Sleep complaints, depression and quality of life in Norwegian dialysis patients

Brekke, Fredrik Barth; Amro, Amin; Østhus, Tone Brit Hortemo; Dammen, Toril; Waldum, Bård; Os, Ingrid

doi:10.5414/cn107916

Cited by 27 publications

(28 citation statements)

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“…Similar results were observed in a Chinese cohort with reported lower dialysis dose (single-pool Kt/V) increases the risk of sleep apnea and likelihood of daytime sleepiness (EDS) (22). Although EDS was not common in our patients (25.8%), a wide range of EDS prevalence has been reported in individuals undergoing HD (22.2 and 77%) (23,18). This wide range of EDS can be explained by the subjective nature of ESS questionnaire.…”

Section: Discussionsupporting

confidence: 69%

Risk of obstructive sleep apnea and hemodialysis efficacy

Amini¹,

Roohafza²,

Nazemian³

et al. 2018

J Nephropathol

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Background: Obstructive sleep apnea (OSA) occurs frequently in hemodialysis (HD) patients with important consequences and increased mortality. However the role of adequacy of HD on the prevalence of OSA is less studied. Objectives: Our aim was to screen OSA and evaluate the effect of HD adequacy on the risk of OSA. Patients and Methods: This is a cross-sectional study on adult HD patients. Clinical and laboratory parameters were collected. The risk of OSA was assessed by STOP-BANG and Berlin questionnaire (BQ). Excessive daytime sleepiness (EDS) was evaluated with Epworth Sleepiness Scale (ESS). Kt/V index was applied for determining HD adequacy. Mortality followed after 2 years. Results: Sixty-five patients (63% men, with a mean age of 53 ± 16.5 years) were included in the study. Most of the subjects were categorized as high risk by Berlin (68.3%) and STOP-BANG (84.6%) questionnaires and 25.8% had EDS. Participants who were categorized as high risk of OSA showed lower Kt/V (P = 0.018 based on BQ, P = 0.002 based on STOP-BANG). OSA risk was significantly correlated with Kt/V (OR: 0.007; CI: 0-0.36; p: 0.01). Two-year mortality was not significantly correlated with OSA. Conclusion: OSA was prevalent in our HD patients and correlated with less adequacy of HD. Screening for this common disease by nephrologists using simple questionnaires is recommended.

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Section: Discussionsupporting

confidence: 69%

Risk of obstructive sleep apnea and hemodialysis efficacy

Amini¹,

Roohafza²,

Nazemian³

et al. 2018

J Nephropathol

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“…The BDI and Beck Anxiety Inventory (BAI) are common measurements scales in studies with renal patients (Brekke et al, 2013;Cukor et al, 2014;Lin et al, 2013;McKercher et al, 2013;Turkmen et al, 2012). They are both 21-item scales that address cognitive and somatic depression or anxiety symptoms, respectively, and they are both widely used in general and clinical populations.…”

Section: Psychological Testsmentioning

confidence: 99%

Brief cognitive behavioural intervention for depression and anxiety symptoms improves quality of life in chronic haemodialysis patients

Lerma

Pérez-Grovas

Bermudez³

et al. 2016

Psychol Psychother

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A brief, systematic and structured cognitive behavioural intervention (CBI) decreases anxiety and depression symptoms and improves quality of life in patients with end-stage renal disease (ESRD) who are being treated with haemodialysis. These benefits are not achieved when anxiety and depression symptoms are identified but not treated psychologically. This CBI consisted of cognitive restructuring of the distorted thoughts (perfectionism, catastrophic thinking, negative self-labelling, and dichotomous thinking) that are correlated with depression and anxiety symptoms and that can be assessed by a validated questionnaire designed for patients with ESRD. The handbooks that were developed for this study are structured and systematic. They could be valuable in supporting the efforts and participation of non-specialized health professionals in CBI such as nurses, physicians, social workers, and psychologists, raising the possibility of further application in a variety of clinical populations. Both the therapy and the client workbooks are available in Spanish upon request.

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“…1,[10][11][12] Numerous studies have explored possible association factors with poor quality of sleep in haemodialysis patients, and interestingly, the common one across studies is depression. 8,13 Depression is the most common major psychiatric problem found in haemodialysis patients. 14 The prevalence ranges from 5% to 80%.…”

Section: Introductionmentioning

confidence: 99%

Differential effects of age on quality of sleep and depression in patients receiving maintenance haemodialysis

Lin

Wang

2019

Psychogeriatrics

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Background Poor quality of sleep and depression are common and highly associated with each other in patients on haemodialysis. We aimed to investigate whether they share common risk factors and how age may influence their development. Methods Cross‐sectional observation study on 120 haemodialysis patients with quality of sleep and depression assessed by Pittsburgh Sleep Quality Index (PSQI) and Taiwanese Depression Questionnaire (TDQ), respectively. Results The prevalence of poor quality of sleep and depression was 92.5% and 43.3%, respectively. PSQI scores were associated with age, gender, education and monthly income while TDQ scores were associated with low serum creatinine and albumin levels. Elderly patients at ages older than 65 had the highest average PSQI score (12.26 ± 4.35) than the young group at age 20–44 (8.25 ± 4.39) (P = 0.028) but the average TDQ scores were similar across three age groups. The proportion of those who had high PSQI scores was significantly higher in the elderly group (54.4%, P = 0.017) and the 44–65‐years group (51.9%, P = 0.028) than the young group (16.7%). The proportion of those who reported normal quality of sleep was much lower in the elderly group (0.0%) than the other two groups (25.0%, P < 0.001 and 11.7%, P < 0.01). The proportions of those who had different ranges of TDQ scores did not show such a pattern of strong age dependence. Conclusions Poor quality of sleep in haemodialysis patients is associated with socio‐economic factors while depression is more related to biochemistry indicators. A majority of older patients suffer very poor quality of sleep while depression appears equally severe and common across different age groups.

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Sleep complaints, depression and quality of life in Norwegian dialysis patients

Abstract: As sleep complaints, daytime sleepiness and depression were prevalent, all dialysis patients should routinely be screened for self-perceived sleep problems with a simple Questionnaire.

Cited by 27 publications

References 0 publications

Risk of obstructive sleep apnea and hemodialysis efficacy

Risk of obstructive sleep apnea and hemodialysis efficacy

Brief cognitive behavioural intervention for depression and anxiety symptoms improves quality of life in chronic haemodialysis patients

Differential effects of age on quality of sleep and depression in patients receiving maintenance haemodialysis

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