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J Caring Sci. 2021;10(4): 223-229.
doi: 10.34172/jcs.2021.035
  Abstract View: 110
  PDF Download: 120
  Full Text View: 27

Original Article

The Effect of Emotional Disclosure by Writing on the Depression of Hemodialysis Patients in Iran: A Randomized Clinical Trial

Fereshteh Khaleghi 1 ORCID logo, Batool Pouraboli 2, Leila Abadian 3 ORCID logo, Mahlegha Dehghan 4 ORCID logo, Sakineh Miri 5* ORCID logo

1 Department of Psychiatric Nursing, School of Nursing and Midwifery, University of Medical Sciences, Kerman, Iran
2 Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Pediatric Nursing, School of Nursing and Midwifery, University of Medical Sciences, Kashan, Iran
4 Departement of Nursing Research Center, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
5 Department of Psychiatric Nursing, Nursing Research Center, School of Nursing and Midwifery ،Kerman University of Medical Sciences, Kerman, Iran
*Corresponding Author: Sakineh Miri, Email: s_miri@kmu.ac.ir

Abstract

Introduction: Depression is the most common psychological problem in patients with renal failure, and it can lead to mortality in severe cases. Effective interventions are required to promote mental health in patients on hemodialysis with various types of mental disorders. The current study aimed to evaluate the effect of emotional disclosure by writing on depression of patients on hemodialysis in Iran.

Methods: This clinical trial study was carried out on 140 patients undergoing hemodialysis in hemodialysis centers of Kerman. Patients were randomly assigned into two groups of intervention and control after signing the written consent forms and completing the Depression Anxiety Stress Scale (DASS 21). The intervention group was requested to write daily the deepest emotions and intrusive thoughts within 15 to 20 minutes in four consecutive days. The control group received routine care. Then, the questionnaire was recompleted two weeks later. Finally, the data were analyzed by SPSS (version 13) using independent t-test and paired t-test.

Results: The mean depression score was either moderate or high. While depression scores seemed to decrease in the intervention group after the intervention, the depression scores continued to rise following the intervention in the control group. The difference in depression scores was statistically significant between the two groups before and after the intervention.

Conclusion: Emotional disclosure by writing can be effective on the level of depression in patients on hemodialysis.Simus adi omnimodipsa sam fugita dolenistiae inveles est doluptat.


Keywords: Emotional disclosure, Writing, Hemodialysis, Depression

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Submitted: 27 Feb 2021
Accepted: 09 Mar 2021
ePublished: 23 Oct 2021
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