Psychosocial risk and protective factors for depression in the dialysis population: A systematic review and meta-regression analysis
Abstract
Objective Research into the association between psychosocial factors and depression in End-Stage Renal Disease (ESRD) has expanded considerably in recent years identifying a range of factors that may act as important risk and protective factors of depression for this population. The present study provides the first systematic review and meta-analysis of this body of research. Methods Published studies reporting associations between any psychosocial factor and depression were identified and retrieved from Medline, Embase, and PsycINFO, by applying optimised search strategies. Mean effect sizes were calculated for the associations across five psychosocial constructs (social support, personality attributes, cognitive appraisal, coping process, stress/stressor). Multiple hierarchical meta-regression analysis was applied to examine the moderating effects of methodological and substantive factors on the strength of the observed associations. Results 57 studies covering 58 independent samples with 5956 participants were identified, resulting in 246 effect sizes of the association between a range of psychosocial factors and depression. The overall mean effect size (Pearsons correlation coefficient) of the association between psychosocial factor and depression was 0.36. The effect sizes between the five psychosocial constructs and depression ranged from medium (0.27) to large levels (0.46) with personality attributes (0.46) and cognitive appraisal (0.46) having the largest effect size…
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Meta-analytic review findings indicate that the occurrence of chronic stressors contribute to the maintenance of depression symptoms in ESKD.
“Meta-analytic review findings indicate that the occurrence of chronic stressors contribute to the maintenance of depression symptoms in ESKD (Chan et al . 2011).”
From Improving Distress in Dialysis (iDiD): A tailored CBT self-management treatment for patients undergoing dialysis. (2016) · cites this paper as Chan et al . 2011
Cites
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 23,433 · see citing works
Physiology and neurobiology of stress and adaptation: central role of the brain
McEwen, B. S. (2007) · Physiological Reviews · doi:10.1152/physrev.00041.2006 · Cited by 4,981 · cited 4× · see citing works
“[60] McEwen BS. Physiology and neurobiology of stress and adaptation: central role of the brain.”
MethodInfluentialSocial Relationships and Health.
Cohen, S. (2004) · American Psychologist · doi:10.1037/0003-066x.59.8.676 · Cited by 4,852 · see citing works
The broaden–and–build theory of positive emotions
Fredrickson, B. L. (2004) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.2004.1512 · Cited by 4,214 · see citing works
Folkman, S., & Moskowitz, J. T. (2004) · Annual Review of Psychology · doi:10.1146/annurev.psych.55.090902.141456 · Cited by 3,485 · see citing works
The biopsychosocial approach to chronic pain: Scientific advances and future directions.
Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.4.581 · Cited by 3,392 · see citing works
Pursuing Happiness: The Architecture of Sustainable Change
Lyubomirsky, S., Sheldon, K. M., & Schkade, D. (2005) · Review of General Psychology · doi:10.1037/1089-2680.9.2.111 · Cited by 3,203 · see citing works
Cognition and Depression: Current Status and Future Directions
Gotlib, I. H., & Joormann, J. (2010) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.121208.131305 · Cited by 2,420 · see citing works
Psychosocial Aspects of Chronic Disease: ESRD as a Paradigmatic Illness
Cukor, D., Cohen, S. D., Peterson, R. A., & Kimmel, P. L. (2007) · Journal of the American Society of Nephrology · doi:10.1681/asn.2007030345 · Cited by 385 · see citing works
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Palmer, S., Vecchio, M., Craig, J. C., Tonelli, M., Johnson, D. W., Nicolucci, A., Pellegrini, F., Saglimbene, V., Logroscino, G., Fishbane, S., et al. (2013) · Kidney International · doi:10.1038/ki.2013.77 · Cited by 925 · see citing works
Association between depression and death in people with CKD: a meta-analysis of cohort studies
Palmer, S. C., Vecchio, M., Craig, J. C., Tonelli, M., Johnson, D. W., Nicolucci, A., Pellegrini, F., Saglimbene, V., Logroscino, G., Hedayati, S. S., et al. (2013) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2013.02.369 · Cited by 201 · see citing works
Hudson, J. L., Moss‐Morris, R., Game, D., Carroll, A., & Chilcot, J. (2016) · Journal of Renal Care · doi:10.1111/jorc.12168 · Cited by 80 · see citing works
- Authors
- Chan, R., Steel, Z., Brooks, R., Heung, T., Erlich, J., Chow, J., & Suranyi, M.
- Affiliations
- Liverpool Hospital (AU)
- Western Sydney University (AU)
- UNSW Sydney (AU)
- The University of Sydney (AU)
- Corresponding author
- Chan, Ramony
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2011-11
- Volume
- 71
- Issue
- 5
- Pages
- 300-310
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1989170040
- Cited by
- 54
- References
- 9
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 2 · 2014: 6 · 2013: 3 · 2012: 4
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- depression, end-stage renal disease, dialysis, psychosocial risk factors, protective factors, social support, personality traits, cognitive appraisal, coping, stress, moderating effect
- MeSH terms
- Depression, Depressive Disorder, Renal Dialysis, Humans, Kidney Failure, Chronic, Risk Factors, Social Support
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