Depression and Associated Factors in Chinese Patients With Chronic Kidney Disease Without Dialysis: A Cross-Sectional Study

Duan, Difei; Yang, Lin; Zhang, Min; Song, Xiaoguang; Ren, Wendan

doi:10.3389/fpubh.2021.605651

Cited by 14 publications

(12 citation statements)

References 65 publications

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“…The loss of certain aspects of physical functioning and increased incidences of frailty within the CKD patient population can trigger psychological changes that are illustrated by, but are not limited to, increased rates of depression and anxiety [ 96 ]. The presence of depression also impacts outcomes from having CKD, including decreasing motivation to adhere to treatment and increasing risk of hospitalization and mortality [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

Frailty and Age-Associated Assessments Associated with Chronic Kidney Disease and Transplantation Outcomes

Fulinara

Huynh

Goldwater

et al. 2023

Journal of Transplantation

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Background. Frailty is often defined as a decrease in physiological reserve and has been shown to be correlated with adverse health outcomes and mortality in the general population. This condition is highly prevalent in the chronic kidney disease (CKD) patient population as well as in kidney transplant (KT) recipients. Other age-associated changes include sarcopenia, nutrition, cognition, and depression. In assessing the contributions of these components to patient outcomes and their prevalence in the CKD and KT patient population, it can be determined how such variables may be associated with frailty and the extent to which they may impact the adverse outcomes an individual may experience. Objectives. We sought to perform a systematic literature review to review published data on frailty and associated age-associated syndromes in CKD and KT patients. Results. Over 80 references pertinent to frailty, sarcopenia, nutrition, cognition, or depression in patients with CKD or KT were identified. Systematic review was performed to evaluate the data supporting the use of the following approaches: Fried Frailty, Short Physical Performance Battery, Frailty Index, Sarcopenia Index, CT scan quantification of muscle mass, health-related quality of life, and assessment tools for nutrition, cognition, and depression. Conclusion. This report represents a comprehensive review of previously published research articles on this topic. The intersectionality between all these components in contributing to the patient’s clinical status suggests a need for a multifaceted approach to developing comprehensive care and treatment for the CKD and KT population to improve outcomes before and after transplantation.

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Section: Resultsmentioning

confidence: 99%

Frailty and Age-Associated Assessments Associated with Chronic Kidney Disease and Transplantation Outcomes

Fulinara

Huynh

Goldwater

et al. 2023

Journal of Transplantation

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“…Negative affect such as guilt and fear will make patients more willing to treat their disease to reduce the family burden and improve their quality of life, so patients will strengthen their self-management. However, as a result of negative affect being positively related to ego depletion, when negative affect continues to accumulate to a certain degree, negative affect will create a negative effect on the human body and consume psychological resources, which will lead to an increase in ego depletion ( 47 ). Ego depletion will lead to negative results such as alcoholism, overeating and impulsive anger, which result in the decline of self-management ( 48 , 49 ).…”

Section: Discussionmentioning

confidence: 99%

Influence of positive and negative affect on self-management among patients with early chronic kidney disease during the COVID-19 pandemic: The mediating and suppressing effect of ego depletion

Cui

Li²,

Yang³

et al. 2022

Front. Psychiatry

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BackgroundSelf-management in patients with early chronic kidney disease (CKD) can effectively delay damage to renal function. However, with the continuous spread of COVID-19, patients cannot receive timely treatment, which can lead to different affects, resulting in ego depletion and serious challenges to self-management. This study aimed to investigate the mediating and suppressing roles of ego depletion on the relationship between positive and negative affect and self-management among patients with early CKD during the COVID-19 pandemic in China.MethodsA total of 383 patients with early CKD from three tertiary hospitals were enrolled by convenience sampling in our cross-sectional study from September 2021 to March 2022. Participants completed the Sociodemographic Questionnaire, Positive Affect and Negative Affect Scale, Self-Regulating Fatigue Scale and Chronic Kidney Disease Self-Management Instrument. A structural equation model was conducted to test the mediating and suppressing effects of ego depletion on the relationship between positive and negative affect and self-management.ResultsThe average score of the participants' self-management was 84.54 (SD: 19.72), and nearly 60% of them were at low and moderate levels. The mediating effect of positive affect on self-management through ego depletion was significant (β = 0.248, 95% CI: 0.170 to 0.376), accounting for 53.22% of the total effect. The suppressing effect of negative affect on self-management through ego depletion was significant (β = −0.191, 95% CI: −0.310 to −0.118), and the absolute value of the ratio of the suppressing effect to the direct effect was 66.55%.ConclusionsEgo depletion partially mediated the relationship between positive affect and self-management while suppressing the relationship between negative affect and self-management among patients with early CKD during the COVID-19 pandemic. The reduction of patients' ego depletion must be taken as the intervention target to improve self-management and delay the progression of CKD.

