{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T23:50:59Z","timestamp":1780357859458,"version":"3.54.1"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T00:00:00Z","timestamp":1583712000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp; Health Sciences"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study investigated the relationship between depression, family function, physical symptoms, and illness uncertainty in women with chronic kidney disease. Data were collected through structured questionnaire that was completed by 120 women undergoing hemodialysis. Assessment instruments consisted of the Family Adaptability, Partnership, Growth, Affection, Resolve Scale, Symptom Experience Scale, Mishel's Uncertainty in Illness Scale for Adults, and the Center for Epidemiological Studies\u2010Depression Scale. The higher the uncertainty about illness and physical symptoms, the higher is the level of depression, and the better the family function, the lower is the level of depression. Greater uncertainty was associated with poorer family function and worsening physical symptoms. A regression model explained 41% of the variance in depression. Significant predictors of depression were physical symptoms, living alone, illness uncertainty, and \u201cpoor\u201d subjective health status. To improve depression of women with chronic kidney disease, nurses need to reduce physical symptoms and illness uncertainty in these patients and improve their subjective health status. In addition, the establishment of a therapeutic support system considering living arrangement will help to reduce depression in women with chronic kidney disease.<\/jats:p>","DOI":"10.1111\/nhs.12691","type":"journal-article","created":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T20:33:32Z","timestamp":1583786012000},"page":"548-556","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9071-6093","authenticated-orcid":false,"given":"Oksoo","family":"Kim","sequence":"first","affiliation":[{"name":"College of Nursing Ewha Womans University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7341-2087","authenticated-orcid":false,"given":"Eun Yi","family":"Yeom","sequence":"additional","affiliation":[{"name":"Department of Nursing Chungwoon University  Chungwoon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9933-6097","authenticated-orcid":false,"given":"Hae Ok","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Nursing Cheongju University  Cheongju Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12332"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12602"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12541"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"295","article-title":"Lived experiences of patients on hemodialysis: A meta\u2010synthesis","volume":"39","author":"Bayhakki B.","year":"2012","journal-title":"Nephrology Nursing Journal"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0000000000000238"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2012.01.011"},{"key":"e_1_2_8_8_1","unstructured":"Centers for Disease Control and Prevention. (2016).\u2010adjusted prevalence of CKD Stages 1\u20134 by Gender 1999\u20132012. Chronic Kidney Disease (CKD) Surveillance Project. Retrieved fromhttps:\/\/nccd.cdc.gov."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2019.31.2.123"},{"issue":"78","key":"e_1_2_8_10_1","first-page":"1","article-title":"Prevalence and correlates of depression among chronic kidney disease patients in Taiwan","volume":"14","author":"Chiang H. H.","year":"2013","journal-title":"BMC Nephrology"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12556"},{"key":"e_1_2_8_12_1","first-page":"381","article-title":"Diagnostic validity of the CES\u2010D (Korean version) in the assessment of DSM\u2010III\u2010R major depression","volume":"32","author":"Cho M. J.","year":"1993","journal-title":"Journal of the Korean Neuropsychiatric Association"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.4069\/kjwhn.2005.11.1.58"},{"issue":"3","key":"e_1_2_8_14_1","first-page":"499","article-title":"Association between depression and hemodialysis in patients with chronic kidney disease","volume":"29","author":"\u0106wiek A.","year":"2017","journal-title":"Psychiatria Danubina"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12585"},{"issue":"4","key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"485","DOI":"10.4103\/psychiatry.IndianJPsychiatry_272_18","article-title":"Prevalence and clinical correlates of depression in chronic kidney disease patients in a tertiary care hospital","volume":"60","author":"Gupta S.","year":"2018","journal-title":"Indian Journal of Psychiatry"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2015.45.2.271"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12219"},{"issue":"6","key":"e_1_2_8_20_1","first-page":"741","article-title":"The effectiveness of cognitive behavioral stress management training on mental health, social interaction and family function in adolescents of families with one human immunodeficiency virus(HIV) positive member","volume":"16","author":"Keypour M.","year":"2011","journal-title":"Journal of Research in Medical Science"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.7586\/jkbns.2018.20.4.221"},{"key":"e_1_2_8_22_1","unstructured":"Korean Society of Nephrology(2018).Current renal replacement therapy in Korea: Insan memorial dialysis registry. Retrieved fromhttp:\/\/www.ksn.or.kr\/rang_board\/list.html?code=sinchart"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2017.09.002"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12742"},{"key":"e_1_2_8_25_1","unstructured":"Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. (2018).Korea health statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII\u20101). Retrieved fromhttps:\/\/knhanes.cdc.go.kr\/knhanes\/sub04\/sub04_03.do?classType=7"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1988.tb00082.x"},{"issue":"4","key":"e_1_2_8_27_1","first-page":"248","article-title":"Influencing factors on uncertainty of patients undergoing chemotherapy for lung neoplasms","volume":"18","author":"Mo M.","year":"2017","journal-title":"Journal of the Korea Academia\u2010Industrial Cooperation Society"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12205"},{"key":"e_1_2_8_29_1","unstructured":"National Institute of Diabetes and Digestive and Kidney Disease. (2016).Kidney disease statistics for the United States. Retrieved fromhttps:\/\/www.niddk.nih.gov\/health-information\/health-statistics\/kidney-disease"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0904-2"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2017.09.012"},{"issue":"1","key":"e_1_2_8_32_1","first-page":"32","article-title":"The relationships between nutritional status, fatigue, sleep quality, and depression in hemodialysis patients","volume":"7","author":"Park H. K.","year":"2017","journal-title":"Global Health & Nursing"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12315"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"issue":"6","key":"e_1_2_8_35_1","first-page":"1231","article-title":"The family APGAR: A proposal for a family function test and its use by physicians","volume":"6","author":"Smilkstein G.","year":"1978","journal-title":"The Journal of Family Practice"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.5762\/KAIS.2016.17.5.660"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12200"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2014(03)10"},{"key":"e_1_2_8_39_1","volume-title":"USRDS annual data report: Epidemiology of kidney disease in the United States","author":"United States Renal Data System","year":"2017"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13775"},{"issue":"2","key":"e_1_2_8_41_1","first-page":"300","article-title":"The effect of depression, life stress and resilience on quality of life in middle aged women","volume":"22","author":"Yang K. M.","year":"2015","journal-title":"Journal of Korean Academic Society of Home Health Care Nursing"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216308101099"},{"issue":"1","key":"e_1_2_8_43_1","first-page":"40","article-title":"The relationship between the psychosocial characteristics, family function, and activities of daily living in the elderly females","volume":"23","author":"Yoo J. H.","year":"2009","journal-title":"Journal of Korean Academy of Public Health Nursing"},{"key":"e_1_2_8_44_1","first-page":"43","article-title":"The association between hope, anxiety, depression, coping strategies and perceived social support in patients with chronic kidney disease","volume":"32","author":"Yucens B.","year":"2018","journal-title":"The Journal of Psychiatry and Neurological Sciences"}],"container-title":["Nursing &amp; Health Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fnhs.12691","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.12691","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nhs.12691","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.12691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T08:00:51Z","timestamp":1693900851000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nhs.12691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,9]]},"references-count":43,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1111\/nhs.12691"],"URL":"https:\/\/doi.org\/10.1111\/nhs.12691","archive":["Portico"],"relation":{},"ISSN":["1441-0745","1442-2018"],"issn-type":[{"value":"1441-0745","type":"print"},{"value":"1442-2018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,9]]},"assertion":[{"value":"2019-05-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}