Shi H
• Zha S
• Zhang X

• KMID: 2500242
• DOI: http://doi.org/10.30773/pi.2019.0204

Abstract

Objective
This study aims to explore the relationships of family functioning, general well-being, and exercise with psychological distress. Furthermore, we investigated the special roles of general well-being and exercise on the association between family functioning and psychological distress.
Methods
Of 769 end-stage renal disease (ESRD) patients participated in the cross-sectional study which consisted of the 12-item General Health Questionnaire (GHQ-12), the Family APGAR Scales, and the General Well-Being Schedule. The collected data were analyzed using multiple linear regression analysis and path analysis.
Results
The prevalence of psychological distress was 72.3%. Family functioning, general well-being and exercise were associated factors of psychological distress (p<0.05). The indirect effect of family functioning on psychological distress was partially mediated by general well-being (Effect=-0.08, 95% CI=-0.11, -0.04). In addition, the effect of family functioning on general well-being was moderated by exercise (Index=-0.092, SE=0.033, 95% CI=-0.159, -0.029).
Conclusion
The prevalence of psychological distress among ESRD patients was high. Family functioning, general well-being and exercise were associated with psychological distress. Family functioning could affect psychological distress partially by affecting general wellbeing. Furthermore, exercise had a significant moderating effect on the relationship between family functioning and general well-being. Psychiatry Investig 2020;17(4):356-365

Keyword

End-stage renal disease patients; Exercise; Family functioning; General well-being; Psychological distress