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Improving quality of life in patients with chronic kidney disease: influence of acceptance and personality

CARINE POPPE UGent, Geert Crombez UGent, Ignace Hanoulle, Dirk Vogelaers UGent and Mirko Petrovic UGent (2013) NEPHROLOGY DIALYSIS TRANSPLANTATION. 28(1). p.116-121
abstract
Background. A low health-related quality of life (HQL) is associated with the evolution of chronic kidney disease (CKD) and mortality in patients in end-stage of the disease. Therefore research on psychological determinants of HQL is emerging. We investigate whether acceptance of the disease contributes to a better physical and mental health-related quality of life (PHQL and MHQL). We also examine the impact of personality characteristics on acceptance, PHQL and MHQL. Methods. In this cross-sectional study, patients from an outpatient clinic of nephrology completed self-report questionnaires on quality of life, acceptance and personality characteristics. We performed correlations, regression analyses and a path analysis. Results. Our sample of 99 patients had a mean duration of CKD of 10.81 years and a mean estimated Glomerular Filtration Rate (eGFR) by Modification of Diet in Renal Disease (MDRD)-formula of 34.49 ml/min (SD 21.66). Regression analyses revealed that acceptance had a significant positive contribution to the prediction of PHQL and MHQL. Neuroticism was negatively associated with acceptance and MHQL. Path analysis showed that 37% of the total effect of neuroticism on MHQL was mediated by acceptance. Conclusions. Acceptance is an important positive variable in accounting for HQL, however, clinicians must be aware that if patients have a high level of neuroticism they are likely to have more difficulties with this coping strategy. These results provide a better understanding of psychological determinants of HQL in CKD, which can initiate another approach of these patients by nephrologists, specific psychological interventions, or other supporting public health services.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
HEALTH-STATUS, BIG 5, PERITONEAL-DIALYSIS, STAGE RENAL-DISEASE, CHRONIC PAIN, HEMODIALYSIS-PATIENTS, 5-FACTOR MODEL, PSYCHOLOGICAL-FACTORS, ILLNESS, NEUROTICISM, acceptance, chronic kidney disease, health-related quality of life, neuroticism, personality characteristics
journal title
NEPHROLOGY DIALYSIS TRANSPLANTATION
Nephrol. Dial. Transplant.
volume
28
issue
1
pages
116 - 121
Web of Science type
Article
Web of Science id
000315540100023
JCR category
UROLOGY & NEPHROLOGY
JCR impact factor
3.488 (2013)
JCR rank
11/77 (2013)
JCR quartile
1 (2013)
ISSN
0931-0509
language
English
UGent publication?
yes
classification
A1
id
2074230
handle
http://hdl.handle.net/1854/LU-2074230
date created
2012-03-26 22:36:42
date last changed
2013-05-21 15:44:09
@article{2074230,
  abstract     = {Background. A low health-related quality of life (HQL) is associated with the evolution of chronic kidney disease (CKD) and mortality in patients in end-stage of the disease. Therefore research on psychological determinants of HQL is emerging. We investigate whether acceptance of the disease contributes to a better physical and mental health-related quality of life (PHQL and MHQL). We also examine the impact of personality characteristics on acceptance, PHQL and MHQL. Methods. In this cross-sectional study, patients from an outpatient clinic of nephrology completed self-report questionnaires on quality of life, acceptance and personality characteristics. We performed correlations, regression analyses and a path analysis. Results. Our sample of 99 patients had a mean duration of CKD of 10.81 years and a mean estimated Glomerular Filtration Rate (eGFR) by Modification of Diet in Renal Disease (MDRD)-formula of 34.49 ml/min (SD 21.66). Regression analyses revealed that acceptance had a significant positive contribution to the prediction of PHQL and MHQL. Neuroticism was negatively associated with acceptance and MHQL. Path analysis showed that 37\% of the total effect of neuroticism on MHQL was mediated by acceptance. Conclusions. Acceptance is an important positive variable in accounting for HQL, however, clinicians must be aware that if patients have a high level of neuroticism they are likely to have more difficulties with this coping strategy. These results provide a better understanding of psychological determinants of HQL in CKD, which can initiate another approach of these patients by nephrologists, specific psychological interventions, or other supporting public health services.},
  author       = {POPPE, CARINE and Crombez, Geert and Hanoulle, Ignace  and Vogelaers, Dirk and Petrovic, Mirko},
  issn         = {0931-0509},
  journal      = {NEPHROLOGY DIALYSIS TRANSPLANTATION},
  keyword      = {HEALTH-STATUS,BIG 5,PERITONEAL-DIALYSIS,STAGE RENAL-DISEASE,CHRONIC PAIN,HEMODIALYSIS-PATIENTS,5-FACTOR MODEL,PSYCHOLOGICAL-FACTORS,ILLNESS,NEUROTICISM,acceptance,chronic kidney disease,health-related quality of life,neuroticism,personality characteristics},
  language     = {eng},
  number       = {1},
  pages        = {116--121},
  title        = {Improving quality of life in patients with chronic kidney disease: influence of acceptance and personality},
  volume       = {28},
  year         = {2013},
}

Chicago
POPPE, CARINE, Geert Crombez, Ignace Hanoulle, Dirk Vogelaers, and Mirko Petrovic. 2013. “Improving Quality of Life in Patients with Chronic Kidney Disease: Influence of Acceptance and Personality.” Nephrology Dialysis Transplantation 28 (1): 116–121.
APA
POPPE, C., Crombez, G., Hanoulle, I., Vogelaers, D., & Petrovic, M. (2013). Improving quality of life in patients with chronic kidney disease: influence of acceptance and personality. NEPHROLOGY DIALYSIS TRANSPLANTATION, 28(1), 116–121.
Vancouver
1.
POPPE C, Crombez G, Hanoulle I, Vogelaers D, Petrovic M. Improving quality of life in patients with chronic kidney disease: influence of acceptance and personality. NEPHROLOGY DIALYSIS TRANSPLANTATION. 2013;28(1):116–21.
MLA
POPPE, CARINE, Geert Crombez, Ignace Hanoulle, et al. “Improving Quality of Life in Patients with Chronic Kidney Disease: Influence of Acceptance and Personality.” NEPHROLOGY DIALYSIS TRANSPLANTATION 28.1 (2013): 116–121. Print.