Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control Trial
Introduction: Chronic Kidney Disease (CKD) is becoming a major public health problem worldwide. The very diagnosis of CKD brings a plethora of psychological problems that adds to the agony of the debilitating illness. Financial difficulties apart from the excruciating physical burden of the dise...
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8383/18959_CE(RA1)_F(T)_PF1(ROAK)_PFA(AK)_PF2(PEK).pdf |
| _version_ | 1818020446261477376 |
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| author | Blessy Prabha Valsaraj Shripathy M. Bhat K.S. Latha |
| author_facet | Blessy Prabha Valsaraj Shripathy M. Bhat K.S. Latha |
| author_sort | Blessy Prabha Valsaraj |
| collection | DOAJ |
| description | Introduction: Chronic Kidney Disease (CKD) is becoming a
major public health problem worldwide. The very diagnosis of
CKD brings a plethora of psychological problems that adds to
the agony of the debilitating illness. Financial difficulties apart
from the excruciating physical burden of the disease, owing to
series of psychosocial issues. Anxiety and depression are two
major concerns that to be managed effectively to sustain the life
of people undergoing Haemodialysis.
Aim: The study aimed at finding the effect of Cognitive
Behaviour Therapy (CBT) on anxiety and depression among
people undergoing haemodialysis.
Materials and Methods: An experimental approach with
Randomized controlled trial design was adopted for the study.
The instruments used for data collection were Background
Proforma and Hospital Anxiety and Depression Scale (HADS).
A total of 150 subjects undergoing haemodialysis in a tertiary
care hospital of South Karnataka were screened for inclusion
and exclusion criteria and 80 participants were recruited for
the study. Through computerized block randomization 40 each
were allotted to experimental and control groups whereas 33
and 34 respectively in both the groups completed the study.
CBT, a structured individual therapy of cognitive, behavioural
and didactic techniques, with 10 weekly sessions each
was administered to the experimental group. Non-directed
counseling, a psychological intervention with ten weekly
sessions of individual counseling was given to the control
group.
Results: The findings of the study revealed that there was a
significant reduction of mean anxiety (F=76.739, p=0.001) and
depression (F=57.326, p= 0.001) in the experimental group
when compared with the control group.
Conclusion: Researchers concluded that CBT can be effectively
utilized for people undergoing haemodialysis in order to obtain
control over their negative thoughts thereby reducing anxiety
and depression. |
| first_indexed | 2024-04-14T08:06:26Z |
| format | Article |
| id | doaj.art-9e1d87bf23bd416cacd7f04b2c5f69d6 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-14T08:06:26Z |
| publishDate | 2016-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-9e1d87bf23bd416cacd7f04b2c5f69d62022-12-22T02:04:44ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-08-01108VC06VC1010.7860/JCDR/2016/18959.8383Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control TrialBlessy Prabha Valsaraj0Shripathy M. Bhat1K.S. Latha2Associate Professor, Department of Psychiatric/Mental Health Nursing, Manipal College of Nursing, Manipal University, Karnataka, India.Professor, Department of Psychiatry, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.Associate Professor (Retired), Department of Psychiatric Social Work, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.Introduction: Chronic Kidney Disease (CKD) is becoming a major public health problem worldwide. The very diagnosis of CKD brings a plethora of psychological problems that adds to the agony of the debilitating illness. Financial difficulties apart from the excruciating physical burden of the disease, owing to series of psychosocial issues. Anxiety and depression are two major concerns that to be managed effectively to sustain the life of people undergoing Haemodialysis. Aim: The study aimed at finding the effect of Cognitive Behaviour Therapy (CBT) on anxiety and depression among people undergoing haemodialysis. Materials and Methods: An experimental approach with Randomized controlled trial design was adopted for the study. The instruments used for data collection were Background Proforma and Hospital Anxiety and Depression Scale (HADS). A total of 150 subjects undergoing haemodialysis in a tertiary care hospital of South Karnataka were screened for inclusion and exclusion criteria and 80 participants were recruited for the study. Through computerized block randomization 40 each were allotted to experimental and control groups whereas 33 and 34 respectively in both the groups completed the study. CBT, a structured individual therapy of cognitive, behavioural and didactic techniques, with 10 weekly sessions each was administered to the experimental group. Non-directed counseling, a psychological intervention with ten weekly sessions of individual counseling was given to the control group. Results: The findings of the study revealed that there was a significant reduction of mean anxiety (F=76.739, p=0.001) and depression (F=57.326, p= 0.001) in the experimental group when compared with the control group. Conclusion: Researchers concluded that CBT can be effectively utilized for people undergoing haemodialysis in order to obtain control over their negative thoughts thereby reducing anxiety and depression.https://jcdr.net/articles/PDF/8383/18959_CE(RA1)_F(T)_PF1(ROAK)_PFA(AK)_PF2(PEK).pdfburden of diseasechronic kidney diseaseeffectivenessoutcome of haemodialysispsycho social problems |
| spellingShingle | Blessy Prabha Valsaraj Shripathy M. Bhat K.S. Latha Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control Trial Journal of Clinical and Diagnostic Research burden of disease chronic kidney disease effectiveness outcome of haemodialysis psycho social problems |
| title | Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control Trial |
| title_full | Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control Trial |
| title_fullStr | Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control Trial |
| title_full_unstemmed | Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control Trial |
| title_short | Cognitive Behaviour Therapy for Anxiety and Depression among People Undergoing Haemodialysis: A Randomized Control Trial |
| title_sort | cognitive behaviour therapy for anxiety and depression among people undergoing haemodialysis a randomized control trial |
| topic | burden of disease chronic kidney disease effectiveness outcome of haemodialysis psycho social problems |
| url | https://jcdr.net/articles/PDF/8383/18959_CE(RA1)_F(T)_PF1(ROAK)_PFA(AK)_PF2(PEK).pdf |
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