The Associations of Family Functioning, General Well-Being, and Exercise with Mental Health among End-Stage Renal Disease Patients
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective This study aims to explore the relationships of family functioning, general well-being, and exercise with psychological distress. Furthermore, we investigated the special roles of general well-being and exercise on the association between family functioning and psychological distress. Methods Of 769 end-stage renal disease (ESRD) patients participated in the cross-sectional study which consisted of the 12-item General Health Questionnaire (GHQ-12), the Family APGAR Scales, and the General Well-Being Schedule. The collected data were analyzed using multiple linear regression analysis and path analysis. Results The prevalence of psychological distress was 72.3%. Family functioning, general well-being and exercise were associated factors of psychological distress (p<0.05). The indirect effect of family functioning on psychological distress was partially mediated by general well-being (Effect=-0.08, 95% CI=-0.11, -0.04). In addition, the effect of family functioning on general well-being was moderated by exercise (Index=-0.092, SE=0.033, 95% CI=-0.159, -0.029). Conclusion The prevalence of psychological distress among ESRD patients was high. Family functioning, general well-being and exercise were associated with psychological distress. Family functioning could affect psychological distress partially by affecting general wellbeing. Furthermore, exercise had a significant moderating effect on the relationship between family functioning and general well-being.
Abstract
Objective This study aims to explore the relationships of family functioning, general well-being, and exercise with psychological distress. Furthermore, we investigated the special roles of general well-being and exercise on the association between family functioning and psychological distress. Methods Of 769 end-stage renal disease (ESRD) patients participated in the cross-sectional study which consisted of the 12-item General Health Questionnaire (GHQ-12), the Family APGAR Scales, and the General Well-Being Schedule. The collected data were analyzed using multiple linear regression analysis and path analysis. Results The prevalence of psychological distress was 72.3%. Family functioning, general well-being and exercise were associated factors of psychological distress (p<0.05). The indirect effect of family functioning on psychological distress was partially mediated by general well-being (Effect=-0.08, 95% CI=-0.11, -0.04). In addition, the effect of family functioning on general well-being was moderated by exercise (Index=-0.092, SE=0.033, 95% CI=-0.159, -0.029). Conclusion The prevalence of psychological distress among ESRD patients was high. Family functioning, general well-being and exercise were associated with psychological distress. Family functioning could affect psychological distress partially by affecting general wellbeing. Furthermore, exercise had a significant moderating effect on the relationship between family functioning and general well-being.
참고문헌 (57)
- Chou MC, "Disruptions of brain structural network in end-stage renal disease patients with long-term hemodialysis and normal-appearing brain tissues", J Neuroradiol, 46, pp.256~262 (2019)
- Thomas B, "Maintenance Dialysis throughout the World in Years 1990 and 2010", J Am Soc Nephrol, 26, pp.2621~2633
- Senanayake S, "Depression and psychological distress in patients with chronic renal failure : Prevalence and associated factors in a rural district in Sri Lanka", J Psychosom Res, 112, pp.25~31 (2018)
- Kopple JD, "Hemodialysis treatment engenders anxiety and emotional distress", Clin Nephrol, 88, pp.205~217 (2017)
- Hudson JL, "Tailored online cognitive behavioural therapy with or without therapist support calls to target psychological distress in adults receiving haemodialysis : a feasibility randomised controlled trial", J Psychosom Res, 102, pp.61~70 (2017)
- Drayer RA, "Characteristics of depression in hemodialysis patients : symptoms, quality of life and mortality risk", Gen Hosp Psychiatry, 28, pp.306~312 (2006)
- Peterson RA, "Depression, perception of illness and mortality in patients with end-stage renal disease", Int J Psychiatry Med, 21, pp.343~354 (1991)
- Ozono S, "Family functioning and psychological distress among Japanese breast cancer patients and families", Support Care Cancer, 13, pp.1044~1050 (2005)
- Ozono S, "Psychological distress related to patterns of family functioning among Japanese childhood cancer survivors and their parents", Psychooncology, 19, pp.545~552 (2010)
- Lu C, "Depression and resilience mediates the effect of family function on quality of life of the elderly", Arch Gerontol Geriatr, 71, pp.34~42 (2017)
- Kissane DW, "Perceptions of family functioning and cancer", Psychooncology, 3, pp.259~269 (2010)
- Northouse LL, "Quality of life of women with recurrent breast cancer and their family members", J Clin Oncol, 20, pp.4050~4064 (2002)
- Diener E, "Assessing subjective well-being : progress and opportunities", Soc Indic Res, 31, pp.103~157 (1994)
- Keshvari M, "Relation between children’s wellbeing and family function in children with thalassemia major in Isfahan in 2013", Glob J Health Sci, 8, pp.170~ (2016)
- Coty MB, "Problematic social support, family functioning, and subjective well-being in women with rheumatoid arthritis", Women Health, 50, pp.53~70 (2010)
- Burns RA, "Subjective well-being mediates the effects of resilience and mastery on depression and anxiety in a large community sample of young and middle-aged adults", Aust N Z J Psychiatry, 45, pp.240~248 (2011)
- Gao T, "The influence of resilience on mental health : the role of general well-being", Int J Nurs Pract, 23, pp.e12535~ (2017)
