Correlation between anxiety, depression, self-perceived burden, and psychological resilience in patients with chronic renal failure on maintenance hemodialysis

Table 1 Anxiety and depression status of 225 patients with chronic renal failure on maintenance hemodialysis, n (%)/mean ± SD

Indicators	No	Mild	Moderate	Severe
Self-Rating Anxiety Scale	131 (58.22)	52 (23.11)	31 (13.78)	11 (4.89)
	45.25 ± 15.36
Self-Rating Depression Scale	104 (46.22)	50 (22.22)	43 (19.11)	28 (12.44)
	54.81 ± 14.68

Table 2 The self-perceived burden of 225 patients with chronic renal failure on maintenance hemodialysis, n (%)/mean ± SD

Indicators	No	Mild	Moderate	Severe
Self-Perceived Burden Scale	25 (11.11)	56 (24.89)	77 (34.22)	67 (29.78)
	32.31 ± 11.52

Table 3 Psychological resilience in 225 patients with chronic renal failure on maintenance hemodialysis, n (%)/mean ± SD

Indicators	Low	Medium	High
Connor-Davidson Resilience Scale	47 (20.89)	101 (44.89)	77 (34.22)
	66.48 ± 9.18

Table 4 Correlation between anxiety, depression, self-perceived burden, and psychological resilience

Correlation analysis	r	P value
SAS and CD-RISC	-0.285	< 0.001
SDS and CD-RISC	-0.326	< 0.001
SPBS and CD-RISC	-0.337	< 0.001

SAS: Self-Rating Anxiety Scale; CD-RISC: Connor-Davidson Resilience Scale; SDS: Self-Rating Depression Scale; SPBS: Self-Perceived Burden Scale.

Table 5 Univariate analysis of factors influencing psychological resilience in chronic renal failure patients on maintenance hemodialysis, n (%)

Variable	n	Low psychological resilience group (n = 47)	High psychological resilience group (n = 178)	χ2	P value
Sex				0.440	0.507
Male	110	25 (53.19)	85 (47.75)
Female	115	22 (46.81)	93 (52.25)
Age (years)				5.307	0.021
< 60	110	30 (63.83)	80 (44.94)
≥ 60	115	17 (36.17)	98 (55.06)
Dialysis vintage (years)				4.308	0.038
< 3	135	22 (46.81)	113 (63.48)
≥ 3	90	25 (53.19)	65 (36.52)
Marital status				0.543	0.461
Single	76	18 (38.30)	58 (32.58)
Married	149	29 (61.70)	120 (67.42)
Education level				1.478	0.224
Below senior high school	137	25 (53.19)	112 (62.92)
Senior high school or above	88	22 (46.81)	66 (37.08)
Religious belief				6.226	0.013
Without	182	44 (93.62)	138 (77.53)
With	43	3 (6.38)	40 (22.47)
Monthly income (CNY)				5.286	0.022
< 5000	145	37 (78.72)	108 (60.67)
≥ 5000	80	10 (21.28)	70 (39.33)
SAS (points)				8.606	0.003
< 45	100	12 (25.53)	88 (49.44)
≥ 45	125	35 (74.47)	90 (50.56)
SDS (points)				7.296	0.007
< 55	116	16 (34.04)	100 (56.18)
≥ 55	109	31 (65.96)	78 (43.82)
SPBS (points)				5.590	0.018
< 30	81	10 (21.28)	71 (39.89)
≥ 30	144	37 (78.72)	107 (60.11)

SAS: Self-Rating Anxiety Scale; SDS: Self-Rating Depression Scale; SPBS: Self-Perceived Burden Scale.

Table 6 Multivariate analysis of factors influencing psychological resilience in chronic renal failure patients on maintenance hemodialysis

Variable	β	SE	Wald	P value	Exp (β)	95%CI
Age (years)	-0.591	0.371	2.536	0.111	0.554	0.268-1.146
Dialysis vintage (years)	0.911	0.372	6.006	0.014	2.486	1.200-5.151
Religious belief	-1.460	0.650	5.040	0.025	0.232	0.065-0.831
Monthly income (CNY)	-1.269	0.425	8.922	0.003	0.281	0.122-0.646
SAS (points)	0.961	0.395	5.913	0.015	2.614	1.205-5.673
SDS (points)	1.050	0.378	7.695	0.006	2.856	1.361-5.996
SPB (points)	0.732	0.413	3.139	0.076	2.080	0.925-4.674

SAS: Self-Rating Anxiety Scale; SDS: Self-Rating Depression Scale; SPB: Self-Perceived Burden.