Research Article

Association of Poor Social Support and Financial Insecurity with Psychological Distress of Chronic Kidney Disease Patients Attending National Nephrology Unit in Sri Lanka

Table 3

Unadjusted odds ratios of social and disease related factors and psychological distress.

Factors Psychological distressOdds ratio95% confidence interval value
Yes
(%)
No
(%)

Duration of illness since diagnosis: <12 months83 (39.9)48 (28.4)1.671.08 to 2.580.02

Frequency of hospital visits per month: >once a month75 (36.1)41 (24.3)1.761.12 to 2.760.01

Presence of maximum physical role limitation due to ill health146 (70.2)99 (58.6)1.661.08 to 2.550.02

Significant pain interfering with activities104 (50.0)68 (40.2)1.480.98 to 2.240.06

Perceived knowledge regarding the prognosis of CKD106 (51.0)56 (33.1)2.11.38 to 3.190.001

Accurate knowledge on prognosis of CKD148 (71.2)115 (68.0)1.150.74 to 1.80.51

Social support
Number of people giving support ≤13 (poor social support)124 (59.6)72.0 (42.6)1.991.31 to 3.00.001
Satisfaction over social support received ≤22.5
(low satisfaction)
31 (14.9)7 (4.1)3.941.68 to 9.210.001

Disease severity: stages IV and V129 (62.9)66 (39.1)2.551.68 to 3.870.001

Treatment modality: dialysis68 (32.7)20 (11.8)3.612.09 to 6.270.001

Presence of comorbidities183 (88.0)135 (79.9)1.841.05 to 0.230.03

Experience of at least one life event136 (65.4)99 (68.6)1.340.88 to 2.030.17

Coping strategies
Dysfunctional coping: low13.0 (6.5)11.0 (6.9)0.960.42 to 2.210.93
Problem focused coping: low9.0 (4.4)6.0 (3.6)1.240.43 to 3.540.93
Emotion focused coping: low174 (83.7)133 (78.7)1.380.82 to 2.330.23