慢性肾功能衰竭维持性血液透析患者焦虑、抑郁、自我感知负担与心理弹性的相关性

IF 3.4 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2025-07-19 DOI:10.5498/wjp.v15.i7.103850

Yin-Yin Ye, Liang-Fei Tao, Yan-Lang Yang, Yu-Wei Wang, Xiao-Ming Yang, Hai-Hong Xu

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引用次数: 0

摘要

背景：在接受维持性血液透析（MHD）的慢性肾功能衰竭（CRF）患者中，焦虑、抑郁、自我感知负担（SPB）和心理弹性（PR）之间的关系以及PR的决定因素的研究是有限的。目的：探讨慢性肾功能衰竭MHD患者焦虑、抑郁、SPB和PR的相关性。方法：本研究纳入了2021年6月至2024年6月期间入院的225例MHD CRF患者。采用焦虑自评量表（SAS）评估焦虑水平；采用抑郁自评量表（SDS）评定抑郁状态；采用SPBS量表（SPBS）测量SPB；PR采用Connor-Davidson弹性量表（CD-RISC）测定。采用Pearson相关系数分析SAS、SDS、SPB和CD-RISC之间的相关性。进行单因素和多因素分析，以确定影响CRF患者对MHD的PR的因素。结果：225例患者的SAS、SDS、SPB、CD-RISC评分分别为45.25±15.36、54.81±14.68、32.31±11.52、66.48±9.18。SAS、SDS、SPB与CD-RISC呈显著负相关。此外，透析时间较长（P = 0.015）、无宗教信仰（P = 0.020）、月收入较低（P = 0.008）、SAS评分较高（P = 0.013）、SDS评分较高（P = 0.006）均是影响CRF患者MHD患者PR的独立因素。结论：CRF合并MHD患者存在不同程度的焦虑、抑郁和SPB，与PR呈显著负相关，且透析时间较长、无宗教信仰、月收入较低、SAS评分较高、SDS评分较高是影响CRF合并MHD患者PR的负相关因素。

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Correlation between anxiety, depression, self-perceived burden, and psychological resilience in patients with chronic renal failure on maintenance hemodialysis.

Background: Research examining the relationships among anxiety, depression, self-perceived burden (SPB), and psychological resilience (PR), along with the determinants of PR, in patients with chronic renal failure (CRF) receiving maintenance hemodialysis (MHD) is limited.

Aim: To investigate the correlation between anxiety, depression, SPB, and PR in patients with CRF on MHD.

Methods: This study included 225 patients with CRF on MHD who were admitted between June 2021 and June 2024. The anxiety level was evaluated using the Self-Rating Anxiety Scale (SAS); the depression status was assessed using the Self-Rating Depression Scale (SDS); the SPB was measured using the SPB Scale (SPBS); and the PR was determined using the Connor-Davidson Resilience Scale (CD-RISC). The correlations among the SAS, SDS, SPB, and CD-RISC were analyzed using Pearson's correlation coefficients. Univariate and multivariate analyses were performed to identify the factors that influence the PR of patients with CRF on MHD.

Results: The SAS, SDS, SPB, and CD-RISC scores of the 225 patients were 45.25 ± 15.36, 54.81 ± 14.68, 32.31 ± 11.52, and 66.48 ± 9.18, respectively. Significant negative correlations were observed between SAS, SDS, SPB, and CD-RISC. Furthermore, longer dialysis vintage (P = 0.015), the absence of religious beliefs (P = 0.020), lower monthly income (P = 0.008), higher SAS score (P = 0.013), and higher SDS score (P = 0.006) were all independent factors that adversely affected the PR of patients with CRF on MHD.

Conclusion: Patients with CRF on MHD present with varying degrees of anxiety, depression, and SPB, all of which exhibit a significant negative correlation with their PR. Moreover, longer dialysis vintage, the absence of religious beliefs, lower monthly income, higher SAS score, and higher SDS score were factors that negatively affected the PR of patients with CRF on MHD.

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.