{Reference Type}: Journal Article
{Title}: Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of life.
{Author}: Knowles SR;Apputhurai P;Jenkins Z;O'flaherty E;Ierino F;Langham R;Ski CF;Thompson DR;Castle DJ;
{Journal}: Psychol Health Med
{Volume}: 28
{Issue}: 7
{Year}: Jul-Dec 2023 15
{Factor}: 3.898
{DOI}: 10.1080/13548506.2023.2179644
{Abstract}: 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.