Emotion-oriented coping increases the risk of depression among caregivers of end-stage renal disease patients undergoing hemodialysis

Emotion-oriented coping increases the risk of depression among caregivers of end-stage renal disease patients undergoing hemodialysis

Purpose We investigated the possible association between coping style and depressive feelings among caregivers of end-stage renal disease patients undergoing hemodialysis. Methods We studied 107 main caregivers of hemodialysis patients. Main caregiver was defined as the person on whom the patient co...

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Published in:International urology and nephrology Vol. 49; no. 9; pp. 1667 - 1672
Main Authors: Santos, Paulo Roberto, de Sales Santos, Ítala Mônica, de Freitas Filho, João Laerte Alves, Macha, Carlos Wellington, Tavares, Priscila Garcia Câmara Cabral, de Oliveira Portela, Ana Cláudia, Campos, Ana Mayara Barros, de Azevedo, Ana Raquel Ferreira, Ary, Catarine Cavalcante, Nobre, Felipe Peixoto, Carneiro, Jamille Fernandes, Pontes, Yandra Maria Gomes
Format: Journal Article
Language:English
Published: Dordrecht Springer Netherlands 01-09-2017
Springer Nature B.V
Subjects:
Caregivers
End-stage renal disease
Hemodialysis
Kidney diseases
Kidney transplantation
Medicine
Medicine & Public Health
Mental depression
Multivariate analysis
Nephrology
Nephrology - Original Paper
Patients
Urology
End-stage renal disease
Depression
Coping
Hemodialysis
Caregiver
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Summary:Purpose We investigated the possible association between coping style and depressive feelings among caregivers of end-stage renal disease patients undergoing hemodialysis. Methods We studied 107 main caregivers of hemodialysis patients. Main caregiver was defined as the person on whom the patient counts for daily care or the one the patient calls upon in case of difficulties. Demographic data of caregivers and clinical data of patients were collected. The Jalowiec Coping Scale was applied to score two styles of coping: problem-oriented coping (POC) and emotion-oriented coping (EOC). Depression was screened by the 20-item version of the Center for Epidemiologic Studies Depression Scale (CES-D). A score ≥16 was used to classify depression. Comparisons were made by Student’s t and Chi-square tests. The Pearson’s test was used to assess correlation between scores. Linear and logistic regressions were used, respectively, to test variables as predictors of the CES-D scores and the presence of depression. Results The depression rate among caregivers was 71.9%. In the comparison between depressed and non-depressed caregivers, only EOC score differed, being higher among depressed ones (69.8 vs. 62.4; p  < 0.001). EOC score was positively correlated with depression score ( r  = 0.368; p  = <0.001). In the multivariate analysis, EOC independently predicted both the depression score ( b  = 0.272; p  = 0.001) and the presence of depression (OR 1.221; 95% CI 1.123–1.339; p  = 0.001). Conclusion Our results indicate that EOC is associated with and increases the risk of depression among caregivers of HD patients. We propose that strategies aiming to strengthen POC and diminish EOC can be applied to minimize depressive feelings.
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ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-017-1621-z