scholarly journals Illness perceptions predict distress in patients with chronic kidney disease

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Priscilla Muscat ◽  
John Weinman ◽  
Emanuel Farrugia ◽  
Roberta Callus ◽  
Joseph Chilcot
Keyword(s):  
Chronic Kidney Disease ◽  
Regression Analysis ◽  
Kidney Disease ◽  
Illness Perceptions ◽  
Personal Control ◽  
Hierarchical Regression ◽  
Hierarchical Regression Analysis ◽  
Morbidity Score ◽  
Advanced Stages ◽  
Emotional Representations

Abstract Background Patients diagnosed with chronic kidney disease (CKD) report increased distress associated with their clinical diagnosis. Distress in patients with predialysis CKD, has been linked to several adverse events; including increased risk of hospitalisation, early dialysis initiation and even death, suggesting that distress is a matter of great concern during routine care in predialysis CKD. Aims The present study aimed to assess the nature of illness perceptions and the level of distress in a CKD cohort diagnosed with different stages of kidney disease. It also aimed to explore the correlates of distress and to create a model for distress and its associated predictors making use of hierarchical regression analysis. Methods A sample of 200 patients diagnosed with Chronic Kidney Disease were recruited for this study from the nephrology outpatient clinics of Mater Dei Hospital, Malta. The participants were assessed for their; illness perceptions, treatment beliefs, level of depression and anxiety, coping style, as well as treatment adherence. Routine clinical information was also collected for participants, including a co-morbidity score. Results A percentage of 33.5% of the participants reported moderate distress, whilst 9.5% reported severe distress. Stronger illness identity, a perception of timeline as being increasingly chronic or cyclical in nature, greater consequences and higher emotional representations were associated with more advanced stages of CKD. In contrast, lower personal and treatment control and poorer illness coherence were associated with more advanced stages of CKD. Results from the hierarchical regression analysis showed that illness perceptions contributed significantly to distress over and above the clinical kidney factors. Being female, having low haemoglobin and specific illness perceptions including; perceptions of greater symptomatology, longer timeline, low personal control and strong emotional representations, as well as resorting to maladaptive coping, were all significantly associated with distress symptoms. Nevertheless, illness perceptions accounted for the greatest variance in distress thus indicating that the contribution of illness perceptions is greater than that made by the other known covariates. Conclusion Illness perceptions hold a principal role in explaining distress in CKD, relative to other traditional covariates. For this reason, illness perceptions should be addressed as a primary modifiable component in the development of distress in CKD.

scholarly journals Illness perceptions predict mortality in patients with predialysis chronic kidney disease: a prospective observational study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Priscilla Muscat ◽  
John Weinman ◽  
Emanuel Farrugia ◽  
Liberato Camilleri ◽  
Joseph Chilcot
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Clinical Outcomes ◽  
Kidney Function ◽  
Illness Perceptions ◽  
Personal Control ◽  
Saturated Model ◽  
Treatment Control ◽  
Co Morbidity ◽  
Control Perceptions

Abstract Background Illness perceptions have been shown to predict a range of psychosocial and clinical outcomes in kidney disease; including quality of life, distress, treatment adherence and even survival in end-stage renal disease patients on dialysis. The aim of this study was to evaluate whether illness perceptions impact mortality in incident predialysis Chronic Kidney Disease (CKD) patients. Methods Over the study period between September 2015 and June 2019, a total of 200 participants with predialysis CKD were recruited from the Nephrology Outpatient’s clinics at Mater Dei Hospital, Malta. The participants were followed up until June 2019, and the mortality information was collected. Cox proportional hazards models were used to examine the association between illness perceptions, and mortality risk, after adjustment for covariates including distress, kidney function, co-morbidity and psychological distress. Results Of the 200 cases available for analysis, there were 43 deaths. The mean survival time was 718.55 days (min. 3 days, max. 1297 days). The cumulative survival 1-year post the assessment of the Revised Illness Perceptions Questionnaire (IPQ–R) was 93%. Stronger identity beliefs (HR = 1.199, 95% CI: 1.060–1.357, p = 0.004), perceptions of a chronic timeline (HR = 1.065, 95% CI: 1.003–1.132, p = 0.041), personal control beliefs (HR = 0.845, 95% CI: 0.748–0.955, p = 0.007) and perceptions of control over the treatment (HR = 0.812, 95% CI: 0.725–0.909, p = 0.000) demonstrated a significant association with mortality after controlling covariates. In a subsequent saturated model, perceived identity, chronic timeline and treatment control perceptions remained significant predictors of mortality, together with serum albumin, comorbidities and urea. Conclusions CKD patients’ perceptions of treatment control, perceptions of a chronic timeline and perceived illness identity predict survival independently of clinical prognostic factors, including kidney function and co-morbidity. Illness perceptions are important and potentially modifiable risk factors in CKD. Further studies are required to test whether the assessment and the implementation of psychological interventions aimed to modify maladaptive illness perceptions influence clinical outcomes in CKD.

