Prevalence of Depression and Sleep Disorders in Patients on Dialysis: A Cross-Sectional Study in Qatar

Al-Ali, Fadwa; Elshirbeny, Mostafa; Hamad, Abdullah; Kaddourah, Ahmad; Ghonimi, Tarek; Ibrahim, Rania; Fouda, Tarek

doi:10.1155/2021/5533416

Cited by 14 publications

(10 citation statements)

References 29 publications

(35 reference statements)

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“…The results of the present study showed that the prevalence of poor sleepers in patients undergoing HD was remarkably lower than in previous reports, ranging from 71 to 83.8% in other studies ( 15 – 18 ). Approximately 30% of patients reported insomnia, from which 21% had clinically significant insomnia.…”

Section: Discussioncontrasting

confidence: 85%

“…Each item is rated on a 5-point Likert scale (0 = no difficulty, 4 = very severe problem), which results in a total score that ranges from 0 to 28. The following categories of insomnia are used to interpret the overall score: no insomnia (0-7), sub-threshold insomnia (8)(9)(10)(11)(12)(13)(14), moderate insomnia (15)(16)(17)(18)(19)(20)(21), and severe insomnia (22)(23)(24)(25)(26)(27)(28). There are three versions available: patient, clinician, and significant other.…”

Section: The Insomnia Severity Index (Isi)mentioning

confidence: 99%

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The impact of perceived social support on sleep quality in a sample of patients undergoing hemodialysis in Somalia

Mohamed¹,

Mohamed²,

Eraslan³

et al. 2023

Front. Psychiatry

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ObjectiveThe main objective of the present study is to examine the relationship between perceived social support and the quality of sleep and to determine the predictors of sleep quality in a sample of patients undergoing hemodialysis (HD) in Somalia.MethodsA sample of 200 patients with end-stage renal disease (ESRD) who were undergoing hemodialysis treatment approximately two to three times a week were included. All participants were administered a sociodemographic data form, the Multidimensional Scale of Perceived Social Support (MSPSS), the Insomnia Severity Index (ISI), and the Pittsburgh Sleep Quality Index (PSQI). Patients undergoing HD for less than 3 months prior to the study date were excluded.ResultsOf the patients undergoing hemodialysis, 200 patients aged between 18 and 68 years (mean = 52.29; SD = 14.13) gave consent and participated in the study. Sixty-three subjects (31.5%) reported poor sleep quality, defined as having a total PSQI score > 5. Forty-one subjects (20.5%) reported clinically significant (moderate-to-severe) insomnia. The majority of our patients undergoing HD reported remarkably high family support, but low friends and significant other support. Poor sleep quality significantly correlated with perceived friends’ support and perceived total social support. While perceived family support significantly correlated with both family income and the duration of chronic kidney disease (CKD), perceived friends’ support significantly correlated with age and family income. Hierarchical regression analyses showed that perceived family support and friends’ support were significant predictors of poor sleep quality. Perceived friends’ support was a significant predictor of insomnia severity. Perceived family support was a significant predictor of subjective sleep quality and sleep duration. Perceived friends’ support was a significant predictor of subjective sleep quality, sleep duration, sleep latency, sleep disturbance, and daytime dysfunction. Family income was a significant predictor of sleep duration. Age and gender were significant predictors of sleep efficiency. The duration of CKD and duration of HD were significant predictors of sleep disturbance.ConclusionThis present study has highlighted the value of family as a principal support system in Somalian culture. Understanding the impact of perceived social support on the quality of sleep in patients undergoing HD will help healthcare providers and social services to focus on and improve the social support systems of the patients as an integral part of their treatment.

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Section: Discussioncontrasting

confidence: 85%

Section: The Insomnia Severity Index (Isi)mentioning

confidence: 99%

The impact of perceived social support on sleep quality in a sample of patients undergoing hemodialysis in Somalia

Mohamed¹,

Mohamed²,

Eraslan³

et al. 2023

Front. Psychiatry

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“…Corona radiata includes the ascending and descending fibers of the thalamus and cerebral cortex and participates in various functions such as emotion, execution, and cognition (Drevets et al, 2008;Cui et al, 2020). Studies have confirmed that the incidence of depressive symptoms in patients with CKD is significantly higher than that of ordinary people (Fischer et al, 2012;Al-Ali et al, 2021). Therefore, we suspect that the WM damage of CR may be related to a certain degree of depressive symptoms in the enrolled patients.…”

Section: Discussionmentioning

confidence: 92%

Reduced White Matter Integrity in Patients With End-Stage and Non-end-Stage Chronic Kidney Disease: A Tract-Based Spatial Statistics Study

Jiang

Gao

Liu

et al. 2021

Front. Hum. Neurosci.

