Relationship Between Resilience, Depression, Stress, Anxiety, And Treatment Adherence Amongst Haemodialysis Patients

Abstract

Haemodialysis patients with depression, anxiety and stress have poor treatment adherence. It was found that resilience was correlated with depression and anxiety. However, the relationship between resilience and treatment adherence was found inconsistent in different studies. There were also no research studies on resilience in haemodialysis patients in Malaysia. This study aims to examine the relationship between resilience, depression, anxiety, stress, sociodemographic characteristics and treatment adherence in haemodialysis patients in Malaysia. This study was a cross sectional study on 82 haemodialysis patients from March to October 2021 in Malaysia. Participants were recruited using a purposive sampling method through social media and private dialysis centres. The data were collected using sociodemographic questionnaire, Depression, Anxiety and Stress Scale 21-item (DASS-21), Brief Resilience Scale (BRS), and End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ). The descriptive statistics, Spearman’s correlation and multiple linear regression analyses were used for analysing data. The mean age of the participants was 45.78 ± 11.84 years, and most participants were females (62.2%). The correlations between resilience, depression, stress, and treatment adherence behaviour were observed. However, the results of multiple linear regression showed no association between treatment adherence behaviour and resilience, depression, anxiety and stress. Nevertheless, age was found to be significantly associated with treatment adherence behaviour. This study showed that treatment adherence behaviour was not associated with resilience, depression, anxiety and stress in haemodialysis patients. Future studies may replicate this study with a larger sample size.