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Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients

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  • Cristina J. González-Flores

    (Centro Universitario de la Cienega, University of Guadalajara, Ocotlán 47820, Mexico)

  • Guillermo García-García

    (Nephrology Department, Civil Hospital de Guadalajara Fray Antonio Alcalde, Guadalajara 44280, Mexico)

  • Abel Lerma

    (Institute of Health Sciences, Universidad Autónoma del Estado de Hidalgo, San Juan Tilcuautla 42160, Mexico)

  • Héctor Pérez-Grovas

    (National Institute of Cardiology Ignacio Chávez, México City 14080, Mexico)

  • Rosa M. Meda-Lara

    (Departments of Basic Psychology and Medical Clinics, Health Sciences Center, University of Guadalajara, Guadalajara 44340, Mexico)

  • Rebeca M. E. Guzmán-Saldaña

    (Institute of Health Sciences, Universidad Autónoma del Estado de Hidalgo, San Juan Tilcuautla 42160, Mexico)

  • Claudia Lerma

    (National Institute of Cardiology Ignacio Chávez, México City 14080, Mexico)

Abstract

Depression and anxiety are highly prevalent psychological disorders in end-stage renal disease (ESRD) that have a negative clinical impact. The purpose of our study was to identify factors associated with the presence of depression and anxiety, in a sample of ESRD patients treated with hemodialysis. We included 187 patients from two dialysis facilities, age 18–65 years. Beck’s depression and anxiety inventories, KDQOL36 questionnaire, the cognitive distortion scale and the Mexican scale of resilience were used. Socio-demographic and clinical information was obtained from medical records. Depression was present in 143 (76.4%) patients. Patient with depression were older (33 (26–52) years vs. 30 (24.43) years, p = 0.025), had a lower education level (36% vs. 9%, p = 0.001), used more medications (67% vs. 36%, p = 0.001), had a comorbidity (75% vs. 41%, p = 0.001), and a higher proportion were waiting for a kidney transplant. Anxiety was present in 112 (59.8%) cases. By multivariate analysis, depression was independently associated with lower education, absence of previous kidney transplant, anxiety, higher cognitive distortion, lower psychological resilience, and lower quality of life scores. In conclusion, lower psychological resilience, lower education level, and higher cognitive distortions are factors associated with depression and anxiety in ESRD patients.

Suggested Citation

  • Cristina J. González-Flores & Guillermo García-García & Abel Lerma & Héctor Pérez-Grovas & Rosa M. Meda-Lara & Rebeca M. E. Guzmán-Saldaña & Claudia Lerma, 2021. "Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11957-:d:678911
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    References listed on IDEAS

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    1. Carlos J. Delgado-Domínguez & Sergio Sanz-Gómez & Ana López-Herradón & Beatriz Díaz Espejo & Olaya Lamas González & Macarena de los Santos Roig & Isabel Berdud Godoy & Abraham Rincón Bello & Rosa Ramo, 2021. "Influence of Depression and Anxiety on Hemodialysis Patients: The Value of Multidisciplinary Care," IJERPH, MDPI, vol. 18(7), pages 1-12, March.
    2. Li, Xiaoming & Harrison, Sayward E. & Fairchild, Amanda J. & Chi, Peilian & Zhao, Junfeng & Zhao, Guoxiang, 2017. "A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up," Social Science & Medicine, Elsevier, vol. 190(C), pages 256-264.
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    Cited by:

    1. Cristina J. González-Flores & Guillermo Garcia-Garcia & Claudia Lerma & Rebeca María Elena Guzmán-Saldaña & Abel Lerma, 2023. "Effect of Cognitive Behavioral Intervention Combined with the Resilience Model to Decrease Depression and Anxiety Symptoms and Increase the Quality of Life in ESRD Patients Treated with Hemodialysis," IJERPH, MDPI, vol. 20(11), pages 1-15, May.

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