Akademik Veri Yönetim Sistemi
37th Annual Conference of the European Health Psychology Society, Bremen, Almanya, 4 - 08 Eylül 2023, ss.318, (Özet Bildiri)
Background: Illness perceptions play an important role in outcomes for patients with kidney disease. This prospective longitudinal study examined how illness perceptions, depression, and dialysis symptoms adjust over time and their inter-relations amongst patients in the pre-dialysis and dialysis phase. Methods: Patients were recruited from four dialysis centres in Northern Cyprus between 2020-2021. Data were collected from 181 patients (124 patients receiving dialysis [91.1% haemodialysis] and 57 patients in pre-dialysis phase) at baseline (Time 1). Both patient groups were followed at six months (Time 2) and at 12 months (Time 3 = one year). Self-reported measures used included Brief Illness Perceptions Questionnaire, Patient Health Questionnaire-9, and Dialysis Symptom Index. Findings: A series of linear latent growth models were used to understand trajectories of study variables. Overall, patients’ perceptions of consequences and emotional response were found to decrease over a one-year period. Depression and dialysis symptoms were found to be relatively stable over a one-year period. Patients who reported higher levels of illness perceptions of consequences and emotional response at baseline were more likely to report greater depression symptoms. Similarly, those patients receiving dialysis who reported greater emotional response and lower levels of personal control at baseline were more likely to report dialysis symptoms. Discussion: The findings lend support to the importance of illness perceptions as a framework through which to identify patients who may be in need of support. Interventions may enhance patient experience amongst those receiving dialysis, though such interventions have yet to be widely applied in this context.