Power, Conflict, and Effectiveness

2000 ◽  
Vol 5 (1) ◽  
pp. 28-33 ◽  
Author(s):  
M. Afzalur Rahim ◽  
David Antonioni ◽  
Krum Krumov ◽  
Snejana Ilieva
Keyword(s):  
United States ◽  
Regression Analysis ◽  
Interpersonal Conflict ◽  
The United States ◽  
Hierarchical Regression ◽  
Hierarchical Regression Analysis ◽  
Referent Power ◽  
Legitimate Power ◽  
Power Base ◽  
Effectiveness Data

This study investigated the relationships of bases of leader power (coercive, reward, legitimate, expert, and referent) and styles of handling interpersonal conflict (integrating, obliging, dominating, avoiding, and compromising) to subordinates' effectiveness. Data for this study were collected with questionnaires from the United States and Bulgaria and analyzed with hierarchical regression analysis for each country. Results indicated that in the United States referent power base of supervisors and integrating style of handling conflict of subordinates were positively associated with effectiveness. In Bulgaria, legitimate power base of supervisors was positively associated with effectiveness, but the subordinates' conflict styles were not associated with effectiveness.

scholarly journals Spotting Loneliness at School: Associations between Self-Reports and Teacher and Peer Nominations

2021 ◽  
Vol 18 (3) ◽  
pp. 971
Author(s):  
Flore Geukens ◽  
Marlies Maes ◽  
Antonius H. N. Cillessen ◽  
Hilde Colpin ◽  
Karla Van Leeuwen ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Children And Adolescents ◽  
Social Behaviors ◽  
Peer Status ◽  
Hierarchical Regression ◽  
Moderate Correlation ◽  
Hierarchical Regression Analysis ◽  
Teacher Nominations ◽  
Self Reports ◽  
Peer Nominations

In two independent studies, we aimed to examine the extent to which teacher and peer nominations of loneliness are associated with children’s and adolescents’ self-reported loneliness, respectively. Additionally, we examined whether loneliness nominations from teachers and peers were informative above and beyond peer status and social behaviors associated with loneliness. In Study 1 (N = 1594, Mage = 9.43 years), teacher nominations of loneliness showed a small to moderate correlation with children’s self-reported loneliness as assessed using the Loneliness and Social Dissatisfaction Questionnaire (LSDQ). The results of a hierarchical regression analysis showed that teacher nominations of loneliness predicted children’s self-reported loneliness above and beyond teacher nominations of peer status and social behaviors. In Study 2 (N = 350, Mage = 13.81 years), peer nominations of loneliness showed a small to moderate correlation with adolescents’ self-reported loneliness as assessed using the peer-related loneliness subscale of the Loneliness and Aloneness Scale for Children and Adolescents (LACA). The results of a hierarchical regression analysis showed that peer nominations of loneliness predicted adolescents’ self-reported loneliness above and beyond peer nominations of peer status and social behaviors. We conclude that loneliness nominations are valuable, but caution is needed when they are used exclusively to identify lonely children and adolescents.

