5. Conclusions
depression, cognitive distortion, anxiety, ESRD
DISEASE, ESRD
Compared to CBI alone, the resilience model (CBI + R) has a similar clinical effect on decreasing depression and anxiety symptoms while increasing the quality-of-life perception in ESRD patients undergoing hemodialysis replacement therapy. The CBI + R group did better than the CBI group on the cognitive restructuring outcomes (i.e., cognitive distortion scores). Furthermore, the resilience model is a novel and strategic way to integrate salutogenic variables into a psychological intervention that promotes positive aspects and mediating resources to cope with stressors in the face of disease.