Stressors, coping and depression in haemodialysis patients

Janet Welch, Joan K. Austin

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Background: Depression is common in persons receiving outpatient haemodialysis, but little work has been done to explore the variables associated with depression. Aims: The primary purposes of this study were to (i) examine relationships among stressors, coping and depression and (ii) test the mediating role of coping. Design/Methods: Data were collected at two points in time, three months apart in 1995/1996. The final convenience sample at Time 2 was 86 participants from two United States midwestern, inner-city dialysis units. Structured interviews were conducted using the Centre for Epidemiologic Studies Depression Scale, the haemodialysis stressor scale (HSS) and the coping strategy indicator. Results: At Time 1 more psychosocial stressors were associated with greater use of problem-solving, social-support and avoidance coping. Both avoidance coping and more psychosocial stressors at Time 1 were related to depression at Time 2. Finally, avoidance coping was found to explain much of the relationship between psychosocial stressors and depression. Conclusions: Research is now needed that explicates the causal relationships among stress, coping and depression in haemodialysis patients.

Original languageEnglish (US)
Pages (from-to)200-207
Number of pages8
JournalJournal of Advanced Nursing
Volume33
Issue number2
DOIs
StatePublished - Jan 2001

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Renal Dialysis
Depression
Midwestern United States
Social Support
Epidemiologic Studies
Dialysis
Outpatients
Interviews
Research

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Stressors, coping and depression in haemodialysis patients. / Welch, Janet; Austin, Joan K.

In: Journal of Advanced Nursing, Vol. 33, No. 2, 01.2001, p. 200-207.

Research output: Contribution to journalArticle

Welch, Janet ; Austin, Joan K. / Stressors, coping and depression in haemodialysis patients. In: Journal of Advanced Nursing. 2001 ; Vol. 33, No. 2. pp. 200-207.
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