Self-evaluation in dialysis patients

Alexithymia, Suicidal Ideation, and Self-Esteem As Psychological Factors Affecting Chronic Kidney Disease Patients Under Haemodialysis: A Contextual Review

Chronic kidney disease is a universal topic gravitating towards various aspects of widespread illness, impacting the overall well-being of human beings. Patients with longstanding renal complaints under dialysis encounter challenges correlated with physical, intuitive, and socio-economic conditions to a greater extent in their daily existence. These portions may include changes in the appearance of a person, restricted physique movements, curbed diet, duration of surgical protocols, travelling time during the period of prevention, financial load, role reversal in the family followed by ruining their livelihood, deprived social rank, difficulty in relational, cordial relationships, and so on. Excluding these details, the sick may be profoundly influenced by sorrow, health anxiety, despair, itching, the impoverished essence of vitality, dysfunction in sexual intimacy, impaired cognition, disturbances in disposition, sleeping fluctuations, frequent panic attacks, delirium, brain-afflicted degeneration disabilities, etcetera. Our analysis focuses on exploring a few unidentified intrinsic factors that distinguish these views over combined elements due to the existing disorder.

The positive influence of psychological intervention on the level of anxiety and depression in dialysis patients: A pilot study

Medical progress in dialysis therapy made it possible to treat patients with the end-stage renal disease for many years. But at the other side it may lead to profound changes in everyday life and may induce depression and anxiety. The research presented in this article explores the influence of psychological interventions on anxiety and depression levels in patients undergoing dialysis therapy. The experimental design included two experimental groups: cognitive intervention and cognitive/narrative intervention and one control group (standard treatment). In total, 139 participants aged 22–75, including 67 women and 72 men diagnosed with end-stage renal disease and treated with dialysis, were divided into a control group and two experimental groups. Two well-known tools were used in the study: Beck Depression Inventory and State-Trait Anxiety Inventory. It was indicated that cognitive intervention may decrease the level of anxiety as a state, whereas cognitive/narrative intervention may decrease the level of anxiety as a state and the level of depression in dialysis patients. The stronger effect in the case of using narrative therapy may be the consequence of the fact that narrative therapy stimulates deeper analysis of the discussed issues (involving emotional level).

Psychological background of pro-health behavior

In this study, psychological conditions of pro-health lifestyle behavior have been analyzed. A first research group consisted of 88 healthy people (44 males, 44 females) aged 19-39. Psychological analysis showed a positive correlation between the internal locus of control and adherence to healthy diets; a correlation extending to the knowledge about healthy food. Social exclusion appeared to reduce the possibility of reaping new knowledge about healthy diets and was negatively correlated with the tendency of using healthy diet or dietary supplements. A second group consisted of 70 women aged 20-65. The subjects in this group were oriented towards using a diet which reduces body mass; pro-health both physical and psychological objectives other than body mass reduction were secondary in this study. General self-esteem and physical self-esteem were found to be positively correlated with the involvement in physical activities and satisfaction from dietary intervention. These outcomes were negatively correlated with body mass. The study shows that the efficiency of prevention is related to the locus of control, self-efficacy expectation, faith in the result, and self-esteem. The information about the interconnections among these variables may be useful in building preventive behavioral programs.