Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life

Simon R. Knowles; Pragalthan Apparthurai; Zoe Jenkins; Emmet O'Flaherty; Frank Ierino; Robyn Langham; Chantal F. Ski; David R. Thompson; David J. Castle

doi:10.1080/13548506.2023.2179644

Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life

Simon R. Knowles, Pragalthan Apparthurai, Zoe Jenkins, Emmet O'Flaherty, Frank Ierino, Robyn Langham, Chantal F. Ski, David R. Thompson , David J. Castle^*

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

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Abstract

Chronic kidney disease (CKD) negatively impacts psychological well-being and quality of life (QoL). Underpinned by the Common Sense Model (CSM), this study evaluated the potential mediating role of self-efficacy, coping styles and psychological distress on the relationship between illness perceptions and QoL in patients living with CKD. Participants were 147 people with stage 3–5 kidney disease. Measures included eGFR, illness perceptions, coping styles, psychological distress, self-efficacy and QoL. Correlational analyses were performed, followed by regression modelling. Poorer QoL was associated with greater distress, engagement in maladaptive coping, poorer illness perceptions and lower self-efficacy. Regression analysis revealed that illness perceptions predicted QoL, with psychological distress acting as a mediator. The proportion of variance explained was 63.8%. These findings suggest that psychological interventions are likely to enhance QoL in CKD, if they target the mediating psychological processes associated with illness perceptions and psychological distress.

Original language	English
Pages (from-to)	1963-1976
Number of pages	14
Journal	Psychology, Health and Medicine
Volume	28
Issue number	7
DOIs	https://doi.org/10.1080/13548506.2023.2179644
Publication status	Published - 15 Dec 2023

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Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life
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title = "Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life",

abstract = "Chronic kidney disease (CKD) negatively impacts psychological well-being and quality of life (QoL). Underpinned by the Common Sense Model (CSM), this study evaluated the potential mediating role of self-efficacy, coping styles and psychological distress on the relationship between illness perceptions and QoL in patients living with CKD. Participants were 147 people with stage 3–5 kidney disease. Measures included eGFR, illness perceptions, coping styles, psychological distress, self-efficacy and QoL. Correlational analyses were performed, followed by regression modelling. Poorer QoL was associated with greater distress, engagement in maladaptive coping, poorer illness perceptions and lower self-efficacy. Regression analysis revealed that illness perceptions predicted QoL, with psychological distress acting as a mediator. The proportion of variance explained was 63.8%. These findings suggest that psychological interventions are likely to enhance QoL in CKD, if they target the mediating psychological processes associated with illness perceptions and psychological distress.",

author = "Knowles, {Simon R.} and Pragalthan Apparthurai and Zoe Jenkins and Emmet O'Flaherty and Frank Ierino and Robyn Langham and Ski, {Chantal F.} and Thompson, {David R.} and Castle, {David J.}",

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AU - Knowles, Simon R.

AU - Apparthurai, Pragalthan

AU - Jenkins, Zoe

AU - O'Flaherty, Emmet

AU - Ierino, Frank

AU - Langham, Robyn

AU - Ski, Chantal F.

AU - Thompson , David R.

AU - Castle, David J.

PY - 2023/12/15

Y1 - 2023/12/15

N2 - Chronic kidney disease (CKD) negatively impacts psychological well-being and quality of life (QoL). Underpinned by the Common Sense Model (CSM), this study evaluated the potential mediating role of self-efficacy, coping styles and psychological distress on the relationship between illness perceptions and QoL in patients living with CKD. Participants were 147 people with stage 3–5 kidney disease. Measures included eGFR, illness perceptions, coping styles, psychological distress, self-efficacy and QoL. Correlational analyses were performed, followed by regression modelling. Poorer QoL was associated with greater distress, engagement in maladaptive coping, poorer illness perceptions and lower self-efficacy. Regression analysis revealed that illness perceptions predicted QoL, with psychological distress acting as a mediator. The proportion of variance explained was 63.8%. These findings suggest that psychological interventions are likely to enhance QoL in CKD, if they target the mediating psychological processes associated with illness perceptions and psychological distress.

AB - Chronic kidney disease (CKD) negatively impacts psychological well-being and quality of life (QoL). Underpinned by the Common Sense Model (CSM), this study evaluated the potential mediating role of self-efficacy, coping styles and psychological distress on the relationship between illness perceptions and QoL in patients living with CKD. Participants were 147 people with stage 3–5 kidney disease. Measures included eGFR, illness perceptions, coping styles, psychological distress, self-efficacy and QoL. Correlational analyses were performed, followed by regression modelling. Poorer QoL was associated with greater distress, engagement in maladaptive coping, poorer illness perceptions and lower self-efficacy. Regression analysis revealed that illness perceptions predicted QoL, with psychological distress acting as a mediator. The proportion of variance explained was 63.8%. These findings suggest that psychological interventions are likely to enhance QoL in CKD, if they target the mediating psychological processes associated with illness perceptions and psychological distress.

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DO - 10.1080/13548506.2023.2179644

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EP - 1976

JO - Psychology, Health and Medicine

JF - Psychology, Health and Medicine

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ER -

Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life

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