Depression in patients on hemodialysis and their caregivers

Saeed, Zeb; Ahmad, Aizaz M; Shakoor, Abdul; Ghafoor, Farkhanda; Kanwal, Shumaela

doi:10.4103/1319-2442.100869

Cited by 49 publications

(26 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, our results are similar to findings from other studies which identified worse physical performance but better mental health in older people [ 22 ]. A suggestion for these two groups would be to raise their awareness about the disease, making it more tolerable both physically and emotionally for patients and their families [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Men obtained significantly higher scores in all scales (except physical role), including PS (Physical Summary) and MS (Mental Health Summary), while women had the worst QOL [ 19 ]. These findings may be explained by the fact that women are more prone to suffering from depression [ 15 , 16 ], they experience greater pain in chronic diseases [ 20 ], and take on greater responsibility to adapt their lives to their new CKD reality [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Family income is associated with quality of life in patients with chronic kidney disease in the pre-dialysis phase: a cross sectional study

Lemos

Rodrigues

Veiga

2015

Health Qual Life Outcomes

View full text Add to dashboard Cite

BackgroundChronic kidney disease (CKD) is a condition of high prevalence in the general population mainly due to hypertension and diabetes mellitus. It is often associated with a high prevalence of complications and worse quality of life. The main objective of this study is to evaluate quality of life (QOL) using the generic instrument SF-36 in patients with CKD in pre-dialysis and identify the possible influence of the degree of renal function, hemoglobin level, age, gender, family income and level of education on QOL.MethodsA cross-sectional study was conducted and included 170 individuals (83 men) with a mean age of 57 ± 15 years who met the inclusion criteria and answered the SF-36. Laboratory tests and clinical and demographic data were obtained, and the glomerular filtration rate was estimated using the CKD-EPI formula.ResultsThe degree of renal function did not influence QOL. Women had lower scores in functional capacity, physical aspects, pain, and mental health. Patients younger than 47 years old showed better QOL in the functional capacity; however, their QOL was worse in terms of social aspects. Subjects with an income higher than 5.1 times the minimum wage had better QOL in the functional capacity, pain, social, physical and emotional roles, and mental health. Hemoglobin levels and education did not globally influence QOL.ConclusionGender and age influenced QOL, but family income was the most important factor affecting QOL (6 out of 8 domains investigated by SF-36) in this sample of 170 individuals with CKD in pre-dialysis. These findings suggest that many efforts should be made to reduce the effect of these factors on quality of life in patients with CKD and reinforce the need for longitudinal studies and intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Family income is associated with quality of life in patients with chronic kidney disease in the pre-dialysis phase: a cross sectional study

Lemos

Rodrigues

Veiga

2015

Health Qual Life Outcomes

View full text Add to dashboard Cite

show abstract

“…Although establishing the diagnosis of depression by a psychiatrist is more reliable than questionnaire assessment, our patients favored the survey approach. One obvious strength of the study protocol was to minimize the effects of overlapping symptoms of uremia as much as possible and to correlate the adequacy of HD with depression; both were overlooked in several previous studies that resulted in an overestimation of the prevalence of depression in dialysis patients (14,15). We are planning a new survey that involves more patients from several dialysis centers with evaluation of pre and post-HD PHQ-9 scores to clarify the role of uremic symptoms on the diagnosis of depression, with longer follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Considering the similarity of many depression symptoms such as lack of interest, poor appetite, insomnia, and weakness with symptoms of uremia, we instructed the patients to complete the PHQ-9 form the same day few hours' post-HD sessions, when uremic symptoms are the least. This critical precaution was overlooked in similar studies conducted formerly in the Middle and the Far East, that resulted in a considerable overestimation of the rate of depression in such patients (14,15). We categorized the patients, according to the results of the PHQ-9 scores, considering a score of 10 or more as an indicator of significant clinical depression that required intervention, on the other hand, scores more than 20 suggested severe depression that required psychiatric consultation or referral.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Depression in Jordanian Hemodialysis Patients

