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Depression of Continuous Ambulatory Peritoneal Dialysis Patient: in relation with Stress, Hopelessness, Negative Coping

Abstract

The purpose of this study was to examine continuous ambulatory peritoneal dialysis(CAPD) patient's depression and to suggest therapeutic approach of depression by proposing conceptual model in relation with stress, coping, hopelessness and depression. The results showed that CAPD patients experience very severe depression. Their depression was better explained by psychological variables such as perceived stress, hopelessness, negative coping than demographical variables and physiological indexes. Perceived stress not only had an direct effect on depression, but also had an indirect effect on depression mediated by hopelessness, negative coping behavior. These results suggest the possibility of reducing depression through the intervention of hopelessness, negative coping. Finally, implications and limitations of this study were discussed.

keywords
continuous ambulatory peritoneal dialysis, depression, stress, hopelessness, negative coping, 지속성 외래 복막 투석, 우울감, 스트레스, 무망감, 부정적 대처

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