"Toxic thoughts"- impact of chronic kidney disease on cognitive functioning and pyschological well-being

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dc.contributor.author Ansell, Glen
dc.date.accessioned 2017-06-07T08:58:59Z
dc.date.available 2017-06-07T08:58:59Z
dc.date.issued 2016
dc.identifier.citation Ansell, Glen (2016) "Toxic thoughts"- impact of chronic kidney disease on cognitive functioning and pyschological well-being, University of the Witwatersrand, Johannesburg, <http://hdl.handle.net/10539/22813>
dc.identifier.uri http://hdl.handle.net/10539/22813
dc.description A research project submitted in fulfilment of the requirements for the degree of Master of Arts in Psychology through the Faculty of Humanities, University of the Witwatersrand, Johannesburg, 2016 en_ZA
dc.description.abstract Background Chronic Kidney Disease (CKD) is a reality faced by many around the world. There has been much physiological study around factors associated with CKD, as well as many studies surrounding the psychosocial impacts of the disease, with relatively less attention given to neuropsychological effects the disease can have on sufferers. This paper investigates the cognitive impacts as well as psychological impacts simultaneously, impacting on sufferers of End Stage Kidney Disease (ESKD). Methods Sixteen medically stable patients aged (M = 40.56, SD = 12.52) years with ESKD, were investigated. Eight of the patients were evaluated before and after six months of successful kidney transplant, using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), which assessed immediate memory, visuospatial / constructional, language, and attention. They were also tested on a brief symptom inventory (BSI 18) to assess depression and anxiety in these patients. A further eight who remained on dialysis, and had not undergone renal transplant were evaluated in the same manner for comparative purposes. Results Between-group comparisons showed a statistically significant improvement in overall cognitive functioning, as well as in the specific cognitive domains of visuospatial / constructional, language and attention for participants who had undergone renal transplant surgery compared to their counterparts who had not. Results also found that there were no statistically significant differences between the levels of anxiety experienced between patients in the two groups. When assessing the differences in cognitive improvement within the transplant patient group before and after transplant, improvement in the delayed memory function of renal transplant patients post-transplant was found. Conclusion These data show improvements in delayed memory function of patients having undergone renal transplant therapy, while also highlighting a continued decline of overall cognitive functioning in patients remaining on hemodialysis therapy. en_ZA
dc.format.extent Online resource (77 leaves)
dc.language.iso en en_ZA
dc.subject.lcsh Kidneys--Diseases--South Africa--Psychological aspects
dc.subject.lcsh Chronic renal failure--Patients--South Africa
dc.subject.lcsh Cognition disorders--Patients--South Africa
dc.title "Toxic thoughts"- impact of chronic kidney disease on cognitive functioning and pyschological well-being en_ZA
dc.type Thesis en_ZA
dc.description.librarian GR2017 en_ZA


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