The Effect of Resilience on Depression and Life Satisfaction in Patients with Hemodialysis

Ka-Young Lee; Sheng-Min Wang; Yu-Ra Kim; Hae-Kook Lee; Kyoung-Uk Lee; Chung-Tai Lee; Yong-Sil Kweon

doi:10.4306/jknpa.2012.51.6.439

Journal List > J Korean Neuropsychiatr Assoc > v.51(6) > 1017614

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Lee, Wang, Kim, Lee, Lee, Lee, and Kweon: The Effect of Resilience on Depression and Life Satisfaction in Patients with Hemodialysis

Original Article

Journal of Korean Neuropsychiatric Association

Journal of Korean Neuropsychiatric Association 2012; 51(6): 439-444.

Published online: 30 November 2012

DOI: https://doi.org/10.4306/jknpa.2012.51.6.439

The Effect of Resilience on Depression and Life Satisfaction in Patients with Hemodialysis

Ka-Young Lee, MD, Sheng-Min Wang, MD, Yu-Ra Kim, MD, Hae-Kook Lee, MD, Kyoung-Uk Lee, MD, Chung-Tai Lee, MD, Yong-Sil Kweon, MD

Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, Korea.

Address for correspondence: Yong-Sil Kweon, MD. Department of Psychiatry, The Catholic University of Korea College of Medicine, 271 Cheonbo-ro, Uijeongbu 480-717, Korea. Tel +82-31-820-3055, Fax +82-31-847-3630, yskwn@catholic.ac.kr

Received 23 August 2012 Revised 4 September 2012 Accepted 17 September 2012

Abstract

Objectives

The aim of this study was to investigate the effect of resilience on depression and life satisfaction in patients with end-stage renal disease (ESRD) on Hemodialysis.

Methods

Fifty ESRD patients, aged 18 or older, on hemodialysis visiting the hemodialysis room at Catholic University of Korea, Uijeongbu St. Mary's Hospital were included in this study. All patients were divided into two groups based on a Mini International Neuropsychiatric Interview : ESRD patients with major depressive disorder (MDD), and ESRD patients without MDD. The 17-item Hamilton Depression Rating Scale (HAM-D) and the Montgomery-Asberg Depression Rating Scale were used for assessment of the severity of depression symptoms. The Conner-Davidson Resilience Scale (CD-RISC) and Index of Well-being were used for measurement of resilience and life satisfaction, respectively.

Results

Sixteen (32%) patients were included in the MDD group, and 34 (68%) patients were included in the non-MDD group. The MDD group had significantly lower CD-RISC (p<0.005) and Index of well-being scores (p<0.005). The CD-RISC score showed a significant negative correlation with HAM-D-17 (r=-0.36, p<0.05) score and a positive correlation with Index of well-being score (r=0.37, p<0.01). Multiple regression analysis showed a significant relation of CD-RISC score with HAM-D-17 (β=-0.36, p<0.05) and well-being score (β=-0.56, p<0.005).

Conclusion

Results of this study suggest that ESRD patients with higher resilience might be less depressed and have higher life satisfaction. Therefore, identification of clinical approaches that could increase resilience of ESRD patients might be important to prevention of depression and enhancement of life quality in ESRD patients on hemodialysis.

Keywords: Resilience, Depression, Life satisfaction, Hemodilalysis

Figures and Tables

Table 1

Sociodemographical and clinical characteristics of the hemodialysis patients

SD : Standard deviation, HAMD : Hamilton Depression Rating Scale, MADRS : Montgomery-Asberg Depression Rating Scale, CD-RISC : Conner-Davidson Resilience Scale

Table 2

Psychological and demographic variables in depressed and non-depressed group

M : Mean, SD : Standard deviation, HAMD : Hamilton Depression Rating Scale, MADRS : Montgomery-Asberg Depression Rating Scale, CD-RISC : Conner-Davidson Resilience Scale

Table 3

Correlations between depressive symptoms and resilience and index of well-being

Pearson correlation analysis (^*: p<0.05, ^**p: <0.01). HAMD : Hamilton Depression Rating Scale, MADRS : Montgomery-Asberg Depression Rating Scale, CD-RISC : Conner-Davidson Resilience Scale

Notes

The authors have no financial conflicts of interest.

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