%0 Journal Article
%T Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life.
%A Knowles SR
%A Apputhurai P
%A Jenkins Z
%A O'flaherty E
%A Ierino F
%A Langham R
%A Ski CF
%A Thompson DR
%A Castle DJ
%J Psychol Health Med
%V 28
%N 7
%D Jul-Dec 2023 15
%M 36794381
%F 3.898
%R 10.1080/13548506.2023.2179644
%X Chronic kidney disease (CKD) negatively impacts psychological well-being and quality of life (QoL). Underpinned by the Common Sense Model (CSM), this study evaluated the potential mediating role of self-efficacy, coping styles and psychological distress on the relationship between illness perceptions and QoL in patients living with CKD. Participants were 147 people with stage 3-5 kidney disease. Measures included eGFR, illness perceptions, coping styles, psychological distress, self-efficacy and QoL. Correlational analyses were performed, followed by regression modelling. Poorer QoL was associated with greater distress, engagement in maladaptive coping, poorer illness perceptions and lower self-efficacy. Regression analysis revealed that illness perceptions predicted QoL, with psychological distress acting as a mediator. The proportion of variance explained was 63.8%. These findings suggest that psychological interventions are likely to enhance QoL in CKD, if they target the mediating psychological processes associated with illness perceptions and psychological distress.