scholarly journals Patients’ and healthcare professionals’ beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044059
Author(s):  
Hongxia Shen ◽  
Rianne M J J van der Kleij ◽  
Paul J M van der Boog ◽  
Wenjiao Wang ◽  
Xiaoyue Song ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Qualitative Study ◽  
Healthcare Professionals ◽  
Illness Perceptions ◽  
Chinese Patients ◽  
Self Management ◽  
Tertiary Referral Hospital ◽  
Chinese Context ◽  
Management Interventions

ObjectivesTo support the adaptation and translation of an evidence-based chronic kidney disease (CKD) self-management intervention to the Chinese context, we examined the beliefs, perceptions and needs of Chinese patients with CKD and healthcare professionals (HCPs) towards CKD self-management.DesignA basic interpretive, cross-sectional qualitative study comprising semistructured interviews and observations.SettingOne major tertiary referral hospital in Henan province, China.Participants11 adults with a diagnosis of CKD with CKD stages G1–G5 and 10 HCPs who worked in the Department of Nephrology.ResultsFour themes emerged: (1) CKD illness perceptions, (2) understanding of and motivation towards CKD self-management, (3) current CKD practice and (4) barriers, (anticipated) facilitators and needs towards CKD self-management. Most patients and HCPs solely mentioned medical management of CKD, and self-management was largely unknown or misinterpreted as adherence to medical treatment. Also, the majority of patients only mentioned performing disease-specific acts of control and not, for instance, behaviour for coping with emotional problems. A paternalistic patient–HCP relationship was often present. Finally, the barriers, facilitators and needs towards CKD self-management were frequently related to knowledge and environmental context and resources.ConclusionsThe limited understanding of CKD self-management, as observed, underlines the need for educational efforts on the use and benefits of self-management before intervention implementation. Also, specific characteristics and needs within the Chinese context need to guide the development or tailoring of CKD self-management interventions. Emphasis should be placed on role management and emotional coping skills, while self-management components should be tailored by addressing the existing paternalistic patient–HCP relationship. The use of electronic health innovations can be an essential facilitator for implementation.

Predictors of professional commitment for Chinese new generation cohorts in a sample of seafaring officers

2021 ◽  
pp. 1-17
Author(s):  
Xiaohui Jia
Keyword(s):  
Regression Analysis ◽  
Questionnaire Survey ◽  
Important Predictor ◽  
Professional Commitment ◽  
Hierarchical Regression ◽  
Dynamic Features ◽  
Hierarchical Regression Analysis ◽  
Generation Cohorts ◽  
New Generation

Abstract This study aims to examine the predictors of professional commitment of the Chinese new generation, divided into post-80s and post-90s cohorts. A questionnaire survey was employed to collect data from Chinese seafaring officers of these cohorts. The results through hierarchical regression analysis present the two cohorts as having both similar and different predictors. The main difference is that company management and policies positively drive the post-80s cohort to work at sea but not the post-90s. The main similarity is that the work itself is the most important predictor for both cohorts. This study contributes to helping maritime companies to estimate the possibility of Chinese new generation officers quitting sea jobs and can be of value to both managers and authorities as they seek to comprehend the generational dynamic features to better cope with the problem of shortage of younger qualified officers.

scholarly journals FGF-23 and Phosphate in Children with Chronic Kidney Disease: A Cross-Sectional Study in Kazakhstan

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 15
Author(s):  
Altynay Balmukhanova ◽  
Kairat Kabulbayev ◽  
Harika Alpay ◽  
Assiya Kanatbayeva ◽  
Aigul Balmukhanova
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Fibroblast Growth Factor 23 ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ckd Stage ◽  
Advanced Stages ◽  
Fgf 23 ◽  
Stage 1

