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Event-related distress in kidney disease patients

Sarah Ramer1, Anne Germain, Sheena Dohar

  • 1Department of Medicine, Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. ramer.sarah@medstudent.pitt.edu

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|June 1, 2011
PubMed

Insights

Stressful life events cause significant distress in chronic kidney disease (CKD) patients. High distress correlates with depression and symptom burden, necessitating clinical attention for optimal CKD care.

Area of Science:

  • Nephrology
  • Psychosomatic Medicine
  • Clinical Psychology

Background:

  • Chronic kidney disease (CKD) and Stage 5 CKD (CKD5) impose substantial physical and psychosocial burdens.
  • The impact of stressful life events on CKD and CKD5 patients remains under-explored.

Purpose of the Study:

  • To determine the prevalence of stressful life events in CKD and CKD5 patients.
  • To identify factors associated with high levels of event-related distress in these populations.

Main Methods:

  • A cross-sectional study involving 181 patients (91 non-dialysis CKD Stages 4-5, 90 CKD5).
  • Utilized the Impact of Event Scale (IES) for distress assessment.
  • Incorporated Medical Outcomes Study Short Form-36, Patient Health Questionnaire-9 (PHQ-9), and Dialysis Symptom Index (DSI) for comprehensive evaluation.

Main Results:

  • 103 subjects reported stressors; 49.5% related to personal health.
  • Significant differences observed in age, PHQ-9, and DSI scores between distress groups.
  • PHQ-9 scores (OR 1.20) and DSI scores (OR 1.04) independently predicted high event-related distress.

Conclusions:

  • Event-related distress is prevalent among CKD and CKD5 patients.
  • High distress is linked to increased depressive symptoms and somatic/emotional burden.
  • Renal practitioners should consider addressing event-related distress for comprehensive patient care.
Abstract

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