Awwa

Jallad

2018

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

Background: Although depression is recognized as the most common psychiatric disorder in hemodialysis patients with a significant negative impact on management and prognosis, we didn't find any previous data regarding its prevalence in Jordanian patients. Objectives: We conducted this study to determine the prevalence of depression in Jordanian hemodialysis patients, the factors that may influence it, and to boost the awareness of its detrimental consequences. Methods: In a descriptive cross-sectional study, patients on hemodialysis at the University of Jordan hospital in July 2015 participated in this survey utilizing a validated Arabic translation of the patient health questionnaire 9 (PHQ-9). The patients answered the questionnaire on the same day of dialysis, specifically, a few hours post dialysis when the effects of indistinguishable uremic symptoms are minimal. Results: From the 49 patients that completed the survey, we found 29% to have depression, though significantly higher than the general population, however, considerably lower than similar studies. This finding may be due to the critical timing of questionnaire answering that had been ignored in other studies and led to an overestimation of the diagnosis of depression in hemodialysis patients. Interestingly, most patients were unaware of the diagnosis and refused therapeutic intervention. Although the adequacy of hemodialysis correlated with depression, it didn't reach statistical significance. Also, several relevant factors didn't correlate with depression, which may imply an independent endogenous origin of the disorder in hemodialysis patients. Conclusions: Depression is highly prevalent and under diagnosed among hemodialysis patients in Jordan, which is ironic with patient's negative attitude towards the diagnosis and its treatment. Hence, we recommend a policy of routine assessment of depression accompanied by an educational program to emphasize the importance of treatment in improving the quality of life and the overall outcome of hemodialysis therapy.

show abstract

“…This situation negatively influences the quality of life of the subject and his/her caregivers, as well as decreases adherence to treatment and increases the rate of clinical complications and mortality [11–13]. …”

Section: Introductionmentioning

confidence: 99%

Beyond quality of life: a cross sectional study on the mental health of patients with chronic kidney disease undergoing dialysis and their caregivers

Pereira¹,

Fernandes²,

Melo³

et al. 2017

Health Qual Life Outcomes

View full text Add to dashboard Cite

BackgroundPatients with terminal chronic kidney disease (CKDT) requiring renal replacement therapies (RRT) undergo important changes in living habits and frequently need caregiving. These patients and their caregivers are risk groups for the development of physical and psychological symptoms. This study aimed to evaluate the prevalence of anxiety, depression, stress, fatigue, social support, and quality of life in patients with CKD and their caregivers.MethodThis cross sectional study was conducted with 21 patients and their caregivers, from January to September 2015. We included patients aged over 18 years, with at least 6 months on dialysis treatment, and caregivers who were family members. The participants’ social, demographic, clinical, laboratory, and psychological variables were evaluated. A descriptive analysis and an examination of the association between patients and caregivers were performed.ResultsAmong patients, we observed that 38.1% had symptoms that indicated anxiety and depression. The average score for practical social support was 3.15 ± 0.769 and that for emotional social support was 3.16 ± 0.79. As for fatigue, 14.3% of patients reported being ‘extremely tired’ and 14.3% reported that they engaged in all the activities they usually performed before the illness. Further, 57.1% presented stress, and of these, 66.7% were at the resistance stage, with predominance of psychological symptoms in 60.0%. The quality of life domain in terms of functional capacity (FC) presented a correlation with haemoglobin level (r = 0.581, p = 0.006) and non-anaemic patients presented better FC. Among caregivers, we observed symptoms that indicated anxiety and depression in 33.3% of the sample. Caregivers exhibited an average score of 2.88 ± 0.77 for practical social support and 3.0 ± 0.72 for emotional social support. Further, 14.3% reported being ‘extremely tired’ and 28.8% reported that they engaged in all activities that they usually performed before the patient’s illness. When comparing the two groups (patients vs. caregivers), we observed that they presented similar results for the presence of anxiety, depression, and fatigue. Caregivers received less social support than patients did. Both groups presented similar predominance of stress levels; however, patients presented more predominance of psychological symptoms. With reference to quality of life, patients and caregivers presented similar results on the social aspects, vitality, mental health, and mental domains.ConclusionThe mental health characteristics of patients and caregivers were similar, and within the context of dialysis for renal disease, both must undergo specific interventions.

show abstract

Depression in patients on hemodialysis and their caregivers

Cited by 49 publications

References 0 publications

Family income is associated with quality of life in patients with chronic kidney disease in the pre-dialysis phase: a cross sectional study

Family income is associated with quality of life in patients with chronic kidney disease in the pre-dialysis phase: a cross sectional study

Prevalence of Depression in Jordanian Hemodialysis Patients

Beyond quality of life: a cross sectional study on the mental health of patients with chronic kidney disease undergoing dialysis and their caregivers

Contact Info

Product

Resources

About