IMPROVING DISTRESS IN DIALYSIS (iDiD): A TAILORED CBT SELF-MANAGEMENT TREATMENT FOR PATIENTS UNDERGOING DIALYSIS

Improving Distress in Dialysis (iDiD): A Tailored CBT Self-Management Treatment for Patients Undergoing Dialysis
Name
Institution Affiliation
Improving Distress in Dialysis (iDiD): A Tailored CBT Self-Management Treatment for Patients Undergoing Dialysis
In their article, Hudson et al. (2016) highlight the psychological distress experienced by adults with end-stage kidney disease (ESKD) and the lack of developing treatments for such challenges resulting from kidney failures. Consequently, using this as the premise for their study, they identified the connections between ESKD and psychological distress as the foundation for formulating a Cognitive-Behavioral Therapy (CBT) intervention resolution (Hudson et al., 2016). Moreover, the principles of their approach focus on both the psychological health requirements of patients and self-management prerequisites for ESKD. Primarily, the methodology of the study conducted assessed the predefined associations focusing on the ESKD context, i.e., a review of health risks, representations of cognitive illness, and apparent behavior used to manage ESKD (Hudson et al., 2016).
The results of the analysis indicated that adults with ESKD face health risks such as loss of role, uncertainty, acute ESKD events, and managing the illness themselves, all of which have a positive correlation with symptoms of anxiety depression (Hudson et al., 2016). Moreover, most of them have negative acuities towards ESKD and the existing treatment methods, which leads to augmented distress.

Additionally, the findings of the study showed that the ESKD adults who have adherence challenges and avoidance challenges had high possibilities of being distressed (Hudson et al., 2016). Conversely, limited distress had a positive correlation with elements such as acknowledgment, social support, consistent check-ups and boldness among the ESKD adults.
In conclusion, the approach used by Hudson et al. (2016), i.e., dialysis-specific CBT formulation was instrumental in classifying the significance of focusing on the ESKD-specific connection of distress. This forms a firm foundation for integrating mental and physical interventions as part of the overall treatment delivered. Even so, the subject treatment decorum (i.e., iDiD) needs expansive assessment with a primary and specific focus on aspects such as content, feasibility, and the probability of effectiveness as acknowledged by the authors (Hudson et al., 2016).
Reference
Hudson, J. L., Moss‐Morris, R., Game, D., Carroll, A., & Chilcot, J. (2016). Improving Distress in Dialysis (iDiD): A tailored CBT self‐management treatment for patients undergoing dialysis. Journal of renal care, 42(4), 223-238.