- Wilhelm S, "Cognitive psychology and emotional disorders", J Behav Ther Exp Psychiatry, 29, pp.99~100 (1997)
- Dunn AL, "Exercise treatment for depression", Am J Prev Med, 72, pp.319~323 (2005)
- Blumenthal JA, "Exercise and pharmacotherapy in the treatment of major depressive disorder", Psychosom Med, 69, pp.587~596 (2007)
- DiLorenzo TM, "Long-term effects of aerobic exercise on psychological outcomes", Prev Med, 28, pp.75~85 (1999)
- Fredrickson BL, "The broaden-and-build theory of positive emotions", Philos Trans R Soc Lond B Biol Sci, 359, pp.1367~1378 (2004)
- Thompson RA, "Emotional regulation and emotional development", Educ Psychol Rev, 3, pp.269~307 (1991)
- Gross JJ, "Emotion regulation and mental health", Clin Psychol, 2, pp.151~164 (1995)
- Stacey B, "Changing moods : the psychology of mood and mood regulation", Aust Psychol, 33, pp.158~159 (1998)
- Zabora J, "The prevalence of psychological distress by cancer site", Psychooncology, 10, pp.19~28 (2001)
- Deimling GT, "Cancer-related health worries and psychological distress among older adult, long-term cancer survivors", Psychooncology, 15, pp.306~320 (2010)
- Hilari K, "Psychological distress after stroke and aphasia : the first six months", Clin Rehabil, 24, pp.181~190 (2010)
- Kamlesh J, "Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India", Int J Epidemiol, 32, pp.978~987 (2003)
- Cheng TA, "The design and development of a screening questionnaire(CHQ)for use in community studies of mental disorders in Taiwan", Psychol Med, 16, pp.415~422 (1986)
- Goldberg DP, "The Detection of Psychiatric Illness by Questionnaire: A Technique for the Identification and Assessment of Non-Psychotic Psychiatric Illness" (1972), Oxford University Press
- Fryers T, "Prevalence of psychiatric disorder in Europe : the potential and reality of meta-analysis", Soc Psychiatry Psychiatr Epidemiol, 39, pp.899~905 (2004)
- Gupta S, "Greater variation in affect is associated with lower fasting plasma glucose", Heliyon, 2, pp.e00160~ (2016)
- Goldberg DP, "The validity of two versions of the GHQ in the WHO study of mental illness in general health care", Psychol Med, 27, pp.191~197 (2000)
- Fu Y, "Menopausal age and chronic diseases in elderly women: a cross-sectional study in Northeast China", Int J Environ Res Public Health, 13, pp.pii: E936~ (2016)
- De Vries AM, "Goal disturbance changes pre", post-renal transplantation are related to changes in distress, 2017, pp.22, 524~541
- Smilkstein G, "The family APGAR : a proposal for a family function test and its use by physicians", J Fam Pract, 6, pp.1231~1239 (1978)
- Chau TT, "A preliminary study of family Apgar index in the Chinese", Kao J Med Sci, 7, pp.27~ (1991)
- 김영석, "Relationship between Family Meals and Depressive Symptoms in Children", Korean Journal of Family Medicine, 34(3), pp.206~212 (2013), 대한가정의학회
- Caldwell CL, "Effectiveness of a multiple family group intervention for juvenile first offenders in reducing parent stress", J Child Fam Stud, 16, pp.443~459 (2007)
- Jianhua D, "Results and analysis of the general well-being schedule in Chinese college students", China J Clin Psychol, 4, pp.56~57 (1996)
- Fazio AF, "A concurrent validational study of the NCHS General Well-Being Schedule", Vital Health Stat, 73, pp.1~53 (1977)
- Taylor JE, "Psychometric characteristics of the General Well-Being Schedule(GWB)with African-American women", Qual Life Res, 12, pp.31~39 (2003)
- Serrano-Aguilar P, "The relationship among mental health status(GHQ-12), health related quality of life(EQ-5D)and health-state utilities in a general population", Epidemiol Psichiatr Soc, 18, pp.229~239 (2009)
- Tang F, "Psychological distress and risk for suicidal behavior among university students in contemporary China", J Affect Disord, 228, pp.101~108 (2018)
- Singer S, "Prevalence of mental health conditions in cancer patients in acute care--a meta-analysis", Ann Oncol, 21, pp.925~930 (2010)
- Crichton SL, "Patient outcomes up to 15 years after stroke : survival, disability, quality of life, cognition and mental health", J Neurol Neurosurg Psychiatry, 87, pp.1091~1098 (2016)
- Kretchy IA, "Mental health in hypertension : assessing symptoms of anxiety, depression and stress on antihypertensive medication adherence", Int J Ment Health Syst, 8, pp.25~ (2014)
- Landray MJ, "Prediction of ESRD and death among people with CKD : the Chronic Renal Impairment in Birmingham(CRIB)prospective cohort study", Am J Kidney Dis, 56, pp.1082~1094 (2010)
- Neu S, "Stopping long-term dialysis. An empirical study of withdrawal of life-supporting treatment", N Engl J Med, 314, pp.14~20 (1986)
- Cheng Y, "The effects of family structure and function on mental health during China’s transition : a cross-sectional analysis", BMC Fam Pract, 18, pp.59~ (2017)
- Damodaran D, "Road to mental health : from personality through subjective well-being", Int J Adv Nur Manage, 2, pp.1~3 (2014)
- Edwards B, "The psychological impact of a cancer diagnosis on families : The influence of family functioning and patients’ illness characteristics on depression and anxiety", Psychooncology, 13, pp.562~576 (2010)
- Bahremand M, "Relationship between family functioning and mental health considering the mediating role of resiliency in type 2 diabetes mellitus patients", Glob J Health Sci, 7, pp.254~259 (2015)
- Berger BG, "Exercise and mood : a selective review and synthesis of research employing the profile of mood states", J Appl Sport Psychol, 12, pp.69~92 (2000)
- Bernstein EE, "Acute aerobic exercise helps overcome emotion regulation deficits", Cogn Emot, 31, pp.1~10 (2017)
- Diehl JJ, "Exercise : the data on its role in health, mental health, disease prevention, and productivity", Prim Care, 35, pp.803~816 (2008)
