The Relationships between Spirituality, Coping Strategies, and Psychological Distress among Haemodialysis Patients

Nurul Najihah Mohamed Shukri, Abdul Rahman Ahmad Badayai


Living as end-stage renal failure patients undergoing haemodialysis can be a challenge because there are restrictions in daily life. Spirituality aspects and coping strategies may play an essential role in individuals' psychological distress. Therefore, this study aims to investigate the aspect of spirituality and coping strategies with psychological distress in haemodialysis patients. Participants were 64 patients undergoing haemodialysis in Kepala Batas, Pulau Pinang. Pearson correlations and multiple regression were conducted to examine the relationship and predicting the best predictor of psychological distress. Instruments used were Daily Spiritual Experience Scale, Coping Strategies Short-Form, and Kessler-10. Results showed that there were significant correlations between spirituality aspects and psychological distress. This study also confirms that there was a significant relationship between problem-focused engagement and emotion-focused engagement with psychological distress. Likewise, emotion-focused disengagement and problem-focused disengagement also reported having a significant relationship with psychological distress. Additionally, emotion-focused disengagement was the leading cause of psychological distress among patients. Therefore, it implies that spirituality aspects and using the right coping strategies can help in managing patients' psychological distress to lead a more positive and improve everyday life.

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rd Report of the Malaysia Dialysis and Transplant Registry (2015). Kuala Lumpur, Malaysia.

Al Nazly, E.A., Ahmad, M., Musil, C. & Nabolsi, M. (2012). Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: A qualitative study. Nephrology Nursing Journal 40(4): 321-327.

Chua Yan Piaw. (2011). Kaedah dan Statistik Penyelidikan: Kaedah Penyelidikan. Malaysia : Mcgraw-Hill Education.

Dysvika, E., Natvig, G., Eikeland, O. & Lindstrom, T. (2005). Coping with chronic pain. International Journal of Nursing Studies 42(2005): 297-305.

Feudis, R., Lanciano, T. & Rinaldi, S. (2015). Coping strategies of southern Italian women predict distress following breast cancer surgery. Europe’s Journal of Psychology 11(2): 280-294.

Gilbar, O. & Zusman, A. (2007). The correlation between coping strategies, doctor-patients/spouse relationship, and psychological distress among women with cancer patients and their spouses. Psycho-oncology 16: 1010-1018.

Kidwai, R., Mancha, B., Brown, Q. & Eaton, W. (2014). The effect of spirituality and religious attendance on the relationship between psychological distress and negative life events. Social Psychiatry & Psychiatric Epidemiology 49: 487-497.

Kneipp, L., Kelly, K. & Cyphers, B. (2009). Feeling at peace with college: Religiosity, spiritual well-being, and college adjustment. Individual Differences Research 7(3): 188-196.

Lakkis, N., Khoury, J., Mahmassani, D., Ramia, M & Hamadeh, G. (2015). Psychological distress and coping strategies in parents of children with cancer in Lebanon. Psychooncology 25(4): 428-234.

Lazar, A. (2010). Spirituality and job satisfaction among female Jewish Israeli hospital nurses. Journal of Advanced Nursing 66 (2): 334-344.

Littleton, H., Horsley, S., John, S. & Nelson, D. (2007). Trauma coping strategies and psychological distress: A meta-analysis. Journal of Traumatic Stress 20(6): 977-988.

Mirowsky J. & Ross C. (2002). Measurement for human science. Journal of Health and Social Behavior 43(2): 152-170.

Nefissa M, Mohammed A, Ikram I, Essam M, Fatma N. (2011). Evaluation of psychoeducational program on psychological distress among suicidal patients at El Minia poisoning control center. International Research Journal of Applied and Basic Sciences 2(1): 120-134.

Neuen, B.L., Chadban, S.J., Demaio, A.R., Johnson, D.W., Perkovic, V. (2017). Chronic kidney disease and the global NCDs agenda. BMJ Global Health 2(2) 1-4.

Norhayati Ibrahim, Asmawati Desa & Norella Kong. (2015). Kesan pengantara strategi daya tindak agama terhadap hubungan di antara kemurungan dan kualiti hidup pesakit buah pinggang tahap akhir. Jurnal Psikologi Malaysia 29(1): 52-62.

Burney, N., Osmany, M. & Khan, W. (2017). Spirituality and psychological well-being of young adults. Indian Association of Health, Research, and Welfare 8(2): 1481-1484.

Ragan, K., Pugh, L., Degnan, A. & Berry, K. (2016). Associations between coping thought control and psychological distress. The Cognitive Behavior Therapist 9(16): 1-12.

Reynolds, N., Mrug, S., Hensler, M., Guion, K. & Madan-Swain, A. (2014). Spiritual coping and adjustment in adolescents with chronic illness: A 2-year prospective study. Journal of Pediatric Psychology 39(5): 542-551.

Roberts, N., Czajkowska, Z., Radiotis, G. & Korner, A. (2013). Distress and coping strategies among patients with skin cancer. Journal of Clinical Psychology in Medical Settings 20: 209-214.

Roussi, P., Krikeli, V., Hatzidimitriou, C. & Koutri, I. (2007). Patterns if coping, flexibility in coping, and psychological distress in women diagnosed with breast cancer. Cogn Ther Res 31: 91-109.

Silva, J., Muller, M. & Bonamigo, R. (2006). Coping strategies and stress levels in patients with psoriasis. Anais Brasileiros de Dermatologia 81(2): 143-149

Tuncay, T. & Musabak, I. (2015). Problem-focused coping strategies predict posttraumatic growth in veterans with lower-limb amputations. Journal of Social Service Research 41: 466-483.

Xu, J. (2016). Pargament’s theory of religious coping: Implications for spiritually sensitive social work practice. The British Journal of Social Work 5: 1394-1410.

Yu, Y. & Sherman, K. (2015). Communication avoidance, coping, and psychological distress of women with breast cancer. Journal of Behavioral Medicine 38: 565-577.

Zagozdon, P. & Wrotkowska, M. (2017). Religious beliefs and their relevance for treatment adherence in mental illness; A review. Religions 2017: 1-12.


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