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Quality of Life Research

, Volume 21, Issue 4, pp 563–580 | Cite as

The psychosocial correlates of quality of life in the dialysis population: a systematic review and meta-regression analysis

  • Ramony Chan
  • Robert Brooks
  • Zachary Steel
  • Tracy Heung
  • Jonathan Erlich
  • Josephine Chow
  • Michael Suranyi
Article

Abstract

Purpose

The psychosocial correlates of quality-of-life (QoL) research in end-stage renal disease (ESRD) are important in identifying risk and protective factors that may account for the QoL variability. Thus, the present study provides a meta-analysis of these research results.

Methods

Published studies reporting associations between any psychosocial factors and QoL were retrieved from Medline, Embase, and PsycINFO. Mean effect sizes were calculated for the associations across psychosocial constructs (affect, stress, cognitive appraisal, social support, personality attributes, and coping process). Multiple hierarchical meta-regressions were applied to moderator analyses.

Results

Eighty-one studies covering a combined sample of 13,240 participants were identified resulting in 377 effect sizes of the association between psychosocial factors and QoL. The overall effect size of the association was medium (0.38). Stress, affect, and cognitive appraisal had the largest effect sizes. Location of study, dialysis type, gender, age and QoL domains measured (general well-being, subjective QoL, and health-related QoL) were significant substantive moderators for the associations.

Conclusions

The present study shows that there is a moderate association between psychosocial variables and QoL in patients with ESRD, consistent across different QoL domains. The psychosocial constructs that have the strongest association with QoL are stress, affect, and cognitive appraisal.

Keywords

Renal dialysis Kidney failure, chronic Psychological Adaptation Mental Health Quality of life Meta-analysis 

Abbreviations

ESr

Effect size

ESRD

End-stage renal disease

QoL

Quality of life

HRQoL

Health-related quality of life

CAPD

Continuous ambulatory peritoneal dialysis

PD

Peritoneal dialysis

PRISMA

Preferred reporting items for systematic reviews and meta-analyses

Notes

Acknowledgments

We are grateful for the authors of the included studies who provided additional data for this meta-analysis and the extensive support from the Renal Unit, Liverpool Hospital in completing this study.

Supplementary material

11136_2011_9973_MOESM1_ESM.docx (67 kb)
Supplementary material 1 (DOCX 68 kb)
11136_2011_9973_MOESM2_ESM.docx (28 kb)
Supplementary material 2 (DOCX 28 kb)

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Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  • Ramony Chan
    • 1
    • 2
    • 3
  • Robert Brooks
    • 2
    • 4
  • Zachary Steel
    • 2
    • 4
  • Tracy Heung
    • 5
  • Jonathan Erlich
    • 2
    • 6
  • Josephine Chow
    • 3
    • 7
  • Michael Suranyi
    • 2
    • 3
  1. 1.Consultation Liaison PsychiatryLiverpool HospitalLiverpool BCAustralia
  2. 2.The University of New South WalesSydneyAustralia
  3. 3.Renal UnitLiverpool HospitalSydneyAustralia
  4. 4.Centre for Population Mental Health Research, Liverpool HospitalSydneyAustralia
  5. 5.The University of Western SydneySydneyAustralia
  6. 6.Department of NephrologyPrince of Wales HospitalSydneyAustralia
  7. 7.The University of SydneySydneyAustralia

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