Association of coping strategies with mortality and health-related quality of life in hemodialysis patients: The Japan Dialysis Outcomes and Practice Patterns Study

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background

Hemodialysis patients are exposed to disease- and treatment-related stresses, and use various coping strategies to deal with these stresses. Although some studies have reported the association of coping strategies with mortality or health-related quality of life (QOL) in some populations, the effect of coping strategies on clinical outcomes in hemodialysis patients remains unclear. We investigated the association in a longitudinal design among Japanese hemodialysis patients.

Methods

We examined Japanese hemodialysis patients who participated in the Dialysis Outcomes and Practice Patterns Study (DOPPS) IV, which was conducted between 2009 and 2012. The exposure variable was stress coping strategy, as assessed using subscales in Coping Strategies Inventory Short Form: problem-focused engagement, problem-focused disengagement, emotion-focused engagement, and emotion-focused disengagement. Hazard ratios were estimated using Cox proportional hazard model for all-cause mortality and mean differences for change in health-related QOL in 1 year were estimated using a regression model.

Results

Among 1,354 patients, only problem-focused engagement was significantly associated with longer survival; other subscales were not associated with all-cause mortality after adjustment for potential confounding factors. In terms of health-related QOL, the subscale of problem-focused engagement was also associated with improvement in physical functioning and mental health among 1,045 patients. Emotion-focused disengagement was associated with deterioration in mental health, but not with change in physical functioning. The other subscales were not associated with change in physical functioning or mental health.

Conclusions

Among hemodialysis patients, “problem-focused engagement” coping strategies were associated with longer survival and also with improvement in physical functioning and mental health. To achieve greater longevity and improve QOL in hemodialysis patients under ongoing stresses, problem-focused engagement should be encouraged.

Related collections

Most cited references 25

Record: found
Abstract: found
Article: not found

Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale).

E M Andresen, J. A. Malmgren, W B Carter … (1994)

We derived and tested a short form of the Center for Epidemiologic Studies Depression Scale (CES-D) for reliability and validity among a sample of well older adults in a large Health Maintenance Organization. The 10-item screening questionnaire, the CESD-10, showed good predictive accuracy when compared to the full-length 20-item version of the CES-D (kappa = .97, P or = 16 for the full-length questionnaire and > or = 10 for the 10-item version. We discuss other potential cutoff values. The CESD-10 showed an expected positive correlation with poorer health status scores (r = .37) and a strong negative correlation with positive affect (r = -.63). Retest correlations for the CESD-10 were comparable to those in other studies (r = .71). We administered the CESD-10 again after 12 months, and scores were stable with strong correlation of r = .59.

0 comments Cited 558 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Nonadherence in hemodialysis: associations with mortality, hospitalization, and practice patterns in the DOPPS.

Rajiv Saran, Jennifer L Bragg-Gresham, Hugh C Rayner … (2003)

Nonadherence among hemodialysis patients compromises dialysis delivery, which could influence patient morbidity and mortality. The Dialysis Outcomes and Practice Patterns Study (DOPPS) provides a unique opportunity to review this problem and its determinants on a global level. Nonadherence was studied using data from the DOPPS, an international, observational, prospective hemodialysis study. Patients were considered nonadherent if they skipped one or more sessions per month, shortened one or more sessions by more than 10 minutes per month, had a serum potassium level openface>6.0 mEq/L, a serum phosphate level openface>7.5 mg/dL (>2.4 mmol/L), or interdialytic weight gain (IDWG)>5.7% of body weight. Predictors of nonadherence were identified using logistic regression. Survival analysis used the Cox proportional hazards model adjusting for case-mix. Skipping treatment was associated with increased mortality [relative risk (RR) = 1.30, P = 0.01], as were excessive IDWG (RR = 1.12, P = 0.047) and high phosphate levels (RR = 1.17, P = 0.001). Skipping also was associated with increased hospitalization (RR = 1.13, P = 0.04), as were high phosphate levels (RR = 1.07, P = 0.05). Larger facility size (per 10 patients) was associated with higher odds ratios (OR) of skipping (OR = 1.03, P = 0.06), shortening (OR = 1.03, P = 0.05), and IDWG (OR = 1.02, P = 0.07). An increased percentage of highly trained staff hours was associated with lower OR of skipping (OR = 0.84 per 10%, P = 0.02); presence of a dietitian was associated with lower OR of excessive IDWG (OR = 0.75, P = 0.08). Nonadherence was associated with increased mortality risk (skipping treatment, excessive IDWG, and high phosphate) and with hospitalization risk (skipping, high phosphate). Certain patient/facility characteristics also were associated with nonadherence.

0 comments Cited 133 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Coping as a personality process: a prospective study.

Niall Bolger (1990)

The study tested the proposition that coping is personality in action under stress. Using a stressful medical school entrance examination, the study examined (a) whether neuroticism emerged in coping patterns over time and (b) whether the influence of neuroticism on coping accounted for changes in anxiety and examination performance. Fifty premedical students reported their coping efforts at 35 days before, 10 days before, and 17 days after the examination. They provided daily reports of anxiety for 35 days surrounding the examination. Neuroticism influenced coping efforts and increases in daily anxiety under stress. Two types of coping, wishful thinking and self-blame, explained over half the relationship between neuroticism and increases in preexamination anxiety. Consistent with previous research, neither neuroticism nor specific coping efforts influenced examination performance.

