Comparing the effectiveness of supportive-expressive and cognitive-behavioral psychotherapy on depression in hemodialysis patients

Document Type : Research Paper

Authors

1 MS.c. student of clinical psychology, Torbat Jam Branch, Islamic Azad University, Torbat Jam, Iran

2 Instructor of Psychology Department, Torbat-e- Jam Branch, Islamic Azad University, Torbat-e- Jam, Iran

3 MS.c. in clinical psychology, Torbat-e- Jam Branch, Islamic Azad University, Torbat-e- Jam, Iran

Abstract

Introduction: The present study aimed to compare the effectiveness of supportive-expressive and cognitive-behavioral psychotherapy on depression in hemodialysis patients.
Materials and Methods: This clinical trial conducted on hemodialysis patients who attended a private dialysis treatment center in 2014-2015. Among them, 45 patients selected and randomly assigned into 2 experimental groups and a control group. The experimental groups underwent supportive-expressive or cognitive-behavioral psychotherapy (Ten 45-minute sessions, once a week); but the control group did not receive any treatment. Beck depression II questionnaire was used to collect information. Data analysis was performed in two descriptive and inferential sections (analysis of covariance) using SPSS software.
Results: The results of covariance analysis showed that supportive-expressive and cognitive-behavioral psychotherapy are reducing depression in hemodialysis patients significantly (p < 0.01). The effects of supportive-expressive treatment in short-term (pretest-posttest) and long-term were 15.73 and 19.07 points respectively. The effects of cognitive-behavioral therapy were 9.93 in the short term and 10.67 in the long term. Finally, comparing the profiles showed that the average of short-term and long-term effects in supportive-expressive treatment is higher than cognitive-behavioral therapy.
Conclusion: Based on the results, it seems that supportive-expressive therapy is more effective than cognitive-behavioral therapy to improve depressive symptoms in hemodialysis patients.

Keywords

References

  1. Webster AC, Nagler EV, Morton RL, Masson P. Chronic Kidney Disease. Lancet 2017; 389(10075): 1238-252.
  2. Taylor Sh. [Health psychology]. Badiee Aval M, Rafiee Shafigh M, SeyyedZadeh Z. (translators). 1st ed. Mashhad: Faraangizesh; 2019: 351-4. (Persian)
  3. Chilcot J, Wellsted D, Farrington K. Depression in end-stage renal disease: current advances and research. Seminars in dialysis 2010; 23(1): 74-82.
  4. Jhee JH, Lee E, Cha MU, Lee M, Kim H, Park S, et al. Prevalence of depression and suicidal ideation increases proportionally with renal function decline, beginning from early stages of chronic kidney disease. Medicine (Baltimore) 2017; 96(44): e8476.
  5. Agganis BT, Weiner DE, Giang LM, Scott T, Tighiouart H, Griffith JL, et al. Depression and cognitive function in maintenance hemodialysis patients. Am J Kidney Dis2010; 56: 704-12.
  6. De Sousa A. Psychiatric issues in renal failure and dialysis. Indian J Nephrol 2008; 18(2): 47-50.
  7. Natale P, Palmer S, Ruospo M, Rabindranath K, Hegbrant J, Strippoli G. FP386 psychosocial intervention for preventing and treating depression in dialysis patients. Nephrol Dial Transplant 2019; 34(Suppl 1): gfz106-FP386.
  8. Irajpour A, Hashemi MS, Abazari P, Shahidi S, Fayazi M. The effects of peer support on depression, anxiety, and stress among patients receiving hemodialysis. Iran Red Crescent Med J 2018; 20(S1): e66321.
  9. Erdley SD, Gellis ZD, Bogner HA, Kass DS, Green JA, Perkins RM. Problem-solving therapy to improve depression scores among older hemodialysis patients: a pilot randomized trial. Clin Nephrol 2014; 82(1): 26-33.

10. Shahgholian N, Hojatollah Yousefi H. Supporting hemodialysis patients: A phenomenological study. Iran J Nurs Midwifery Res 2015; 20(5): 626-33.

  1. Cengić B, Resić H. Depression in hemodialysis patients. Bosn J Basic Med Sci 2010; 10 (Suppl 1):S73-8.
  2. D’Onofrio G, Simeoni M, Rizza P, Caroleo M, Capria M, Mazzitello G, et al. Quality of life, clinical outcome, personality and coping in chronic hemodialysis patients. Ren Fail 2017; 39(1): 45-53.
  3. Cukor D, Ver Halen N, Asher DR, Coplan JD, Weedon J, Wyka KE, et al. Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. J Am Soc Nephrol 2014; 25(1): 196-206.
  4. Xing L, Chen R, Diao Y, Qian J, You C, Jiang X. Do psychological interventions reduce depression in hemodialysis patients?: A meta-analysis of randomized controlled trials following PRISMA. Medicine 2016; 95(34): e4675.
  5. Hou Y, Hu P, Liang Y, Mo Z. Effects of cognitive behavioral therapy on insomnia of maintenance hemodialysis patients. Cell Biochemist Biophys 2014; 69(3): 531-7.
  6. Fathi Ashtiani A, Dastani M. [Psychological examinations]. Tehran: Besat; 2010: 336-9. (Persian)
  7. Monirpour N, Yazdandoust R, Atef Vahid MK, Delavar A. [The relation between anthropology specifications and the prevalence of depression among high school students]. Journal of social welfare 2004; 14: 189-204. (Persian)
  8. Blind C. [Theories of counseling and psychotherapy]. Seyed Mohammadi Y. (translator). Tehran: Negin; 2009: 61. (Persian)
  9. Winston A, Rosenthal R, Pinsker H. Learning supportive psychotherapy: An illustrated guide; 2010: 42-8.
  10. Taylor RR. [Cognitive behavioral therapy for chronic illness and disability]. Golchin N, Jan Bozorgi M, Agah Harris M. (translators). Tehran: Arjmand; 2005. (Persian)
  11. Driessen E, Van HL, Schoevers RA, Cuijpers P, van Aalst G, Don FJ, et al. Cognitive behavioral therapy versus short psychodynamic supportive psychotherapy in the outpatient treatment of depression: a randomized controlled trial. BMC Psychiatry 2007; 7(58): 1-14.

 

 

Journal of Fundamentals of Mental Health
Volume 22, Issue 3
May and June 2020
Pages 155-161

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