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

J Transcult Nurs. 2024 Mar;35(2):134-141. doi: 10.1177/10436596231217696. Epub 2023 Dec 22.

Abstract

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 (β = .643; p < .01) and higher perceived effectiveness of the fatalistic coping style (β = .144; p < .05) were significant predictors of depressive symptoms. Patients with a higher optimistic coping style (β = -.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.

Keywords: coping; culture; depression; predictors; stress.

MeSH terms

  • Adaptation, Psychological
  • Arabs
  • Coping Skills
  • Cross-Sectional Studies
  • Depression* / complications
  • Depression* / diagnosis
  • Humans
  • Islam
  • Kidney Failure, Chronic* / complications
  • Kidney Failure, Chronic* / psychology
  • Kidney Failure, Chronic* / therapy
  • Stress, Psychological