Stress and Medication Adherence among Continuous Ambulatory Peritoneal Dialysis Patients

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Kantapat Puanglai
Chanon Jarupaktranonth
Siribha Changsirikulchai
Jirayut Janma
Wannakon Chuemongkon


Background and Objectives: This study aimed to investigate the prevalence of stress and medication adherence and to analyze the relationship between stress and medication adherence among continuous ambulatory peritoneal dialysis (CAPD) patients at HRH Princess Maha Chakri Sirindhorn medical center. Methods: This cross-sectional descriptive study was performed in 115 patients with CAPD. Research questionnaire included stress test of Department of Mental Health, Ministry of Public Health and Medication taking behavior tool in Thai patient (MTB-Thai).

 Results: The prevalence of stress was 6.96% (slightly high-level of stress 5.22%; more high-level of stress 1.74%). CAPD patients with high, moderate and low level of medication adherence were 41.74%, 41.74% and 16.52%, respectively.  However, no relationship between stress and medication adherence was found (p=1.000).

Conclusion: CAPD patients at HRH Princess Maha Chakri Sirindhorn medical center had a low rate of stress and that was not associated with medication adherence.


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1. Department of Mental Health, Ministry of Public Health. Manual for stress reduction (revised version). Bangkok: Design Conduction; 2012.
2. Wongchaisuriya T. Chronic Kidney Disease: CKD [Internet]. 2017 [cited 13 Dec 2018]. Available from:
3. The Nephrology Society of Thailand. Clinical practice recommendation for the evaluation and management of chronic kidney disease in adults 2015. 2015 [cited 13 Dec 2018]. Available from:
4. Thokaew S. Depression in hemodialysis patients in Nakhon Pathom province. [Master of Science in Mental Health]. Bangkok: Chulalongkorn University; 2003.
5. Tafet GE, Nemenoff CB. The links between stress and depression: psychoneuroendocrinological, genetic, and environmental interactions. J Neuropsychiatry Clin Neurosci 2016; 28: 77-88.
6. Cukor D, Rosenthal DS, Jindal RM, Brown CD, Kimmel PL. Depression is an important contributor to low medication adherence in hemodialyzed patients and transplant recipients. Kidney Int 2009:75:1223-9.
7. Yamane T. Statistic: an introduction analysis. 3rd edition. New York: Harper and Row publication; 1973.
8. Sakthong P, Sonsa-Ardjit N, Sukarnjanaset P, Munpan W, Suksanga P. Development and psychometric testing of the medication taking behavior tool in Thai patients. Int J Clin Pharm 2016; 38:438–45.
9. Sinnakirouchenan R, Holley JL. Peritoneal dialysis versus hemodialysis: risks, benefits, and access issues. Adv Chronic Kidney Dis 2011; 18: 428-32.
10. Goh ZS, Griva K. Anxiety and depression in patients with end-stage renal. Int J Nephrol Renovasc Dis 2018; 11: 93–102.
11. Kutner NG, Zhang R, McClellan WM, Cole SA. Psychosocial predictors of non-compliance in haemodialysis and peritoneal dialysis patients. Nephrol Dial Transplant 2002; 17: 93-9.