혈액투석환자의 의미중심대처와 우울, 건강상태 간의 관계
Relationships between Meaning-focused Coping, Depression and Health Status in Patients with Hemodialysis
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초록
Objectives: To offer a third type of meaning-focused coping for patients undergoing hemodialysis. The purpose of this study was to investigate meaning- focused coping among patients on hemodialysis and to examine relationships between meaning-focused coping, depression, and health status. Methods: We based our investigation on the revised Stress and Coping Theory to explore the role of meaning-focused coping. A secondary analysis was conducted using survey data from 228 adult patients. To measure meaning-focused coping, including positive reappraisal and putting into perspective, depression, and health status, the Cognitive Emotion Regulation Questionnaire, Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were utilized. Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson Correlation. Results: Mean age of the participants was 47.76 and the duration of dialysis was 9.03 years. The proportion of patients on hemodialysis for more than 10 years was 39.9%. Meaningfocused coping scored 3.50 out of 5 points on average. There were differences in scores for meaning-focused coping according to job, gender, income, and transplant waiting status. Meaning-focused coping was negatively correlated with depression (r=-0.57, p<0.001) and positively correlated with health status (r=0.35, p<0.001). Conclusions: Meaning-focused coping seems to be a valuable coping technique along hemodialysis patients; the pursuit of which may have positive psychological and physical health effects for such patients. The results of this study demonstrate the adaptive functions of the meaning-focused coping process during chronic illness. Health care providers will gain insight into how coping promotes health and other positive outcomes.
Abstract
Objectives: To offer a third type of meaning-focused coping for patients undergoing hemodialysis. The purpose of this study was to investigate meaning- focused coping among patients on hemodialysis and to examine relationships between meaning-focused coping, depression, and health status. Methods: We based our investigation on the revised Stress and Coping Theory to explore the role of meaning-focused coping. A secondary analysis was conducted using survey data from 228 adult patients. To measure meaning-focused coping, including positive reappraisal and putting into perspective, depression, and health status, the Cognitive Emotion Regulation Questionnaire, Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were utilized. Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson Correlation. Results: Mean age of the participants was 47.76 and the duration of dialysis was 9.03 years. The proportion of patients on hemodialysis for more than 10 years was 39.9%. Meaningfocused coping scored 3.50 out of 5 points on average. There were differences in scores for meaning-focused coping according to job, gender, income, and transplant waiting status. Meaning-focused coping was negatively correlated with depression (r=-0.57, p<0.001) and positively correlated with health status (r=0.35, p<0.001). Conclusions: Meaning-focused coping seems to be a valuable coping technique along hemodialysis patients; the pursuit of which may have positive psychological and physical health effects for such patients. The results of this study demonstrate the adaptive functions of the meaning-focused coping process during chronic illness. Health care providers will gain insight into how coping promotes health and other positive outcomes.
참고문헌 (30)
- "Current renal replacement therapy in Korea-Insan memorial dialysis registry-2014"[URL]
- Yeh SC, "Coping strategies and stressors in patients with hemodialysis", Psychosom Med, 69(2), pp.182~190 (2007)[DOI]
- Lazarus RS, "Stress, appraisal, and coping", pp.456~ (1984), Springer Publishing Company
- Folkman S, "Positive psychological states and coping with severe stress", Soc Sci Med, 45(8), pp.1207~1221 (1997)[DOI]
- Folkman S, "Promoting psychological well-being in the face of serious illness: when theory, research and practice inform each other", Psychooncology, 9(1), pp.11~19 (2000)[DOI]
- Folkman S, "The case for positive emotions in the stress process", Anxiety Stress Coping, 21(1), pp.3~14 (2008)[DOI]
- Carver CS, "Assessing coping strategies: a theoretically based approach", J Pers Soc Psychol, 56(2), pp.267~283 (1989)[DOI]
- de Ridder D, "Psychological adjustment to chronic disease", Lancet, 372(9634), pp.246~255 (2008)[DOI]
- Schulman-Green D, "Processes of self-management in chronic illness", J Nurs Scholarsh, 44(2), pp.136~144 (2012)[DOI]
- Sharpe L, "Understanding the process of adjustment to illness", Soc Sci Med, 62(5), pp.1153~1166 (2006)[DOI]
- Guo M, "The role of meaning-focused coping in significant loss", Anxiety Stress Coping, 26(1), pp.87~102 (2013)[DOI]
- 배정이, "만성신부전환자의 우울관련요인", 정신간호학회지, 20(3), pp.261~270 (2011), 정신간호학회
- Cha JE, "Structural equation modeling of quality of life focused on the self-management process in patients with hemodialysis", 석사, pp.2014
- Garnefski N, "Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short)", Pers Individ Dif, 41(6), pp.1045~1053 (2006)[DOI]
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatrica Scandinavica, 67, pp.361~370 (1993)[DOI]
- Ware J, "A 12-item short-form health survey", Medical Care, 34(3), pp.220~233 (1996)[DOI]
- Moos RH, "Adaptative tasks and methods of coping with illness and disability", pp.107~126 (2007), Springer
- Nowlan JS, "Positive reappraisal in older adults: a systematic literature review", Aging Ment Health, 19(6), pp.475~484 (2015)[DOI]
- Bower JE, "Perceptions of positive meaning and vulnerability following breast cancer: predictors and outcomes among long-term breast cancer survivors", Ann Behav Med, 29(3), pp.236~245 (2005)[DOI]
- Sears SR, "The yellow brick road and the emerald city: benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer", Health Psychol, 22(5), pp.487~497 (2003)[DOI]
- Petrie KJ, "Positive effects of illness re-ported by myocardial infarction and breast cancer patients", J Psychosom Res, 47(6), pp.537~543 (1999)[DOI]
- Nolen-Hoeksema S, "Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms", Pers Individ Dif, 51(6), pp.704~708 (2011)[DOI]
- Kraaij V, "Cognitive coping and depressive symptoms in the elderly: a longitudinal study", Aging Ment Health, 6(3), pp.275~281 (2002)[DOI]
- Carver CS, "Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis", Health Psychol, 23(6), pp.595~598 (2004)[DOI]
- Troy AS, "Seeing the silver lining:cognitive reappraisal ability moderates the relationship between stress and depressive symptoms", Emotion, 10(6), pp.783~795 (2010)[DOI]
- Hall NC, "Control striving in older adults with serious health problems: a 9-year longitudinal study of survival, health, and well-being", Psychol Aging, 25(2), pp.432~445 (2010)[DOI]
- Baumeister RF, "The pursuit of meaningfulness in life", pp.608~618 (2002), Oxford University Press
- Stanton AL, "Health psychology: psychological adjustment to chronic disease", Annu Rev Psychol, 58(1), pp.565~592 (2007)[DOI]
- Helgeson VS, "A meta-analytic review of benefit finding and growth", J Consult Clin Psychol, 74(5), pp.797~816 (2006)[DOI]
- Lee V, "Meaning-making intervention during breast or colorectal cancer treatment improves selfesteem, optimism, and self-efficacy", Soc Sci Med, 62(12), pp.3133~3145 (2006)[DOI]