Perceived Health Status, Depression and Anxiety in End Stage Renal Disease Patients

Author: Nafisa Imtiaz

Supervisor: Fatima Kamran, Ph.D

Degree: BS

Year: 2010-2014

University: Institute of Applied Psychology, Punjab University, Lahore, Pakistan


The present study was conducted to investigate how perceived health
status of End Stage Renal Disease patients affects the level of anxiety and
depression. It was hypothesize that perceived health status is associated
with anxiety and depression among End Stage Renal disease patients.
Cross sectional within group research design was used to conduct the
present study. The sample for the current research consisted of 57 (male
= 29, female = 28) patients receiving hemodialysis whose age ranged from
20-70 years and mean age was 45 years. The data were collected from the
outpatient department of government hospitals of Lahore. Perceived health
status was accessed by using illness perception form A and B (Leventhal,
2003). The anxiety or depression was measured by Hospital Anxiety
Depression Scale (Zigmond & Snaith, 1983). Pearson Correlation,
Regression and Independent sample t-test was used for inferential
statistics. Result showed positive significant correlation was found
between the treatment controls, personal control with anxiety and
depression. Whereas no significant correlation was found between illness
identity, timeline, illness coherence, treatment control, cyclical and
emotional distress with depression. The results of hierarchal regression
showed that occupation and number of dependent are positively influence
anxiety whereas family income is negatively influence the level of anxiety.
Demographic factors were not found to predict depression in (ESRD)
patients. It was also found that illness perception appeared as a strong
predictor of anxiety and depression among (ESRD) patients. The results of
simple linear regression confirmed that anxiety emerged as a predictor and
outcome of perceived health status while depression appeared only as a
predictor of perceived health status in (ESRD) patients. Findings showed
that gender differences were found in level of anxiety and depression. The
results can be implemented by identifying the vulnerable patient
population for anxiety and depression and referring them for psychological
help to alleviate anxiety and depression that leads to improved health
status which positively influence the quality of life.

Keywords: Perceived Health Status, Depression, Anxiety, End Stage Renal Disease.

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Corresponding Address: Department of Applied Psychology, University of the Punjab, Lahore, Pakistan. Email:, Phone: 92-42-9231245

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