지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 77 - 84 (8page)
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초록· 키워드
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Background: Many patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) experience depression. Depression influences patient quality of life (QOL), dialysis compliance, and medical comorbidity. We developed and applied a group cognitive behavioral therapy (CBT) program including mindfulness meditation for ESRD patients undergoing HD, and measured changes in QOL, mood, anxiety, perceived stress, and biochemical markers. Methods: We conducted group CBT over a 12-week period with seven ESRD patients undergoing HD and suffering from depression. QOL, mood, anxiety, and perceived stress were measured at baseline and at weeks 8 and 12 using the World Health Organization Quality of Life scale, abbreviated version (WHOQOL-BREF), the Beck Depression Inventory II (BDI-II), the Hamilton Rating Scale for Depression (HAM-D), the Beck Anxiety Inventory (BAI), and the Perceived Stress Scale (PSS). Biochemical markers were measured at baseline and after 12 weeks. The Temperament and Character Inventory was performed to assess patient characteristics before starting group CBT. Results: The seven patients showed significant improvement in QOL, mood, anxiety, and perceived stress after 12 weeks of group CBT. WHOQOL-BREF and the self-rating scales, BDI-II and BAI, showed continuous improvement across the 12-week period. HAM-D scores showed significant improvement by week 8; PSS showed significant improvement after week 8. Serum creatinine levels also improved significantly following the 12 week period. Conclusion: In this pilot study, a CBT program which included mindfulness meditation enhanced overall mental health and biochemical marker levels in ESRD patients undergoing HD.
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등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Christensen AJ / 2002 / Psychological factors in endstage renal disease: an emerging context for behavioral medicine research / J Consult Clin Psychol 70:712~724
Perlman RL / 2005 / Quality of life in chronic kidney disease (CKD): a cross-sectional analysis in the Renal Research Institute-CKD study / Am J Kidney Dis 45:658~666
Cukor D / 2007 / Depression and anxiety in urban hemodialysis patients / Clin J Am Soc Nephrol 2:484~490
Hedayati SS / 2006 / The predictive value of self-report scales compared with physician diagnosis of depression in hemodialysis patients / Kidney Int 69:1662~1668
Kimmel PL / 2003 / ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity / Am J Kidney Dis 42:713~721
Perlman RL / 2005 / Quality of life in chronic kidney disease (CKD): a cross-sectional analysis in the Renal Research Institute-CKD study / Am J Kidney Dis 45:658~666
Cukor D / 2007 / Depression and anxiety in urban hemodialysis patients / Clin J Am Soc Nephrol 2:484~490
Hedayati SS / 2006 / The predictive value of self-report scales compared with physician diagnosis of depression in hemodialysis patients / Kidney Int 69:1662~1668
Kimmel PL / 2003 / ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity / Am J Kidney Dis 42:713~721
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