대한신장학회

논문분류	춘계학술대회 초록집
제목	Relationship between Anger Syndrome “Hwa-byung” and Health Related Quality of Life in The Korean Hemodialysis Patients
저자	Tae Hoon Kim1, Ah Ran Choi1, Mi Ok Cho1, Sung Chang Bae1, Jung Eun Lee3,Hoon Young Choi1, Sung Kyu Ha1, Jeong-Ho Seok2, Hyeong Cheon Park1
출판정보	2014; 2014(1):
키워드	말기신부전, 혈액투석, 삶의 질
초록	Introduction: Hwa-byung (HB), a Korean culture-bound syndrome, is caused by long-standing accumulation of unfair social trauma and anger and has a comparable comorbidity profile as major depression. Depression is the most common psychological problem among hemodialysis patients and it strongly impacts the patients’ quality of life (QoL). The study aim was to investigate the prevalence of HB in Korean hemodialysis patients and its relationship between health-related QoL and other clinical characteristics. Methods: Clinically stable patients from 6 hemodialysis centers were enrolled. Thirty-six-item Short-Form Health Survey and temperament and symptom scale of HB, Hospital Anxiety and Depression Scale were used to diagnose and assess health-related QoL and psychological distress, respectively. Sociodemographic factors such as age, sex, education and hemodialysis-related clinical factors (hemodialysis vintage and frequency, Kt/V), and laboratory parameters were assessed. Results: Two hundred and seventy one patients on hemodialysis were enrolled in this study. Fifty-one patients were diagnosed with HB, which was significantly more prevalent than that of general population (18.9% vs. 4.1%, p<0.01). HB patients were less educated, more depressive and anxious and reported lower level of QoL than the patients without HB. The severities of HB and depressive symptoms were significantly associated not only with mental QoL but also with physical QoL in the final regression models. Anxiety symptom severity and other psychological variables were not associated with QoL in the final regression model. C reactive protein level was negatively associated with both QoL level in this group. Conclusion: After controlling multiple clinical variables, HB, depressive symptoms, and CRP level were significantly associated with mental and physical QoL in hemodialysis patients. Chronic ongoing distress related to hemodialysis may contribute to increased prevalence of HB and depression in hemodialysis patients. More attention to emotional distress of the hemodialysis patients is warranted to improve their health-related QoL.
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