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Gender and Racial Differences in Stress, Coping, and Health-Related Quality of Life in Chronic Kidney Disease

Abstract Context Living with chronic kidney disease can be stressful and influence an individual's health-related quality of life. Effective coping strategies may reduce stress and improve quality of life in individuals with chronic medical conditions. Objectives Health-related quality of life...

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Published in:Journal of pain and symptom management 2016-12, Vol.52 (6), p.806-812
Main Authors: Gemmell, Leigh A., PhD, Terhorst, Lauren, PhD, Jhamb, Manisha, MD, Unruh, Mark, MD, Myaskovsky, Larissa, PhD, Kester, Lauren, Steel, Jennifer, PhD
Format: Article
Language:English
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Summary:Abstract Context Living with chronic kidney disease can be stressful and influence an individual's health-related quality of life. Effective coping strategies may reduce stress and improve quality of life in individuals with chronic medical conditions. Objectives Health-related quality of life (HRQOL) is an important outcome for patients living with chronic kidney disease (CKD), and it is necessary to better understand potential gender and racial differences and predictors associated with reduced HRQOL, so that effective interventions can be developed. Methods Participants included 182 patients with CKD who were administered a battery of questions that included the Medical Outcomes Study Short-Form 36, Perceived Stress Scale, and the Brief COPE. Demographic and disease-specific information was abstracted from the patients' medical record. Results No differences by race were observed with regard to stress, quality of life, or coping with the exception that minority patients reported use of religious coping more often ( P  = 0.001) and had higher levels of energy compared with nonminority patients with CKD ( P  = 0.27). Women with CKD tended to use self-distraction ( P  = 0.002), positive reframing ( P  = 0.035), venting ( P  = 0.024), and religious coping ( P  = 0 
ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2016.05.029