Effectiveness of Positive Therapy in Management of Stress, Anxiety and Depression Along with Improvement in Quality of Life Among Chronic Kidney Disease Patients – A Review Based Analysis

Abstract

Purpose/Aim: To identify the benefits and effects of positive therapy which includes progressive muscle relaxation technique and counselling and whether the interventions will enhance the quality of life of chronic kidney disease patients will be determined through this research review. The frequent diagnosis of anxiety, depression and stress among CKD patients, adds more risk to a poor prognosis with higher mortality rate. [1] The levels of stress and depression normally were measured using stress inventory [2], and other standard valid stress, anxiety and depression scales along with quality of life pre and post intervention. The effects of positive therapy interventions such as relaxation technique and Clinical Counselling for anxiety, stress and depression pre and post treatment were evaluated. Methodology/Approach/Design: A systematic review of the literature was carried out. Different authors used many different methods, some of them are; qualitative semi-structured interview, cross sectional study, randomised control trial, screening for anxiety and depression, mixed methods study, tools analysis, convergent parallel mixed methods with linked multi centre studies, descriptive cross-sectional study with quantitative approach, and prospective observational study. Results/ Findings: All the reviewed articles showed significant positive relationship between positive therapy and stress and anxiety, depression among chronic kidney disease patients. Though there is only limited research on therapeutic interventions on psychological issues of chronic kidney disease patients, the therapeutic interventions including counselling and relaxation techniques, analyzed in the reviewed articles showed marked improvements in overcoming stress, anxiety and depression among the studied group. Originality/Value: Positive therapy -counselling and muscle relaxation technique implemented in the reviewed articles below are effective in reduction of stress, anxiety and depression among CKD patients. This in turn improved the quality of life.