Prevalence of depressive and anxiety disorders in dialysis patients with chronic kidney disease

Kokoszka, Andrzej; Leszczyńska, Katarzyna; Radzio, Rafał; Daniewska, Dorota; Łukasiewicz, Agnieszka; Orzechowski, Wojciech; Piskorz, Aldona; Gellert, Ryszard

doi:10.12740/app/61977

Cited by 26 publications

(33 citation statements)

References 17 publications

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“…However, a cross-sectional survey conducted in Pakistan in 2013 that used the same HADS questionnaire estimated a higher prevalence of anxiety and depression among patients on hemodialysis: 57.30% of their sample had depression and 42.69% had anxiety disorders [14]. Another study found that depressive disorders were diagnosed in 78.5% of patients on dialysis [15]. However, these discrepancies in the frequency of depression may be attributed to differences in population and the smaller sample size of patients in this study, in addition to socioeconomic differences between the populations.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-sectional Single-Center Study in Saudi Arabia

Mosleh¹,

Alenezi²,

johani³

et al. 2020

Cureus

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Introduction Mood disorders, including anxiety and depression, are prevalent among patients with chronic kidney disease (CKD) who are on hemodialysis. Anxiety and\or depressive symptoms among those patients have been associated with early initiation of dialysis and adverse outcome. Aim The aim is to investigate the prevalence and factors associated with anxiety and depression among Saudi patients with CKD who are on hemodialysis. Methods This is a cross-sectional study. A total of 122 patients with CKD and on hemodialysis at King Fahad Hospital in Al-Madinah, Saudi Arabia, were included in the study during the period from November 2017 to August 2018. Data were collected using the Hospital Anxiety and Depression Scale questionnaire. Sociodemographic information, duration of illness, and duration of hemodialysis were determined. Results Of the 122 CKD patients, 24.6% had depression and 19.7% had anxiety symptoms. Anxiety symptoms were more prevalent among females than males (P = 0.04). Older age was significantly associated with depression (P = 0.003). Patients' depression and anxiety symptoms were insignificantly associated with their education level, employment status, duration of illness, and duration of hemodialysis.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-sectional Single-Center Study in Saudi Arabia

Mosleh¹,

Alenezi²,

johani³

et al. 2020

Cureus

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“…6 The rate of depression is three times higher in ESRD patients than in the general population. 7 Depression in HD patients is associated with various factors, including gender, marital status, 6 ethnicity, 7 QoL, 8,9 acceptance of the illness, 10 dialysis shift, 11 and anxiety. 8,9 Seasonal variability of depressive symptoms has also been found in HD patients.…”

Section: Introductionmentioning

confidence: 99%

Quality of life, depression, and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness

Marthoenis

Syukri

Abdullah

et al. 2020

Int J Psychiatry Med

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Objective Routine dialysis is stressful. It has the possibility of leading to depression and anxiety and also reducing patients’ quality of life. Despite these significant consequences, these comorbidities have been rarely studied among Indonesian patients. This study aims to examine the rate of depression, anxiety, and the role of acceptance of their illness on patients’ quality of life. Method A total of 213 patients undergoing hemodialysis in three general hospitals in Aceh, Indonesia, were included in the study. The presence of depression, anxiety, and the quality of life of each patient was assessed using the hospital anxiety and depression scale and WHO quality of life-BREF questionnaires. Results The prevalence of depression and anxiety was 46% and 30.5%, respectively. Depression was only associated with the presence of anxiety and the duration of hemodialysis. Anxiety was negatively associated with quality of life but positively associated with depression and the prescription of an anxiolytic. Overall quality of life was associated with age, body mass index, the presence of anxiety, and acceptance of the illness. Acceptance of the illness was also independently associated with almost every domain of patients’ quality of life. Conclusions The rates of depression and anxiety among patients undergoing hemodialysis in the current study setting are relatively similar to the rates in other settings. Patients’ acceptance of their illnesses is significantly associated with the occurrence of anxiety and quality of life. Therefore, health practitioners should help patients accept their illnesses and the administration of regular hemodialysis.

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“…[3] Mental health issues such as anxiety and depression also increase patients risk of morbidity and mortality, yet these issues are underdiagnosed and undertreated. [4] One component of the treatment experience thought to impact negatively on mental health and wellbeing is the issue of empty time during haemodialysis, [3] where there is limited opportunity to engage in meaningful activities, creating profound boredom resulting in rumination and contemplation of illness and death. [5] Time can also be warped for patients during haemodialysis, as patients report time 'dragging' while watching the clock.…”

Section: Introductionmentioning

confidence: 99%

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

Carswell

Reid

Walsh

et al. 2020

Preprint

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BackgroundHaemodialysis can negatively impact quality of life and mental health. Arts-based interventions used successfully in other settings to improve health and well-being, could help address the impact of haemodialysis. This study aimed to evaluate the feasibility and acceptability of conducting a randomised controlled trial (RCT) of an arts-based intervention for patients receiving haemodialysisMethodsA parallel convergent mixed-methods design was used, including a pilot cluster RCT and qualitative process evaluation. Phase 1 evaluated recruitment and retention rates through a pilot cluster RCT at a single haemodialysis unit in Northern Ireland. Participants included patients who received haemodialysis for ESKD, were over the age of 18 and had the capacity to consent. These participants were randomised to the intervention or control group according to their haemodialysis shift. The intervention involved six one-hour, one-to-one facilitated arts sessions during haemodialysis. Phase 2 explored intervention and trial acceptability through a qualitative process evaluation using semi-structured interviews based on the RE-AIM framework. Participants included 13 patients who participated in phase 1 of the study, including 9 participants from the experimental group and four participants from the control group, and nine healthcare professionals who were present on the unit during implementation. Results:Out of 122 outpatient haemodialysis patients, 94 were assessed as eligible for participation. Twenty-four participants were randomised, meaning 80% of the target sample size was recruited and the attrition rate at 3 months was 12.5% (n=3). Participants viewed the arts as more accessible and enjoyable than anticipated following implementation. All participants who started the intervention (n=11) completed the full six sessions. Qualitative benefits of the intervention suggest improvements in mental well-being. Patient choice and facilitation were important factors for successful implementation. Conclusion:An arts-based intervention for patients receiving haemodialysis is acceptable for both patients and healthcare professionals, and a definitive trial is feasible. The intervention may help improve mental-wellbeing in patients receiving haemodialysis, but this requires further investigation in a definitive trial.Trial registrationThe trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496.

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Prevalence of depressive and anxiety disorders in dialysis patients with chronic kidney disease

Abstract: SummaryAim: The objective of this study was to assess the prevalence of depression in dialysis patients and its relationship with attitude toward illness.

Cited by 26 publications

References 17 publications

Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-sectional Single-Center Study in Saudi Arabia

Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-sectional Single-Center Study in Saudi Arabia

Quality of life, depression, and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

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