Improving Distress in Dialysis (iDiD): A tailored CBT self-management treatment for patients undergoing dialysis.
Background There is significant psychological distress in adults with end-stage kidney disease (ESKD). However, psychological treatments tailored to address the unique challenges of kidney failure are absent. We identified psychological correlates of distress in ESKD to develop a cognitive-behaviour...
| Publicado en: | Journal of Renal Care Vol. 42; no. 4; pp. 223 - 239 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119457547&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 119457547 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17556678 56RH jtl: Journal of Renal Care issn: 17556678 maglogo: Y pubinfo: dt: Dec2016 vid: 42 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 119457547 119457547 119457547 10.1111/jorc.12168 119457547 ppf: 223 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Improving Distress in Dialysis (iDiD): A tailored CBT self-management treatment for patients undergoing dialysis. aug: au: Hudson, Joanna L. Moss‐Morris, Rona Game, David Carroll, Amy Chilcot, Joseph affil: Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London UK sug: subj: Stress, Psychological Prevention and Control Dialysis Patients Cognitive Therapy Self Care Kidney Failure, Chronic Drug Therapy Human Protocols Thematic Analysis Patient Compliance Health Behavior Support, Psychosocial Models, Psychological Coping Conceptual Framework Narratives Self Report Depression Symptoms Anxiety Disorders Symptoms Qualitative Studies Life Experiences Evaluation Meta Analysis Socialization Emotions Funding Source ab: Background There is significant psychological distress in adults with end-stage kidney disease (ESKD). However, psychological treatments tailored to address the unique challenges of kidney failure are absent. We identified psychological correlates of distress in ESKD to develop a cognitive-behavioural therapy (CBT) treatment protocol that integrates the mental health needs of patients alongside their illness self-management demands. Methods Studies which examined relationships between distress and psychological factors that apply in the context of ESKD including: health threats, cognitive illness representations and illness management behaviours were narratively reviewed. Review findings were translated into a CBT formulation model to inform the content of a renal-specific seven session CBT treatment protocol, which was commented on and refined by patient representatives. Results Health threats related to distress were grouped into four themes including: acute ESKD events, loss of role, uncertainty and illness self-management. Having pessimistic illness and treatment perceptions were associated with elevated distress. Non-adherence and avoidance behaviours were related to feelings of distress, whereas cognitive reappraisal, acceptance, social support and assertiveness were associated with less distress. Conclusions The dialysis-specific CBT formulation identifies the importance of targeting ESKD-specific correlates of distress to allow the delivery of integrated mental and physical health care. The ' Improving Distress in Dialysis (iDiD)' treatment protocol now requires further evaluation in terms of content, feasibility and potential efficacy. pubtype: Academic Journal doctype: meta analysis research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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