Anxiety and depression in geriatric hemodialysis patients: factors that influence the border of diseases

Abstract

IntroductionThe two main psychological issues that people with end-stage renal disease (ESRD) experience are depression and anxiety. We conducted this study to determine both the prevalence of depression and anxiety, and the factors associated with them, among hemodialysis patients.MethodsPatients aged 18 years or older, who had received hemodialysis in a hemodialysis center in Elbasan, for at least 3 months were included in this study. Beck Anxiety Inventory and Beck Depression Inventory Instruments were used to assess hemodialysis patients levels of depression and anxiety.ResultsOverall, 107 hemodialysis patients (men 65.4%) with a mean age of 57 ± 8.9 years were enrolled in the study. The prevalence of anxiety and depression resulted to be 85.98, and 84.11%, respectively. We found a significant difference in depression and anxiety scores in patients age groups of 61–70 years old (OR = 1.8; 95% CI [0.7–3.7]; p = 0.041), in non-smoking patients (OR 3.4; 95% CI [1.09–8.2]; p = 0.04), in diabetic patients (OR 3.4; 95% CI [1.09–8.2]; p = 0.04), and in patients with a time in dialysis of 6–10 years and >11 years, respectively, (OR 3.4; 95% [1.5–9.0]; p = 0.01), (OR1.3; 95% CI [0.4–3.6]; p = 0.04).ConclusionOur study shows that the prevalence of mental disorders (depression and anxiety) is high among patients with ESRD on maintenance hemodialysis. We recommend a routine screening and referral to psychological health specialists to evaluate the mental health disorders among hemodialysis patients with the primary aim of improving their quality of life.

Benefit finding in individuals undergoing maintenance hemodialysis in Shanghai: a latent profile analysis

“…However, it is important to acknowledge that a small number of individuals still exhibit extremely low levels of BF. Despite previous reports of poor psychological states in individuals on MHD, including a propensity for anxiety, depression, and other psychological problems ( Elezi et al, 2023 ; Liu et al, 2024 ), this study recognizes the strong inner resilience in most of them ( Wang et al, 2024 ). Most of the individuals have the ability to accept the negative events of dialysis and demonstrate positive psychology, i.e., they can find benefits ( Li et al, 2018 ).…”