Kidney Week

Abstract: TH-PO949

Relationship between Psychological Resilience and Health Outcomes in Older Adults with Advanced CKD

Session Information

• Geriatric Nephrology: Innovations and Insights
  October 24, 2024 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Geriatric Nephrology

• 1300 Geriatric Nephrology

Authors

• Burrows, Brett, Duke University School of Medicine, Durham, North Carolina, United States

Brett Burrows, PhD

• Lucas, Anika, Duke University School of Medicine, Durham, North Carolina, United States

Anika Lucas, MD

• Bowling, C. Barrett, Duke University School of Medicine, Durham, North Carolina, United States

C. Barrett Bowling, MD

• Hall, Rasheeda K., Duke University School of Medicine, Durham, North Carolina, United States

Rasheeda K. Hall, MD, MS, MBA, FASN

Background

Resilience, defined as the ability to recover from stressful events, is important for healthy aging. However, resilience has not been well studied in older adults with advanced chronic kidney disease (CKD), a subpopulation at high risk of stress due to wavering health status. Towards a goal of improving or maintaining resilience in older adults with advanced CKD, there is a need to identify factors related to resilience. We aimed to examine the association of depressive symptoms, physical activity (PA), and community mobility with psychological resilience.

Methods

This cross-sectional study surveyed 30 older adults (≥55 years of age) with advanced CKD (eGFR<30 ml/min/1.73m²) seen at a routine nephrology visit to assess the potential correlation (Pearson’s correlation coefficient) between psychological resilience and depressive symptoms, PA levels, and community mobility. Psychological resilience was assessed by the Resilience Scale (scores range 25 to 175, cut-offs: ≤120= low resilience, 121-145= moderate resilience, ≥146= high resilience). Depressive symptoms were assessed by the Center for Epidemiological Studies Depression (CESD) (higher scores indicate greater depressive symptoms). PA was measured by the PA Scale for the Elderly (PASE) (higher scores indicate increased PA) and community mobility was measured by the Life-space Assessment (LSA) score (higher scores reflect greater mobility).

Results

Mean (SD) age was 73.0 (9.8) years, 56.7% were female, 56.7% were Black race, and participation rate was 85.7%. The majority reported low to moderate levels of resilience (60%), with a mean (SD) of 138.0 (21.4). Participants also reported low levels of PA (mean= 71.2, SD= 72.8) and community mobility (mean= 58.6, SD= 26.7), and elevated depressive symptoms (mean= 13.9, SD= 9.9). The CESD had the strongest correlation (r= -.82 (p< 0.001)) to psychological resilience, with both the PASE and the LSA displaying moderate strength correlations (r= .38, p= 0.04; r= .47, p< 0.01, respectively).

Conclusion

The majority of participants had low to moderate levels of resilience. We found that depressive symptoms had a strong inverse correlation with psychological resilience. Future studies should examine the underlying mechanisms of this relationship and potential therapies to promote resilience among older adults with advanced CKD.

Funding

• Other NIH Support