Depression in patients undergoing conventional maintenance hemodialysis: The disease effects on dialysis adequacy

Sanavi, Suzan; Afshar, Reza

doi:10.1016/j.dialis.2011.06.006

Cited by 11 publications

(12 citation statements)

References 16 publications

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“…Studies conducted in Iran reported a prevalence of 50% to 91% for depression and 20% to 60% for anxiety. For example, Sanavi and Afshar (22) showed that the prevalence of depression in MHD patients was 70% using the Beck depression inventory. These differences can be due to the use of various anxiety and depression scales in different studies, variations in sample sizes, locations of the study, patients’ socioeconomic status, and ethnic differences.…”

Section: Discussionmentioning

confidence: 99%

“…Different studies show that a Kt/v of 1.2 and a URR of more than 65% may improve prognosis in MHD patients (19). Most studies have examined the relationships between dialysis adequacy and patients’ quality of life (20) and mortality (21), but there is very little research on the relationship between dialysis adequacy and depression or anxiety (13, 22), although it is presumed that by improving Kt/v and clinical symptoms of the patients, their psychological conditions can improve (23). With attention to the aforementioned data, and also considering that studies conducted in different cities of Iran reported that most patients do not receive adequate dialysis, studies on the relationship between psychological problems and dialysis adequacy are of a high priority to provide better psychological services for these patients.…”

Section: Introductionmentioning

confidence: 99%

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Association Between Anxiety and Depression With Dialysis Adequacy in Patients on Maintenance Hemodialysis

Najafi

Keihani

Bagheri

et al. 2016

Iran J Psychiatry Behav Sci

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BackgroundDepression and anxiety are common among hemodialysis patients and affect their treatment outcomes. Dialysis adequacy also affects the hemodialysis patients’ survival rates.ObjectivesThis study aimed to evaluate the correlation between anxiety and depression with dialysis adequacy.Patients and MethodsIn this cross-sectional study, 127 hemodialysis patients (73 males, 57.5%) with the mean age of 55.7 ± 17.5 were enrolled. Demographic and recent laboratory data were collected using self-administered questionnaires and by reviewing medical records. Dialysis adequacy measures including the Kt/V and urea reduction rate (URR) were calculated using standard formulas. The Hospital Anxiety and Depression Scale (HADS) was used to diagnose depression and anxiety. Independent sample t-test and Chi-square test were used to compare the values in different groups. Pearson correlations and linear regression were used to analyze the data using SPSS version 21.ResultsThe prevalence rates of depression and anxiety (HADS score ≥ 8) were 31.5% and 41.7%, respectively. The prevalence of both conditions was significantly higher in women than in men (P < 0.05). The mean values of Kt/V and URR were not different in patients with and without depression or anxiety. The anxiety scores were correlated with age (P = 0.007, r = -0.24) and parathyroid hormone (P = 0.04, r = -0.19). Younger age and lower parathyroid hormone were the only factors that predicted higher scores of anxiety in linear regression. The Kt/V or URR were not significantly correlated with depression and anxiety scores.ConclusionsDepression and anxiety are common among hemodialysis patients. There are no statistically significant correlation between depression and anxiety and dialysis adequacy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association Between Anxiety and Depression With Dialysis Adequacy in Patients on Maintenance Hemodialysis

Najafi

Keihani

Bagheri

et al. 2016

Iran J Psychiatry Behav Sci

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“…Depression and anxiety were attributed to psychosocial and biological changes that accompany dialysis. Additionally, depression has been associated with poor quality of life and adverse medical outcomes in patients with chronic kidney diseases [2,5,6,[19][20][21][22][23]42]. Generally, two potential strategies for screening depression in patients with end-stage renal disease are used: the first is conservative and comprises to screen only patients with clinical signs of depression; the second is to screen all new patients periodically, every 6 months to one year with questionnaires.…”

Section: Discussionmentioning

confidence: 99%

Are Depression and Anxiety Common in Hemodialyzed Patients?

Pop‐Jordanova

Polenakovič

2016

BANTAO Journal

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Researchers confirmed that depression and anxiety are two common comorbid disorders in chronic kidney patients. The aim of our study was to screen the level of depression and anxiety in a group of end-stage kidney diseases treated with hemodialysis. The evaluated sample comprised 230 participants; 110 females (mean age 55.5±13.5 years), and 120 males (mean age 54.5±14.3 years). The mean duration of maintenance dialysis was 8.3±5.8 years (from 0.5 to 24 years). Patients were selected randomly from three dialysis centers in R. Macedonia. As psychometric instruments Beck Depression Inventory (BDI) and scores from Minnesota Multiphasic Personality Inventory (MMPI-201) were used. Our study confirmed that majority of evaluated dialyzed patients are depressed and anxious in different level, but unfortunately the mental problems are frequently unrecognized. We suggested some response measures for management of these conditions in order to avoid risks for complications as well of suicide.

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“…• Ansiedad leve (8)(9)(10)(11)(12)(13)(14)(15) • Ansiedad moderada (16)(17)(18)(19)(20)(21)(22)(23)(24)(25) • Ansiedad grave (26-63)…”

Section: Criterios De Inclusiónunclassified

Depresión y ansiedad en usuarios mayores de 18 años del Servicio de Hemodiálisis. Hospital Dr. Rafael Ángel Calderón Guardia (HCG), Diciembre de 2012

Méndez¹,

Roel

2014

RC_UCR-HSJD

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Justification and Objectives: Given that depression and anxiety disorders are considered major predictors of survival in hemodialysis, It was decided to describe the emotional condition (depression and anxiety) in users over 18 HD Service. Method: A descriptive analysis, crossstratified 23 patients included HD service, HCG, December 2012. They were administered the Beck Depression Inventory (BDI) and Becks Anxiety Inventory (IAB) during the HD session. Results: Of the total population, 61% (14) were men. The median age in completed years at study entry was 49.35 ± (13.14). Their marital status at time of study predominance was married in 52%. The 65% of users were considered as candidates for renal transplantation. Only 9% mentioned not having a support network, family being the main source. Depression was found in 57% of users predominant low intensity by 22%. Normal anxiety regarding prevalence (43%), followed with 26% severe. Conclusion: Because of the high frequency of depression and anxiety among patients undergoing HD, it is necessary in this population to carry out some form of screening in search of disease.

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Depression in patients undergoing conventional maintenance hemodialysis: The disease effects on dialysis adequacy

Cited by 11 publications

References 16 publications

Association Between Anxiety and Depression With Dialysis Adequacy in Patients on Maintenance Hemodialysis

Association Between Anxiety and Depression With Dialysis Adequacy in Patients on Maintenance Hemodialysis

Are Depression and Anxiety Common in Hemodialyzed Patients?

Depresión y ansiedad en usuarios mayores de 18 años del Servicio de Hemodiálisis. Hospital Dr. Rafael Ángel Calderón Guardia (HCG), Diciembre de 2012

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