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Background and Purpose: Reduced white matter (WM) integrity has been implicated in chronic kidney disease (CKD), especially in end-stage renal disease (ESRD). However, whether the differences in WM abnormalities exist in ESRD and non-end-stage CKD (NES-CKD) remains unclear. Hence, this study aimed to investigate the WM microstructural changes between the two stages using diffusion tensor imaging (DTI) and explore the related influencing factors.Methods: Diffusion tensor imaging’ images were prospectively acquired from 18 patients with ESRD, 22 patients with NES-CKD, and 19 healthy controls (HCs). Tract-based spatial statistics (TBSS) was performed to assess the voxel-wise differences in WM abnormalities among the three groups. The relationships between DTI parameters and biochemical data were also analyzed.Results: Compared with NES-CKDs, FA value was significantly decreased, and AD value increased in ESRDs mainly in brain regions of bilateral anterior thalamic radiation (ATR), the genu and body of corpus callosum (CC), bilateral anterior corona radiata, superior corona radiata, and superior longitudinal fasciculus. Besides, extensive and symmetrical deep WM damages were observed in patients with ESRD, accompanied by increased MD and RD values. Multiple regression analysis revealed that uric acid and serum phosphorus level can be used as independent predictors of WM microstructural abnormalities in clusters with statistical differences in DTI parameters between ESRD and NES-CKD groups.Conclusion: In the progression of CKD, patients with ESRD have more severe WM microstructural abnormalities than NES-CKDs, and this progressive deterioration may be related to uric acid and phosphate levels.

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“…Regarding gender associations, we have found that female patients had a significantly higher depression score than male patients, a finding supported by other studies. 17 , 18 , 20 , 23 , 31 , 32 To our knowledge, only one study showed higher male depression scores. 25 Some studies failed to show any differences between males and females in that regard.…”

Section: Discussionmentioning

confidence: 71%

Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis

Alshelleh¹,

Alhawari²,

Alhouri³

et al. 2023

IJGM

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Background Despite the growing concern worldwide regarding the quality of life (QoL) and mental well-being among chronic kidney disease (CKD), a few research has been done to address this issue. The study aims to measure depression, anxiety, and QoL prevalence among Jordanian patients with End Stage Renal Disease (ESRD) on hemodialysis and how all of these variables are correlated. Methods This is a cross-sectional, interview-based study on patients at the Jordan University Hospital (JUH) dialysis unit. Sociodemographic factors were collected, and the prevalence of depression, anxiety disorder, and QOL was assessed using the Patient Health Questionnaire 9 (PHQ9), the Generalized Anxiety Disorder 7-item (GAD7), and the WHOQOL-BREF, respectively. Results In a study of 66 patients, 92.4% had depression, and 83.3% had generalised anxiety disorder. Females had significantly higher depression scores than males (mean = 6.2 ± 3.77 vs 2.9 ± 2.8, p < 0.001), and single patients had significantly higher anxiety scores than married patients (mean = 6.1 ± 6 vs 2.9 ± 3.5, p = 0.03). Age was positively correlated with depression scores (rs= 0.269, p = 0.03), and QOL domains showed an indirect correlation with GAD7 and PHQ9 scores. Males had higher physical functioning scores than females (mean = 64.82 vs 58.87, p = 0.016), and patients who studied in universities had higher physical functioning scores than those with only school education (mean of College/University = 78.81 vs mean of School Education = 66.46, p = 0.046). Patients taking <5 medications had higher scores in the environmental domain (p = 0.025). Conclusion The high prevalence of depression, GAD, and low QOL in ESRD patients on dialysis highlights the need for caregivers to provide psychological support and counselling for these patients and their families. This can promote psychological health and prevent the onset of psychological disorders.

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Prevalence of Depression and Sleep Disorders in Patients on Dialysis: A Cross-Sectional Study in Qatar

Cited by 14 publications

References 29 publications

The impact of perceived social support on sleep quality in a sample of patients undergoing hemodialysis in Somalia

The impact of perceived social support on sleep quality in a sample of patients undergoing hemodialysis in Somalia

Reduced White Matter Integrity in Patients With End-Stage and Non-end-Stage Chronic Kidney Disease: A Tract-Based Spatial Statistics Study

Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis

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