Prediction of quality of life in a cohort of end-stage renal disease patients.
In order to assess the physical, psychological and social impact of end-stage renal disease (ESRD) 102 patients on maintenance dialysis were assessed on standardized self-report measures, a structured interview schedule, a physician assessment and biochemical data. Patients were assessed on two occasions, 18 months apart. Principal components analysis was used to develop a small number of dimensions to characterize quality of life. Multiple regression analysis of patient variables on initial factor scores (cross-sectional analysis) showed that; hospital dialysis and length of time on dialysis were predictive of more psychological distress; males were less compliant than females; patients on peritoneal dialysis made a poorer adjustment to their illness; and, hospital dialysis was predictive of more social distress. As long term predictors (prospective analysis): initial level of psychological distress predicted long-term level of psychological, social distress and illness adjustment; and initial level of compliance predicted long-term level of compliance.
Oldenburg
B
B
Department of Liaison Psychiatry, Prince Henry Hospital, N.S.W., Australia.
Macdonald
G J
GJ
Perkins
R J
RJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D001315:Australia; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007557:Israel; D007676:Kidney Failure, Chronic / Q000097:blood / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010530:Peritoneal Dialysis; D011379:Prognosis; D011446:Prospective Studies; D011581:Psychological Tests; D011788:Quality of Life; D012044:Regression Analysis; D006435:Renal Dialysis; D012737:Sex Factors; D012917:Social Adjustment; D013997:Time Factors