Sleep Quality and Depression in Peritoneal Dialysis Patients

Güney, İ̇brahim; Bıyık, Murat; Yeksan, Mehdi; Bıyık, Zeynep; Atalay, Hüseyin; Solak, Yalçın; Selçuk, Nedim Yılmaz; Tonbul, Halil Zeki; Türk, Süleyman

doi:10.1080/08860220802406419

Cited by 35 publications

(38 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, both pruritus and depression were the bidirectional factors of sleep quality in this study. Several studies have reported the relationship between depressive symptoms and subsequent development of sleep disturbances (20,21). These findings supported the presumption that sleep distur- Our finding showed the severity of patient-reported pruritus and its relationship with PCS QoL scores.…”

Section: Discussionsupporting

confidence: 80%

Prevalence and Associated Factors of Uraemic Pruritus in Continuous Ambulatory Peritoneal Dialysis Patients

Guo

Lin

et al. 2015

Intern. Med.

View full text Add to dashboard Cite

Objective Uraemic pruritus is a distressing symptom that has a negative impact on the quality of life for dialysis patients. The pathophysiology of pruritus in peritoneal dialysis (PD) patients is still poorly understood. The present study aims to investigate the prevalence and related risk factors of pruritus in continuous ambulatory peritoneal dialysis (CAPD) patients. Methods In total, 362 CAPD cases were investigated from January 2012 to April 2013. Pruritus was assessed by visual analogue scale. Results The prevalence of severe pruritus and mild to moderate pruritus was 12.7% and 52.5%, respectively. The patients with severe pruritus had the longest duration of PD (p<0.001), Pittsburgh Sleep Quality Index (PSQI) score (p<0.001), Beck Depression Inventory (BDI) score (p=0.003), intact parathyroid hormone (iPTH) level (p=0.009), and the lowest Medical Outcomes Short Form 36 Health Survey, Physical Component Score (SF-36 PCS) (p<0.001) among the three groups. The patients with mild to moderate pruritus had a significantly higher iPTH level (p=0.004) compared with the patients without pruritus. A multivariate logistic regression for pruritus showed that higher PSQI score [odds ratio (OR)=1.305, p=0.001], higher BDI score (OR=1.429, p=0.002), longer vintage (OR=1.039, p=0.004), and higher iPTH level (OR=1.317, p= 0.014) were independently associated with pruritus. Conclusion The prevalence of uraemic pruritus was 65.2% in CAPD patients. Sleep disorder, depression, longer vintage, and a higher iPTH level were independent associated factors for pruritus in CAPD patients.

show abstract

Section: Discussionsupporting

confidence: 80%

Prevalence and Associated Factors of Uraemic Pruritus in Continuous Ambulatory Peritoneal Dialysis Patients

Guo

Lin

et al. 2015

Intern. Med.

View full text Add to dashboard Cite

show abstract

“…33,34 In contrast, two studies in PD patients indicated that age might influence sleep quality. 30,35 The mixed results regarding the effects of age on sleep quality may be attributed to the differences in the study populations and measurement tools. The gold standard for diagnosis of sleep disorders is polysomnography, which many studies fail to employ.…”

Section: Discussionmentioning

confidence: 99%

“…These findings were supported by previous studies in CKD patients. [30][31][32] Since sleep may influence physical and mental wellbeing, the link between sleep and life quality is an expected finding.…”

Section: Discussionmentioning

confidence: 99%

Sleep quality and its correlates in patients with chronic kidney disease: a cross-sectional design

et al. 2015

View full text Add to dashboard Cite

Purpose: Since sympathovagal imbalance influences clinical phenomena, such as hypertension, diabetes mellitus, chronic kidney disease (CKD) and sleeping problems, there should be correlations between these conditions. We hypothesized that sleep quality would be correlated with estimated glomerular filtration rate (eGFR), blood pressure and the presence of diabetes. Methods: We included 303 CKD patients in this study. We employed the Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI) and Short Form 36 Quality of Life Health Survey Questions (SF-36) to screen sleeping disturbances, depression and quality of life, respectively. A chart review was performed for the patients' demographics, diagnoses and certain laboratory parameters-including blood glucose, hemoglobin, albumin, calcium, phosphate, parathyroid hormone and eGFR. Multivariate logistic regression models were employed to estimate odds ratios with 95% confidence intervals. Results: We included 303 patients in this cross-sectional study. A total of 101 patients were on dialysis. In the univariate models, gender, calcium and mental component summary scores (MCS) reached a significant level of 0.1, and those covariates were included in the multivariate analysis. The reduced models included gender and MCS categories. Female gender increases the risk for poor sleep quality. In our report, evidence suggests MCS domain scores are inversely related to the risk for impaired sleep. Conclusion: Our results indicated a high burden of sleep disturbances in kidney patients. In addition, female gender and having low MCS scores may influence sleep quality in kidney patients.

show abstract

“…Guney et al 34 indicated that PCS and MCS scores were inversely correlated with sleep quality (r: À0.41, r: À0.39, p50.001 for PCS and MCS scores, respectively). 34 The positive correlation between sleep and life quality indexes is an expected finding due to possible effects of sleep on physical and mental wellbeing. Reverse causality is also possible with those having physical or mental problems finding it harder to sleep undisturbed.…”

Section: Discussionmentioning

confidence: 99%