Longitudinal study of neuropsychological functioning in patients on chronic hemodialysis: A preliminary report

McKee, Daphne C.; Burnett, Gordon B.; Raft, David; Batten, Phillip G.; Bain, Ken P.

doi:10.1016/0022-3999(82)90091-5

Cited by 41 publications

(24 citation statements)

References 23 publications

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“…The most common psychological and psvchosocial problems of dialysis patients are depression, anxiety and social withdrawal [3][4][5][6]. Several reasons con tribute to these disorders including reactions or poor adjustment to the illness or hemodialysis (HD) treatment procedures, demographic and personality traits and im paired capacity for physical work [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Exercise Renal Rehabilitation Program: Psychosocial Effects

Kouidi¹,

Iacovides²,

Iordanidis³

et al. 1997

Nephron

134

118

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The aim of this study was to assess the psychosocial effects of exercise training on hemodialysis (HD) patients. Thirty-one uremic patients, aged 50.6 ± 11.6 years, on maintenance HD were studied. Twenty patients were selected at random for a 6-month exercise renal rehabilitation program (ERRP) consisting of 3 weekly sessions of exercise training. The other 11 patients were assigned to sedentary control status. A formal psychosocial assessment, which included affective (Beck Depression Inventory, BDI), quality of life (Quality of Life Index, QLI) and personality (Eysenck Personality Questionnaire, EPQ) parameters, was performed with validated questionnaires at the beginning and the end of the ERRP. After training significant improvement occurred in physical capacity (VO_2maχ increased from 16.8 ± 6.2 to 23.2 ± 7.6 ml/kg/min, p < 0.05). Although the level of depression did not differ betwen the 2 groups at pretesting, the ERRP group showed a decrease in their self-report of depression (decrease in BDI score value, from 21.0 ± 10.4 to 13.7 ± 9.5, p < 0.05) after the training program. From the relationship between the baseline levels of BDI depression and changes in VO_2max in the ERRP group it was suggested that the most severely depressed patients got the greatest beneficial effects from exercise training. Moreover, trained patients demonstrated an improvement in QLI (from 6.3 ± 1.5 to 9.0 ± 0.9, p < 0.05). This improvement was found to be dependent on the participation in ERRP, the effects of the training and the improvement in the depression. All the above functional and psychosocial parameters remained unchanged in the controls. The results demonstrate that ERRP is an effective emotional therapeutic method for HD patients and improves their quality of life.

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Section: Introductionmentioning

confidence: 99%

Exercise Renal Rehabilitation Program: Psychosocial Effects

Kouidi¹,

Iacovides²,

Iordanidis³

et al. 1997

Nephron

134

118

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show abstract

“…Deficits in sustained attention and psychomotor speed, in particular, appear to worsen with progressive uremia (Hart et al, 1983;Nissenson, 1992). Neuropsychological status improves following institution of dialysis (Hagberg, 1974;McKee et al, 1982;Teschan et al , 1974;Gilli & DeBastiani, 1983) and untreated patients with advanced uremia have more cognitive impairment compared to dialysis patients (Teschan et al, 1979;Ryan et al, 1981;McKee et al, 1982;Hart et al, 1983;Baker et al, 1989).…”

Section: Discussionmentioning

confidence: 94%

“…The work of other investigators also has demonstrated deficits in attention, psychomotor speed, and reaction time, although some negative findings have been reported in uncontrolled studies employing single measures or small samples (Hagberg, 1974;McKee et al, 1982). Relative to their own mean performance level, renal patients performed less well on the Trail Making Test than a matched group of medical-psychiatric patients (Souheaver et al, 1982).…”

Section: Mental Efficiency Psychomotor Speed and Attentionmentioning

confidence: 91%

Neuropsychological Function in Renal Disease and Its Treatment

Pliskin

Kiolbasa

Hart

et al. 2001

Medical Neuropsychology

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“…Furthermore, a longitudinal analysis of cognitive function may have noted changes that would be consistent with functioning on days when the patient was not on dialysis. One longitudinal study of neuropsychological functioning in hemodialysis found no evidence of any progressive deterioration of function among those in treatment, [15] which would suggest no progressive deterioration of cognitive function over time. Furthermore, an examination using a more comprehensive evaluation of cognition found no relationship between stable or improved hemodialysis response, which would be a good indicator of adherence, to improvements in cognitive test performance.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Status in Hemodialysis as a Function of Fluid Adherence

2004

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Previous work has shown that dialysis improves cognitive functioning in hemodialysis patients, perhaps due to improvements in anemia among these patients. Such improvements in cognitive performance may lead to better levels of self-care and adherence with treatment. This study examined the relationship between fluid adherence and cognitive functioning in patients receiving hemodialysis. One hundred forty-seven patients were assessed with a brief screening instrument, the Cognistat, to determine their current level of functioning during the first hour of hemodialysis. Fluid nonadherence was operationalized as interdialytic weight gain above 1 kg/day. Rates of impairment on the Cognistat subscale ranged from 2.7% (orientation) to 54% (memory) in this sample. Roughly 68% of the sample was nonadherent during the course of treatment. Results found no differences in mean levels of cognitive performance between those who were adherent and those who were not and only modest relationships of measures of anemia to certain aspects of cognitive performance. For the hemodialysis patient to benefit from self-care education, the patient must be able to understand, remember, reason, and use cognitive processes to modify behavior. These results suggest that more in-depth assessment of cognitive performance may be needed. In addition, this assessment may need to be conducted on a day when treatment is not received.

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Longitudinal study of neuropsychological functioning in patients on chronic hemodialysis: A preliminary report

Cited by 41 publications

References 23 publications

Exercise Renal Rehabilitation Program: Psychosocial Effects

Exercise Renal Rehabilitation Program: Psychosocial Effects

Neuropsychological Function in Renal Disease and Its Treatment

Cognitive Status in Hemodialysis as a Function of Fluid Adherence

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