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“…A number of published studies reported that anxiety and depressive disorders were common among patients with chronic diseases. Hypertension, diabetes, cerebrovascular disease, and chronic kidney disease were found to be associated with depressive symptoms [33][34][35]. Furthermore, a large-scale epidemiological survey conducted in China was revealed the relationship of NCDs with psychological symptoms: multimorbidities and a course of disease within 1 year or more than 5 years were associated with a higher risk of stress, anxiety and depression [36].…”

Section: Discussionmentioning

confidence: 99%

A situational analysis of human resource and non-communicable diseases management for community health workers in Chengdu, China: A cross-sectional study

Chen

Guo

et al. 2022

Preprint

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Background Non-communicable diseases (NCDs) pose a major challenge to health economic cost and residents’ health status. Community health workers (CHWs) are the gatekeeper of primary health care. Objective This study aimed to conduct a situational analysis of the current human resource and requirement of NCDs-related training in Chengdu with regard to address to understand the suggestions for improvement of challenges and barriers. Methods A descriptive online cross-sectional survey was conducted among CHWs (doctor and nurse) from 23 districts and counties in Chengdu. Sociodemographic and NCDs-related variables were collected. Univariate analysis and multiple response analysis were used to describe the characteristics of these variables. Results 711 doctors and 637 nurses completely responded. There were significant differences among gender, age, educational levels, professional title, working year, type of institution, urban circle and registration in general practice between doctors and nurses (P < 0.001). The proportions of NCDs’ category, NCDs-related roles and tasks, NCDs-related training contents and forms that CHWs have attend and hoped to gain more were significantly different between doctors and nurses (P < 0.001). In general, the proportions in nurses were much lower than those of doctors (P < 0.05). The top five diseases managed by CHWs were hypertension, diabetes, cerebrovascular disease, chronic respiratory diseases and mental diseases. The five most reported roles performed among doctors included the distribution of health education (91.4%), following up (85.9%), establishing archives (71.3%), medicine adjustment (64.7%) and treatment implementation (27.8%). The top three diseases managed by nurses were same with doctors. The top four and five tasks were contact with patients or health services (39.6%) and referral (16.6%) in nurses. Most CHWs had received primary and common diseases-related trainings, but they had few opportunities to study in a tertiary hospital (40.4% in doctors and 20.9% in nurses, respectively), attend domestic academic conferences (26.9% in doctors vs 9.7% in nurses), and take part in training courses (44.9% in nurses). CHWs hoped that the above-discussed training contents and forms could be provided more in the future. Besides basic skills related trainings, some specific skills related trainings should be strengthened. Conclusion The qualifications in doctors were much better than those of nurses. The roles performed by CHWs in NCDs management are varied form common and frequent disease management to subsequent follow up and supervision. CHWs hope to receive more desired and oriented trainings. There is a need for building capacity of CHWs, optimizing and defining CHWs’ role, facilitating postgraduate medical education support and strengthening multidisciplinary collaboration would be effective in NCDs management.

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Depression and Associated Factors in Chinese Patients With Chronic Kidney Disease Without Dialysis: A Cross-Sectional Study

Cited by 14 publications

References 65 publications

Frailty and Age-Associated Assessments Associated with Chronic Kidney Disease and Transplantation Outcomes

Frailty and Age-Associated Assessments Associated with Chronic Kidney Disease and Transplantation Outcomes

Influence of positive and negative affect on self-management among patients with early chronic kidney disease during the COVID-19 pandemic: The mediating and suppressing effect of ego depletion

A situational analysis of human resource and non-communicable diseases management for community health workers in Chengdu, China: A cross-sectional study

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