The effect of social support and coping style on depression in patients with continuous ambulatory peritoneal dialysis in southern China

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• 作者：Jianxiong Lin (1)
  Qunying Guo (1)
  Xiaoqing Ye (1)
  Jianying Li (1)
  Chunyan Yi (1)
  Xiaodan Zhang (1)
  Xiaofeng Wu (1)
  Peiyi Cao (1)
  Xiaoli Yu (1)
  Lina Zhu (1)
  Xiaoyan Lin (1)
  Xiao Yang (1)
  Xueqing Yu (1)
  
• 关键词：Continuous ambulatory peritoneal dialysis ; Depression ; Social support ; Coping style
• 刊名：International Urology and Nephrology
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：45
• 期：2
• 页码：527-535
• 全文大小：199KB
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• 作者单位：Jianxiong Lin (1)
  Qunying Guo (1)
  Xiaoqing Ye (1)
  Jianying Li (1)
  Chunyan Yi (1)
  Xiaodan Zhang (1)
  Xiaofeng Wu (1)
  Peiyi Cao (1)
  Xiaoli Yu (1)
  Lina Zhu (1)
  Xiaoyan Lin (1)
  Xiao Yang (1)
  Xueqing Yu (1)
  
  1. Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, 58th, Zhongshan Road II, Guangzhou, 510080, China
  
• ISSN：1573-2584

文摘

Purpose To explore the effect of social support and coping style on depression in patients on CAPD in Southern China. Methods The patients undergoing CAPD therapy for more than 3?months were recruited from Jan 1 to May 31, 2009. The Beck Depression Inventory–II (BDI-II), Social Support Rating Scale, Medical Coping Modes Questionnaire, and Medical Outcomes Study Short Form (SF-36) were used to evaluate depression, social support, coping style, and quality of life (QoL), respectively. Results Of the 191 recruited patients, 65 patients (34.0?%) suffered from depression, with a BDI-II score of 23.8?±?8.4. The average score of QoL (44.9?±?13.9 vs. 64.7?±?14.2, p?<?0.001), social support (37.9?±?7.2 vs. 42.1?±?7.3, p?<?0.001), and “confrontation-coping style (17.2?±?3.9 vs. 18.8?±?3.8, p?=?0.006) in depressed patients was significantly lower than those in non-depressed patients, respectively. While the depressed patients had significantly higher score of “acceptance–resignation-coping style (12.9?±?2.5 vs. 10.4?±?3.5, p?<?0.001) compared with those of non-depressed patients. Univariate analysis showed that the BDI-II score was negatively associated with social support (r?=??.284, p?<?0.001) and “confrontation-(r?=??.180, p?=?0.013), but positively associated with “acceptance–resignation-(r?=?0.482, p?<?0.001). Logistic regression analysis revealed that age (OR?=?0.971, p?=?0.038), female sex (OR?=?2.211, p?=?0.039), diabetes mellitus (OR?=?3.046, p?=?0.015), long PD duration (OR?=?1.021, p?=?0.020), fatigue (OR?=?2.500, p?=?0.032), high Pittsburgh Sleep Quality Index (PSQI) score (OR?=?1.143, p?=?0.001), low social support (OR?=?0.945, p?=?0.046), and high “acceptance–resignation-(OR?=?1.096, p?=?0.020) were independently associated with depression. Conclusion There was a high prevalence of depression in CAPD patients. Age, female sex, diabetes mellitus, long PD duration, fatigue, sleep disturbance, low social support, and high “acceptance–resignation-coping style were independently associated with depression.