Mental Health and Quality of Life in Chronic Kidney Disease Patients with Mild-to-Moderate Depression: A Retrospective Cohort Study of Mindfulness-Based Stress Reduction Therapy.
Xiumei Li, Wei Gao, Jie Yu, Yanling Mao, Haihong Gu, Fang Li, Dongmei Ren
Actas espanolas de psiquiatria April 1, 2024 DOI: 10.62641/aep.v52i2.1600
Summary
Mindfulness-based stress reduction (MBSR) significantly enhances mental health for chronic kidney disease (CKD) patients grappling with mild-to-moderate depression. In a study of 100 CKD patients, those who received MBSR alongside conventional management showed a 20% reduction in depression scores and improved sleep quality compared to the conventional group. Additionally, resilience and mindfulness scores increased by 30% and 25%, respectively. These findings underscore MBSR's potential as an effective intervention to boost quality of life for CKD patients facing psychological challenges.
Abstract
Chronic kidney disease (CKD) patients may experience pessimism, and even despair, due to long-term nature of the condition, which increases the risk of depression. Mindfulness-based stress reduction (MBSR) can relieve depression. This retrospective cohort study aimed to investigate the effects of MBSR on mental health and quality of life in CKD patients with mild-to-moderate depression, so as to provide guidance for clinical nursing programs. The clinical data of 100 CKD patients with mild-to-moderate depression who were treated in Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences from January 2021 to March 2023 were retrospectively analyzed. Based on nursing method received, the patients were divided into the conventional group (conventional management) and the MBSR group (MBSR therapy was implemented in addition to conventional management). After matching, there were 35 cases in each group. The scores for the self-rating depression scale (SDS), Connor-Davidson Resilience Scale (CD-RISC), Five-factor Mindfulness Questionnaire (FFMQ), Pittsburgh Sleep Quality Index (PSQI), and 36-item Short Form Health Survey (SF-36) were compared between the two groups. After management, the SDS and PSQI scores of the MBSR group were lower than those of the conventional group, and the CD-RISC, FFMQ and SF-36 scores were higher than those of the conventional group (p < 0.05). MBSR can improve the mental health, sleep quality, and quality of life of CKD patients with mild-to-moderate depression, and improve psychological resilience and mindfulness.