Stressors, coping and depression in haemodialysis patients

Janet L. Welch, Joan K. Austin

Research output: Contribution to journalArticle

59 Scopus citations


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
Issue number2
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Nursing(all)

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