Fatalistic and Optimistic Coping Strategies Predict Depression in Arab Muslim Patients With End-Stage Renal Disease.

BACKGROUND: Depression is one of the common psychological problems in patients on hemodialysis. We aimed to identify the predictors associated with depressive symptoms among patients on hemodialysis from a population under-represented in research and minoritized in countries like the United States. METHODS: This cross-sectional study used a convenience sample of patients in Oman. Data were analyzed using linear multiple regression. RESULTS: A total of 157 patients on hemodialysis participated in the study, with 40.5% reporting different levels of depressive symptoms. Higher stress levels (ß = .643; p < .01) and higher perceived effectiveness of the fatalistic coping style (ß = .144; p < .05) were significant predictors of depressive symptoms. Patients with a higher optimistic coping style (ß = -.182; p < .01) had lower levels of depressive symptoms. CONCLUSION: Arab Muslim hemodialysis patients have significant levels of depressive symptoms. Identifying predictors of depressive symptoms may help identify those at risk and provide culturally appropriate interventions.

Coping Strategies in End-Stage Renal Disease Patients on Hemodialysis in Oman: Optimistic, Supportive, Confrontive, and Prayerful.

Hemodialysis (HD) treatment is highly inflexible for individuals with end-stage renal disease (ESRD). Effective use of coping strategies can help to improve their performance and health outcomes. The purpose of this study was to understand the coping strategies used by patients on HD and their perceived helpfulness in Oman. A cross-sectional study was conducted to identify coping strategies among patients on HD. Participants on HD (N = 157) were enrolled from two HD centers in Oman. The results revealed that the most commonly used coping strategies were optimistic, confrontive, and supportive, and the most commonly helpful were optimistic, supportive, and confrontive. Prayer and trust in God was the most commonly used and most helpful coping strategies. The current study has identified the most common strategies used and found effective by Omani patients in coping with ESRD and HD. Identifying these coping mechanisms may help healthcare providers support this group of patients and improve their quality of care.