The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients

Jieun Cha; Myungsun Yi

doi:10.7475/kjan.2013.25.4.389

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Cha and Yi: The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients

Original Article

Korean Journal of Adult Nursing 2013; 25(4): 389-399.

Published online: 31 August 2013

DOI: https://doi.org/10.7475/kjan.2013.25.4.389

The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients

Jieun Cha¹, Myungsun Yi²

¹College of Nursing, Seoul National University, Seoul, Korea.

²College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Corresponding author: Cha, Jieun. College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongro-gu, Seoul 110-744, Korea. Tel: +82-2-740-8433, Fax: +82-2-740-8829, jecha527@snu.ac.kr

Received 1 April 2013 Revised 24 June 2013 Accepted 7 August 2013

Abstract

Purpose

The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model.

Methods

For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression.

Results

The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction.

Conclusion

The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.

Keywords: Cognition, Psychological adaptation, Renal dialysis, Depression, Cross-sectional study

Figures and Tables

Figure 1

Research framework of this study based on the stress-coping model.

Table 1

Hope, Depression and Satisfaction with Life by Demographic and Illness-related Characteristics (N=142)

VAS=visual analogue scale.

Table 2

Scores of Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

Table 3

Correlations between Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

1=Acceptance; 2=Positive refocusing; 3=Positive reappraisal; 4=Refocus on planning; 5=Putting into perspective; 6=Rumination; 7=Self-blame; 8=Catastrophizing; 9=Other-blame.

Table 4

Influencing Factors on Hope, Depression and Satisfaction with Life (N=142)

Adj. R²=Adjusted R²; β=standardized coefficients beta; NS=not significant, was not entered in the analysis by the stepwise method.

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