The psychosocial correlates of quality of life in the dialysis population: a systematic review and meta-regression analysis.

Purpose: The psychosocial correlates of quality-of-life (QoL) research in end-stage renal disease (ESRD) are important in identifying risk and protective factors that may account for the QoL variability. Thus, the present study provides a meta-analysis of these research results.Methods: Published st...

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Publicado en:Quality of Life Research Vol. 21; no. 4; pp. 563 - 581
Autores principales: Chan R, Brooks R, Steel Z, Heung T, Erlich J, Chow J, Suranyi M, Chan, Ramony, Brooks, Robert, Steel, Zachary, Heung, Tracy, Erlich, Jonathan, Chow, Josephine, Suranyi, Michael
Formato: research systematic review Journal Article
Publicado: Springer Nature May2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2012
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      pub: Springer Nature
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        atl: The psychosocial correlates of quality of life in the dialysis population: a systematic review and meta-regression analysis.
      aug:
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          Chan R
          Brooks R
          Steel Z
          Heung T
          Erlich J
          Chow J
          Suranyi M
          Chan, Ramony
          Brooks, Robert
          Steel, Zachary
          Heung, Tracy
          Erlich, Jonathan
          Chow, Josephine
          Suranyi, Michael
        affil: Consultation Liaison Psychiatry, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia
      sug:
        subj:
          Hemodialysis Psychosocial Factors
          Quality of Life
          Embase
          Female
          Human
          Kidney Failure, Chronic Physiopathology
          Kidney Failure, Chronic Psychosocial Factors
          Kidney Failure, Chronic Therapy
          Male
          Medline
          Middle Age
          Psycinfo
          Systematic Review
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: The psychosocial correlates of quality-of-life (QoL) research in end-stage renal disease (ESRD) are important in identifying risk and protective factors that may account for the QoL variability. Thus, the present study provides a meta-analysis of these research results.Methods: Published studies reporting associations between any psychosocial factors and QoL were retrieved from Medline, Embase, and PsycINFO. Mean effect sizes were calculated for the associations across psychosocial constructs (affect, stress, cognitive appraisal, social support, personality attributes, and coping process). Multiple hierarchical meta-regressions were applied to moderator analyses.Results: Eighty-one studies covering a combined sample of 13,240 participants were identified resulting in 377 effect sizes of the association between psychosocial factors and QoL. The overall effect size of the association was medium (0.38). Stress, affect, and cognitive appraisal had the largest effect sizes. Location of study, dialysis type, gender, age and QoL domains measured (general well-being, subjective QoL, and health-related QoL) were significant substantive moderators for the associations.Conclusions: The present study shows that there is a moderate association between psychosocial variables and QoL in patients with ESRD, consistent across different QoL domains. The psychosocial constructs that have the strongest association with QoL are stress, affect, and cognitive appraisal.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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