Background and Aims: Chronic kidney disease (CKD) is a long standing debilitating medical condition. CKD patients who are undergoing hemodialysis commonly experience depressive and anxiety symptoms because of various physical and psychosocial factors. The present study aimed to assess psychiatric morbidities i.e., depression and/or anxiety in patients with CKD undergoing hemodialysis. The objective of study was to evaluate depressive and anxiety disorders and their relation to socio-demographic factors in patients with CKD. Materials and Methods: A cross-sectional study was conducted at Nephrology department of a tertiary care institution on 100 CKD patients undergoing hemodialysis; who fulfilled the inclusion criteria. Diagnosis of depression and anxiety disorder was made as per WHO (ICD-10) criteria. Hospital Anxiety and Depression scale (HADS) was applied to study severity of the disorders. Data collected was subjected to suitable statistical analysis (mean, standard deviation and Chi-square test). Results: Majority (54 percent) of the CKD patients belonged to age group of 41 to 60 years, were Hindus, married and had low monthly income. The prevalence of depressive disorder and anxiety disorder among CKD patients was around 66% and 61%, respectively. Depression and anxiety were significantly associated with gender, occupation, income and duration of haemodialysis in these patients. Conclusion: Depression and anxiety are highly prevalent in CKD patients and have varying relations with different socio-demographic characteristics of patients. Clinicians should focus on these morbidities while managing such patients and provide holistic treatment using multidisciplinary approaches to improve the overall quality of life.
Context: Chronic kidney disease (CKD) is emerging as a public health problem globally. Depression and anxiety are commonly seen in patients with CKD who are undergoing hemodialysis, and these ailments deteriorate the quality of life (QoL) of these patients. Aims: The present study aimed to determine the association between depression/anxiety and QoL in CKD patients. Settings and Design: This cross-sectional study was conducted at the nephrology department of the institution on 100 patients with CKD undergoing hemodialysis, who fulfilled the inclusion criteria for this study. Informed consent was taken prior to enrollment for the study. Materials and Methods: After seeking sociodemographic information, the Hospital Anxiety and Depression Scale was applied to screen for and to assess the severity of anxiety and depression, while the World Health Organization-QOL Assessment BREF questionnaire was administered to measure the subjective QoL. Data collected were subjected to suitable statistical analysis. Results: The prevalence of depression and anxiety among CKD patients was 66% and 61%, respectively. CKD patients with depression and anxiety had worse scores on all domains of QoL questionnaire. Both depression and anxiety negatively correlated with all domains of QoL. Conclusions: Depression and anxiety are highly prevalent in patients with CKD, and patients afflicted with the above had impaired QoL.
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