Depression in chronic haemodialysed patients

Abstract

From April 2000 to April 2001, a total of 108 chronic stable haemodialysed patients (34 males aged 57.76 +/- 12.68 years under haemodialysis treatment for 31.41 +/- 24.71 months and 74 females aged 54.99 +/- 12.87 years under haemodialysis for 41.47 +/- 33.47 months) were studied for signs of clinical depression. Depression was measured by using 'The Taiwanese Depression Questionnaire (TDQ)'. After analysing various possible factors, we chose to study three dimensions: affective change, somatic complaint and cognitive disturbance. Thirty-six (33.4%) of the patients were found to have TDQ scores above 19; our cut-off value. Diabetic patients were also found to have higher depression scores and affective change scores than those without diabetes. The elderly suffered more from somatic complaints, and patients without jobs also tended to have higher depression scores. We compared the nutrition indexes and uraemic toxin removal indexes of those with higher depression scores (score> or =19) with those with normal scores (score <19), and we found no differences between the two groups. We found that an underlying disease and job status were the major differences found in the two groups. Therefore, our findings suggest that the depression found in our chronic haemodialysed patients was not a result of the physical conditions, but a result of psychosocial problems indicating a need for psychosocial support for these patients.

Impact of Uraemic Pruritus on Quality of Life among End Stage Renal Disease Patients on Dialysis

“…Most of patients weren't capable of tolerating work load besides their illness and not because they were aged. This meets the finding of the study conducted by Chen et al, who studied signs of clinical depression of chronic haemodialysis patients in Taiwan [23]. They found that three fourth of the study sample didn't work.…”

Active Job, Healthy Job? Occupational Stress and Depression among Hospital Physicians in Taiwan

“…TDQ scores range from 0 to 54, with higher scores indicating higher levels of depression traits. In previous validation of the TDQ with the Beck Depression Inventory (BDI) and the Hamilton Rating Scale for Depression (HRSD), the sensitivity, specificity and reliability of the TDQ was comparable to those of the BDI and the HRSD [23][24][25] both are internationallyused screening tools for depression in community population; for the TDQ, the optimal cut-off score was set at 19 based on a Receiver Operating Characteristic (ROC) curve analysis 24,26) , and a sensitivity of 0.89 and a specificity of 0.92 was shown based on a cross examination with the Structured Clinical Interview for DSM-III-R Depressive Disorders by psychiatrists 26) . In our study, the Cronbach's alpha coefficient of the TDQ was 0.94, and no significant difference between genders was found.…”

Депресија Код Болесника Лијечених Редовним Хемодијализама

“…Podaci o prevalenci depresije i o njenoj ulozi u obolijevanju i preživljavanju bolesnika sa terminalnom bubrežnom insuficijencijom, koji se liječe nekom od metoda dijaliza, su minorni i kontraverzni [6,7]. Ovo je dijelom posljedica korištenja različitih instrumenata za otkrivanje depresije kod ovih bolesnika, kao i sličnosti između simptoma depresije i simptoma uremije [8,9].…”

“…Ovo je dijelom posljedica korištenja različitih instrumenata za otkrivanje depresije kod ovih bolesnika, kao i sličnosti između simptoma depresije i simptoma uremije [8,9]. U prvim radovima o učestalosti depresije kod bolesnika sa terminalnom insuficijencijom bubrega navodi se prevalenca između 0% i 100% [6,7]. Tek su rezultati multicentrične, prospektivne DOPPS (Dialysis Outcomes Practices Patterns Study) studije, koja je obuhvatila 9389 bolesnika na dijalizi u 9 zemalja Evrope i SAD i u kojoj je korišten jedinstveni CES-D instument za skrining depresije, pokazali ujednačenu prevalencu depresije između 40 i 45% [10,11].…”