End-Stage Renal Disease
Conditions
Keywords
Hemodialysis, Resilience, Cognitive Behavioral Therapy
Brief summary
This study evaluates the effect of a single cognitive-behavioral intervention (CBI) in a control group against the same CBI plus the strengthening of resiliency skills in an experimental group, on ESRD patients.
Detailed description
Cognitive behavioral therapy has long been an alternative in the treatment of symptoms of depression and anxiety in patients with chronic diseases such as renal failure, however the combination of therapeutic approaches that include not only pathological but also another more positive approach (as the resilient model), represents a novel proposal for the treatment of negative psychological symptoms and improvement of the quality of life in these patients. The inclusion of the resilient model in a cognitive behavioral intervention serves as a possibility of therapeutic target that could enhance the effectiveness of the treatment.
Interventions
A combination of CBI techniques (Behavioural activation with positive reinforcement, Deep breathing and muscle relaxation, Cognitive restructuring) + Resilience strengthening (Identifying resilient strengths and potentialities, plus Imagination and projection into the future).
Only CBI techniques (Behavioural activation with positive reinforcement, Deep breathing and muscle relaxation, Cognitive restructuring).
Sponsors
Study design
Masking description
Evaluation measures
Intervention model description
Prospective, parallel, randomized clinical trial
Eligibility
Inclusion criteria
* Older than 18, and younger than 61 years old * Depression score in the Beck Depression Inventory (BDI) greater than 30 points. * Anxiety score in the Beck Anxiety Inventory (BAI) greater than 40 points. * Have not been hospitalized over the last 6 months * Signing of informed consent
Exclusion criteria
* May not be able to communicate in the Spanish language. * Presence of psychiatric comorbidity (suicide ideation or depressive or anxious).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life Perception (change is being assessed from baseline depression, at 8 weeks and after 5 weeks). | From Baseline, at 8 weeks for the intervention phase, and 5 weeks of following. | Outcome measuring will be held at the baseline, after finishing the intervention (8 weeks), and after a following period of 5 weeks. Tool: Kidney Disease Quality of life (KDQOL 36) |
Countries
Mexico