Depression and Suicide Risk in Hemodialysis Patients With Chronic Renal Failure

The Psychological Impact of Hemodialysis on Patients with Chronic Renal Failure

“…It has also been reported that malnutrition is associated with emotional symptoms among HD patients (Bossola et al, 2009;Czira et al, 2011;Ibrahim & El Salamony, 2008;Koo et al, 2003). These authors also determined that patients with depression had lower-than-normal body mass indices (BMI) (Chen et al, 2010).…”

“…It was reported that depression among dialysis patients increased with increasing age and lower educational levels (Keskin & Engin, 2011). In some studies, depressive symptoms were more common among women, and increased with unemployment and also rose among patients with higher comorbidity of physical diseases (Araujo et al, 2011;Chen et al, 2010;Ibrahim & El Salamony, 2008). Thus, negative cognition and lack of social support might exacerbate patients' negative feelings, and thus further contribute to depression.…”

“…In addition, 15.5% of these subjects had comorbid depression and anxiety, and 44.3% of depressed patients had comorbid anxiety (Chen et al, 2010). Furthermore, suicide risk was not only attributed to depression, but also to anxiety.…”

“…Nevertheless, HD is a lifelong treatment that significantly and sometimes adversely affects patients both physically and mentally (Kimmel, 2001). Common psychological effects include depression, anxiety, fatigue, decreased quality of life (QoL) and increased suicide risk (Chen et al, 2010). The global effects of continual treatment lead to changes in patients' family roles and ability to work, with feelings of loss of control and fear of death.…”

Prevalência de autorrelato de diagnóstico médico de doença renal crônica no Brasil: Pesquisa Nacional de Saúde, 2013

“…In addition, CKD presents an unfavorable outcome and high cost for the affected individuals, affecting every aspect of people's health: physical (increased cardiovascular disease burden, morbidity, and mortality), social (low quality of life, loss of productivity, and employment), and psychological (family pressures and mental disorders) [1][2][3] . CKD culminates in end-stage renal disease (ESRD) or end-stage kidney disease , when there is progressive and irreversible loss of kidney function, a serious health outcome with a high economic and social cost, which requires dialytic renal replacement therapy (hemodialysis and peritoneal dialysis) or transplants for maintenance of life.…”