Determinants of anxiety in patients with advanced somatic disease: differences and similarities between patients undergoing renal replacement therapies and patients suffering from cancer
- Justyna JaniszewskaAffiliated withDepartment of Palliative Medicine, Medical University of Gdansk Email author
- , Monika Lichodziejewska-NiemierkoAffiliated withDepartment of Palliative Medicine, Medical University of GdanskDepartment of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk
- , Justyna GołębiewskaAffiliated withDepartment of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk
- , Mikołaj MajkowiczAffiliated withDepartment of Research on Quality of Life, Medical University of Gdansk
- , Bolesław RutkowskiAffiliated withDepartment of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk
Anxiety is the most frequent emotional reaction to the chronic somatic disease. However, little is known about anxiety and coping strategies in patients with end-stage renal disease (ESRD) undergoing renal replacement therapies (RRTs). The purpose of the study was to assess the intensity and determinants of anxiety in patients treated with different RRTs in comparison with end-stage breast cancer patients and healthy controls.
The study involved (1) ESRD patients undergoing different RRTs: 32 renal transplant recipients, 31 maintenance haemodialysis and 21 chronic peritoneal dialysis patients, (2) women with end-stage breast cancer (n = 25) and (3) healthy persons (n = 55). We used State–Trait Anxiety Inventory, Scale of Personal Religiousness, Mental Adjustment to Cancer Scale, Rotterdam Symptom Checklist with reference to medical history. The data thus obtained were analysed using the analysis of variance, the Tukey’s HSD post hoc test and Spearman’s rank correlation coefficient.
Both ESRD and breast cancer patients revealed higher level of anxiety state and trait than healthy controls; however, there was no statistically significant difference found between both findings. There was a tendency towards higher levels of anxiety state in breast cancer patients when compared to ESRD patients undergoing the RRT treatment and for both groups non-constructive coping strategies correlated with the levels of anxiety state. With ESRD patients undergoing RRTs, the intensity of anxiety state did not depend on the mode of treatment but on the correlation between the levels of anxiety and the general quality of their life, psychological condition and social activity.
In patients with advanced somatic disease (ESRD and end-stage breast cancer), non-constructive strategies of coping with the disease require further evaluation and possibly psychological support.
KeywordsEnd-stage renal disease Renal replacement therapies End-stage breast cancer anxiety Coping strategies
- Determinants of anxiety in patients with advanced somatic disease: differences and similarities between patients undergoing renal replacement therapies and patients suffering from cancer
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
International Urology and Nephrology
Volume 45, Issue 5 , pp 1379-1387
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
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- End-stage renal disease
- Renal replacement therapies
- End-stage breast cancer anxiety
- Coping strategies
- Industry Sectors
- Author Affiliations
- 1. Department of Palliative Medicine, Medical University of Gdansk, Dębinki 2, 80-211, Gdańsk, Poland
- 2. Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk, Gdańsk, Poland
- 3. Department of Research on Quality of Life, Medical University of Gdansk, Gdańsk, Poland