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Gender difference in the association of coping styles and social support with psychological distress among patients with end-stage renal disease.


ABSTRACT: Objectives:The study aimed to explore the association of coping styles and social support with psychological distress among patients with end-stage renal disease (ESRD) as well as gender differences in these associations. Methods:A cross-sectional study of 769 ESRD patients was conducted at 25 hospitals in Qiqihar City, China. All information was collected using structured questionnaires that were self-administered by the patients. Patients' psychological health status, coping styles and perceived social support were measured using the 12-item General Health Questionnaire, the Medical Coping Modes Questionnaire and the Multidimensional Scale of Perceived Social Support. Student's t test, analysis of variance (ANOVA) and binary logistic regression analysis were used for data analysis. Results:A total of 72.3% of participants reported psychological distress, and the prevalence of distress was higher in females (77.0%) than in males (68.8%). The usage of the acceptance-resignation coping style was positively related to psychological distress (B = 0.459, P < 0.001). Social support level was negatively associated with psychological distress (B = -0.049, P < 0.001). The use of the confrontation style was negatively related to psychological distress in females (OR = 0.87, 95% CI [0.78-0.96]) but not in males (OR = 0.98, 95% CI [0.91-1.06]) (P for interaction term = 0.007). Conclusions:Greater use of the acceptance-resignation style and lower social support are related to a higher risk of psychological distress. Greater use of the confrontation style is related to a lower risk of psychological distress in females but not in males.

SUBMITTER: Wang Q 

PROVIDER: S-EPMC7103200 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Gender difference in the association of coping styles and social support with psychological distress among patients with end-stage renal disease.

Wang Qi Q   Liu Hongjian H   Ren Zheng Z   Xiong Wenjing W   He Minfu M   Fan Xinwen X   Guo Xia X   Li Xiangrong X   Shi Hong H   Zha Shuang S   Qiao Shuyin S   Zhao Hanfang H   Li Nan N   Zhang Xiumin X  

PeerJ 20200326


<h4>Objectives</h4>The study aimed to explore the association of coping styles and social support with psychological distress among patients with end-stage renal disease (ESRD) as well as gender differences in these associations.<h4>Methods</h4>A cross-sectional study of 769 ESRD patients was conducted at 25 hospitals in Qiqihar City, China. All information was collected using structured questionnaires that were self-administered by the patients. Patients' psychological health status, coping sty  ...[more]

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