Brief cognitive behavioural intervention for depression and anxiety symptoms improves quality of life in chronic haemodialysis patients

Abstract

A brief, systematic and structured cognitive behavioural intervention (CBI) decreases anxiety and depression symptoms and improves quality of life in patients with end-stage renal disease (ESRD) who are being treated with haemodialysis. These benefits are not achieved when anxiety and depression symptoms are identified but not treated psychologically. This CBI consisted of cognitive restructuring of the distorted thoughts (perfectionism, catastrophic thinking, negative self-labelling, and dichotomous thinking) that are correlated with depression and anxiety symptoms and that can be assessed by a validated questionnaire designed for patients with ESRD. The handbooks that were developed for this study are structured and systematic. They could be valuable in supporting the efforts and participation of non-specialized health professionals in CBI such as nurses, physicians, social workers, and psychologists, raising the possibility of further application in a variety of clinical populations. Both the therapy and the client workbooks are available in Spanish upon request.

Anxiety and depression in patients with end-stage renal disease: impact and management challenges – a narrative review

“…Recent work indicates that cognitive behavioral therapy (CBT) might be an efficacious, acceptable, and practical treatment option for depressive symptoms in patients undergoing dialysis. 83,84 Cognitive behavior therapy aims to counteract psychological disorders or problems that arise from dysfunctional thoughts, feelings, and behaviors. 85 In the context of depression, negative perceptions of the "self, experience, and future" are maintained through selective information processing that focuses attention on, and thus recall of, information that reinforces it.…”

Is successful treatment of depression in dialysis patients an achievable goal?

“…In the second study, individual CBT administered in the dialysis centre (n = 26), significantly improved depression symptoms, quality of life, and daily fluid adherence compared with a waiting list control group (n = 33) . The third study compared 5 weeks of individual CBT with usual care in 60 dialysis patients with mild to moderate depression and anxiety symptoms . Statistically significant effects of CBT on depression and anxiety outcomes were observed posttreatment and after 9‐weeks of follow‐up.…”

“…36 The third study compared 5 weeks of individual CBT with usual care in 60 dialysis patients with mild to moderate depression and anxiety symptoms. 37 Statistically significant effects of CBT on depression and anxiety outcomes were observed posttreatment and after 9-weeks of follow-up.…”

Promotion of women’s mental health: the influence of physical health and the environment

“…Many are the strategies used both for the rehabilitation of people with mental disorders and to promote the mental and physical health of individuals, one of them is psychosocial intervention, which enables the confrontation of personal problems, re-signification of suffering and the discovery of potentialities (1)(2) . Studies on the effectiveness of these interventions have been developed in Iran, the United States, Canada, Tanzania, Haiti, and Japan (4)(5)(6)(7)(8)(9)(10)(11) .…”

“…In general, the population of these studies was individuals with some chronic disease such as cancer, HIV, and mental disorders (4,(6)(7)(10)(11) . Few of these studies addressed individuals in the general population without specific morbidity (1,8) .…”