Depression and Insomnia in Patients on Maintenance Hemodialysis

Abstract

Depression and sleep disorders are more frequent in patients on maintenance hemodialysis (HD) than the general population, and are associated with reduced quality of life and increased mortality risk. The purpose of this study was to assess the prevalence of depression and insomnia in patients on HD and to correlate these with the demographic and biochemical profile. A cross sectional study was conducted among 316 patients on maintenance HD for more than 3 months. There was high prevalence of depression (92.7%) and insomnia (91.1%), Depression was significantly more in patients with urban population (P=0.007), unemployed patients (P=0.007), who had less income.(P=0.018) who got dialysis >12 months (P=0.009) and who got dialysis 2 session per week (P value=0.014). Insomnia was found significantly more in female (P=0.018) and among thosepatients of less income group (P=0.008) and in patients who got at least two sessions of hemodialysis per week (P=0.011).Low serum hemoglobin isassociated with both depression and insomnia (P<0.5), while low serum albumin concentration is found associated with depression (P<0.5).J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 3-11

Prevalence of Depression in Pre-Dialytic Chronic Kidney Disease Patients Attending at a Tertiary Care Hospital in Bangladesh

“…Most of our participants (98%) were married, in accordance Chiang et al [17] found 93% married in their study population. While Uzzal, et al [18] found 7.9% married subjects suffering depression in their 275 study population, that finding was different from our study. In our study more than half (65%) of the study participants had secondary/higher secondary and above level education, in this series one third (33.2%) of the study patients were illiterate and half (50.3%) of them had education up to secondary school level as showed by Uzzal et al [18]; while Chiang et al [17] observed 74.8% had a low level of education in their study population.…”

“…Although, our finding was inconsistent with the study carried out in Taiwan which revealed that the mean age of participants' was 65.70 ± 12.37 years [17]. The majority (64%) of the participants were male and this finding was consistent with related previous studies as reported that male participants were 61.9% [15], 69.6% [18] and 52% [19]. Most of our participants (98%) were married, in accordance Chiang et al [17] found 93% married in their study population.…”

“…The data of our study also reveals that almost two-third (65%) of the participants were unemployed. In this context, Uzzal, et al [18] reported that about three-fourth of their study patients (72.2%) were unemployed. More than half (55%) of our study participants lived in urban area, in accordance Uzzal et al [18] observed that most of their study patients (64.9%) lived in urban area.…”

The Effectiveness of Physical Exercise on Psychological Status, and Sleep Quality among Jordanian Patients Undergoing Hemodialysis: Literature Review

“…Moreover, disorders of sleep quality are usually associated with behavioral and psychological complications of ESRD. Uzzal [6] showed significant association between depression and Insomnia. Also, the poor sleep quality was greater among patients with high levels of depression [56], and low dialysis adequacy [57].…”

“…The prevalence rate of depression among patients receiving hemodialysis is ranging from 20% to 60%, while the anxiety and stress levels ranging from 21% to 48% [4]. Thus, the psychological complications could be deteriorated the physical functioning [5], and sleep quality among patients undergoing hemodialysis [6]. Therefore, there is a prompt needs to evaluate the available ways to improve psychological status (stress, anxiety, and depression, and sleep quality) among patients undergoing hemodialysis.…”