Klinik Psikiyatri Dergisi (Jun 2024)

The relationship between the psychological resilience of patients with chronic kidney failure and post-traumatic growth and psychological symptoms

  • Demet Sağlam Aykut,
  • Evrim Özkorumak Karaguzel,
  • Şükrü Ulusoy,
  • Filiz Civil Arslan,
  • Medine Gözde Üstündağ,
  • Aykut Karahan

DOI
https://doi.org/10.5505/kpd.2024.60465
Journal volume & issue
Vol. 27, no. 2
pp. 108 – 116

Abstract

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INTRODUCTION: This study aims to investigate the factors that may contribute to post-traumatic growth and resilience in chronic kidney failure (CKF) patients, the role of depression and anxiety symptoms as well as resilience in the emergence of post-traumatic growth. METHODS: 64 patients diagnosed with CKF and received dialysis were included in the study. The Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Post-Traumatic Growth Inventory (PTGI) and Resilience Scale for Adults (RSA) were administered to all patients, respectively. RESULTS: Self-perception on PTGI (r= -0.70, r= -0.65), change in relationships with others (r= -0.57, r= -0.65), change in philosophy of life (r= -0.60, r = -0.57) subscales, and PTGI total score (r= -0.70, r= -0.66) were shown to have a moderately negative and statistically significant (p<0.001) relationship with BDI and BAI scores. A negative and statistically moderate significant relationship was found between BDI and BAI scores and perception of the future subscale (r= -0.51, r= -0.57), self-perception (r= -0.54, r= -0.59), social resources (r= -0.66, r= -0.60) subscales of RSA and total RSA score (r= -0.68, r= -0.71) (p<0.001). A weak statistically significant relationship was found between BAI and BDI scores, and structural style (r= -0.30, r= -0.40), family harmony (r= -0.43, r= -0.53) and social competence (r= -0.54, r= -0.50) subscales (p<0.001). A statistically significant (p<0.001) and moderately positive (r= 0.69) relationship between PTGI and RSA total scores was also determined. DISCUSSION AND CONCLUSION: Anxiety and depression symptoms observed in CKF patients impact the psychological resilience levels of patients and the development of post-traumatic growth. Post-traumatic growth develops as psychological resilience increases. Thus, psychological interventions should be planned to support the psychological resilience levels and post traumatic growth development of CKF patients.

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