Background and objectives: Chronic kidney disease (CKD) in children is a complex medical and social issue around the world. One of the serious complications is mineral-bone disorder (CKD-MBD) which might determine the prognosis of patients and their quality of life. Fibroblast growth factor 23 (FGF-23) is a phosphaturic hormone which is involved in the pathogenesis of CKD-MBD. The purpose of the study was to determine what comes first in children with CKD: FGF-23 or phosphate. Materials and Methods: This cross-sectional study included 73 children aged 2–18 years with CKD stages 1–5. We measured FGF-23 and other bone markers in blood samples and studied their associations. Results: Early elevations of FGF-23 were identified in children with CKD stage 2 compared with stage 1 (1.6 (1.5–1.8) pmol/L versus 0.65 (0.22–1.08), p = 0.029). There were significant differences between the advanced stages of the disease. FGF-23 correlated with PTH (r = 0.807, p = 0.000) and phosphate (r = 0.473, p = 0.000). Our study revealed that the elevated level of FGF-23 went ahead hyperphosphatemia and elevated PTH. Thus, more than 50% of children with CKD stage 2 had the elevating level of serum FGF-23, and that index became increasing with the disease progression and it achieved 100% at the dialysis stage. The serum phosphate increased more slowly and only 70.6% of children with CKD stage 5 had the increased values. The PTH increase was more dynamic. Conclusions: FGF-23 is an essential biomarker, elevates long before other markers of bone metabolism (phosphate), and might represent a clinical course of disease.

Interval Identification Predicts Success in Melodic Dictation

2021 ◽  
pp. 002242942110119
Author(s):  
Bryan E. Nichols ◽  
D. Gregory Springer
Keyword(s):  
Regression Analysis ◽  
Demographic Variables ◽  
Hierarchical Regression ◽  
Musical Experience ◽  
Two Stage ◽  
Hierarchical Regression Analysis ◽  
Melodic Dictation ◽  
Identification Test ◽  
Predictive Relationships

The purpose of this study was to investigate possible predictive relationships between interval identification and melodic dictation performance on tasks where students identify short pitch spans after a brief tonicization. College musicians ( N = 35) completed an interval identification test and a series of melodic dictation tasks. Results indicated that interval identification and melodic dictation tests reflected a battery of items ranging from very easy to very difficult with acceptable Cronbach’s α levels. We conducted a two-stage hierarchical regression analysis to examine the extent to which interval identification served as a predictor of melodic dictation accuracy while controlling for selected music and demographic variables. Results indicated that interval identification served as a significant predictor of melodic dictation scores, contributing 28.9% of the variance in melodic dictation scores while controlling for musical experience variables. The analysis indicated a dictation task by interval ability interaction based on grouping by lower, mid-, and upper performing groups on the interval identification test. Issues in measurement of melodic dictation accuracy and strategies that affect the development of melodic dictation skills are discussed.

The Relationships among Perceived Stress, Athletic Burnout and Leisure Participation for the Badminton Player

2017 ◽  
Vol 2 (4) ◽  
pp. 07-12
Author(s):  
Chih-Wei Lin ◽  
Ching-Chi Wu ◽  
Jen-Wei Chen ◽  
Bo-Hao Lai ◽  
Su-Shiang Lee ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Perceived Stress ◽  
Questionnaire Survey ◽  
Jel Classification ◽  
Hierarchical Regression ◽  
Research Subjects ◽  
Hierarchical Regression Analysis ◽  
Study Results ◽  
Convenience Sampling ◽  
National Ranking

Objective - This study examines the relationship between perceived stress, athletic burnout and leisure amongst badminton players. Methodology/Technique - The research subjects were all first national ranking tournament badminton players in 2012. The study uses convenience sampling to conduct a questionnaire survey. 350 questionnaires were distrubuted, with 288 valid questionnaires being returned (male 195, female 93). The rate of effectiveness was 82%. All of the data collected was analyzed using descriptive statistic and hierarchical regression analysis. Findings – The research subjects were all first national ranking tournament badminton players in 2012. The study uses convenience sampling to conduct a questionnaire survey. 350 questionnaires were distrubuted, with 288 valid questionnaires being returned (male 195, female 93). The rate of effectiveness was 82%. All of the data collected was analyzed using descriptive statistic and hierarchical regression analysis. Novelty – The study highlights that badminton players who participate in leisure-based activities are able to effectively adjust their perception of pressure to a "reduced sense of accomplishment" which has an effect on athletic burnout. Additionally, the study results give rise to variety of proposed solutions or suggestions for dealing with burnout or stress. Type of Paper - Empirical Keywords: Hierarchical Regression Analysis; Sources of Stress; Leisure; Badminton Players. JEL Classification: M10, Z20.

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