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- Title
The influence of emotional factors on the report of somatic symptoms in patients on chronic haemodialysis: the importance of anxiety.
- Authors
Perales-Montilla, Carmen M.; Duschek, Stefan; Reyes-del Paso, Gustavo A.
- Abstract
Objective: To evaluate the presence of different somatic symptoms in patients undergoing chronic haemodialysis in comparison with a control group and to analyze the predictive capacity of some psychological variables (namely anxiety, depression, social support, self-efficacy and stresscoping strategies) on the reporting of these symptoms. Method: 46 patients undergoing dialysis treatment and 30 individuals without relevant illness matched in socio-demographics variables were evaluated with self-reported measures. Relationships between somatic symptoms and predictor variables were analysed trough bivariate correlations and multiple regression analysis. Results: Patients showed values of somatic symptom much greater than controls, especially concerning immunological, cardiovascular, gastrointestinal and skin-allergy symptoms. Anxiety, with a positive association, is the main independent predictor of most of the symptom categories, explaining up to 24.9% (p<.0001) of variance in the total number of reported symptoms. Depression, level of worry, and passive coping-strategies (helplessness-hopelessness and fatalisms) were also associated with higher levels of somatic symptoms. Contrarily, the active coping strategy of fighting spirit, selfefficacy (coping capacity) and social support were associated with lower levels of symptoms. Conclusions: These results have clinical implications with respect to the aspects in which psychological interventions aimed to reduce somatic symptoms in chronic dialysis should be based and suggest that psychological-emotional variables could explain some of the symptom without clear aetiology in the renal patient.
- Subjects
SOMATOFORM disorders; HEMODIALYSIS patients; ANXIETY; SYMPTOMS; SOCIODEMOGRAPHIC factors; MENTAL depression; WORRY; ETIOLOGY of diseases
- Publication
Nefrologia, 2013, Vol 33, Issue 6, p816
- ISSN
0211-6995
- Publication type
Article
- DOI
10.3265/Nefrologia.pre2013.Aug.12097