“…Patients with ESKD who undergo haemodialysis often suffer from physical and psychological challenges. Common physical symptoms include poor appetite, fatigue, weakness, fluid retention, insomnia, cramps, breathlessness, anaemia, and chronic uraemia (Himmelfarb et al, 2020; Theofilou, 2011), whereas frequent psychological symptoms include anxiety and depression (Griva, Lam, et al, 2018; Hedayati et al, 2009; Hernandez et al, 2018; Himmelfarb et al, 2020; Schmidt, 2019; Wu et al, 2018). Recent studies reported that over 50% of patients with ESKD suffer from anxiety and depression (Agrawaal et al, 2019; Griva, Lam, et al, 2018), and 40% develop severe depression (Debnath et al, 2018).…”