0 comments Cited 127 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Kakuya Niihata:

ORCID: http://orcid.org/0000-0001-9836-5750

Role: ConceptualizationRole: Formal analysisRole: Writing – original draft

Shingo Fukuma: Role: Formal analysisRole: Project administrationRole: Writing – original draft

Tadao Akizawa: Role: SupervisionRole: Writing – review & editing

Shunichi Fukuhara: Role: SupervisionRole: Writing – review & editing

Joseph Chilcot: Role: Editor

Journal

Journal ID (nlm-ta): PLoS One

Journal ID (iso-abbrev): PLoS ONE

Journal ID (publisher-id): plos

Journal ID (pmc): plosone

Title: PLoS ONE

Publisher: Public Library of Science (San Francisco, CA USA )

ISSN (Electronic): 1932-6203

Publication date (Electronic): 25 July 2017

Publication date Collection: 2017

Volume: 12

Issue: 7

Electronic Location Identifier: e0180498

Affiliations

[1 ] Division of Clinical Epidemiology, Fukushima Medical University, Fukushima, Japan

[2 ] Center for Innovative Research for Communities and Clinical Excellence (CIRC ²LE), Fukushima Medical University, Fukushima, Japan

[3 ] Department of Healthcare and Epidemiology, School of Public Health, Kyoto University of Medicine, Kyoto, Japan

[4 ] Institute for Health Outcomes and Process Evaluation Research (iHope International), Kyoto, Japan

[5 ] Division of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan

King's College London, UNITED KINGDOM

Author notes

Competing Interests: This study was supported by Kyowa Hakko Kirin. Niihata K. has nothing additional to disclose. Fukuma S. has acted as a scientific advisor to Kyowa Hakko Kirin. Fukuhara S. has acted as a scientific advisor to and received grants from Kyowa Hakko Kirin. Akizawa T. has consultancy agreements with Astellas Pharma, AbbVie, Kyowa Hakko Kirin, Bayer HealthCare Pharmaceuticals, GlaxoSmithKline, JT Pharmaceuticals Corporate, Kissei Pharmaceutical, Nipro Medical Corporation, Ono Pharmaceutical, and is a member of the Astellas’ advisory panel. Akizawa T. is also a scientific advisor of Bayer HealthCare Pharmaceuticals and a member of the speaker’s bureau of Bayer HealthCare Pharmaceuticals, Kyowa Hakko Kirin, Chugai Pharmaceutical, Torii Pharmaceutical, Fuso Pharmaceutical Industries, and Teijin Pharma. The DOPPS program is supported by Amgen, Kyowa Hakko Kirin, AbbVie Inc, Sanofi Renal, Baxter Healthcare, and Vifor Fresenius Medical Care Renal Pharma Ltd. Additional support for specific projects and countries is also provided in Canada by Amgen, BHC Medical, Janssen, Takeda, and Kidney Foundation of Canada (for logistics support); in Germany by Hexal, DGfN, Shire, and WiNe Institute; and for Peritoneal DOPPS (PDOPPS) in Japan by the Japanese Society for Peritoneal Dialysis (JSPD). All support is provided without restrictions on publications. These affiliations do not alter the authors’ adherence to PLOS ONE policies on sharing data and materials.

* E-mail: fukuma.shingo.3m@ 123456kyoto-u.ac.jp

Author information

Kakuya Niihata http://orcid.org/0000-0001-9836-5750

Article

Publisher ID: PONE-D-16-25993

DOI: 10.1371/journal.pone.0180498

PMC ID: 5526523

PubMed ID: 28742807

SO-VID: fce89b46-5552-4cfb-8cd5-5d7f5da23aca

License:

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

History

Date received : 30 June 2016

Date accepted : 16 June 2017

Page count

Figures: 6, Tables: 2, Pages: 13

Funding

This study was supported by Kyowa Hakko Kirin. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Custom metadata

Data Availability Data are from the Dialysis Outcomes and Practice Patterns Study (DOPPS) in Japan. We understand the importance of openness of data. Unfortunately, the data for this manuscript cannot be made publicly available because it was obtained from a third party (Arbor Research Collaborative for Health) and contains sensitive information on individuals including gender, age, and self-reported socioeconomic data. Data requests may be sent to Arbor Research via their website ( www.arborresearch.org). The authors had no special privileges in accessing these data.

Association of coping strategies with mortality and health-related quality of life in hemodialysis patients: The Japan Dialysis Outcomes and Practice Patterns Study

Read this article at

Abstract

Background

Methods

Results

Conclusions

Related collections

PLOS Global Public Health

Most cited references 25

Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale).

Nonadherence in hemodialysis: associations with mortality, hospitalization, and practice patterns in the DOPPS.

Coping as a personality process: a prospective study.

Author and article information

Contributors

Journal

Affiliations

Author notes

Author information

Article

History

Page count

Funding

Categories

Custom metadata

Comments

Comment on this article

Similar content 96

Cited by 14

Most referenced authors 407