The depression status of patients with end-stage renal disease in different renal replacement therapies

Abstract

Depression is a common emotional problem among end‐stage renal disease (ESRD) patients, but there is a paucity of research comparing the prevalence of depression between patients in different types of renal replacement therapies in Taiwan. The purpose of this study was to describe the prevalence of depression among ESRD patients in Taiwan who received different treatment regimens, and to determine the factors related to depression among these participants across various treatment regimens. A convenience sample of 342 participants was recruited from two medical centres. Participants were diagnosed with ESRD and received one of three renal replacement therapies, and screened for depression using the Taiwanese Depression Questionnaire (TDQ). The prevalence of depression (defined as TDQ score above 19) varied by treatment type: 36·3% (27/102) among peritoneal dialysis (PD) patients, 18·5% (17/92) among haemodialysis (HD) patients and 14·8% (21/142) among transplant patients. There were significant differences in the TDQ scores between the three treatment types (p < 0·001), indicating that participants' depression status varied by treatment type. Prevalence of depression among PD patients was higher than among HD and transplant patients. Logistic regression analysis revealed that treatment duration (p < 0·01) was a predictor of PD patients' depression, whereas self‐reported health status was a predictor of depression among both HD patients (p < 0·01) and transplant patients (p < 0·05). Screening for and treatment of depression should be important parts of the standard care of ESRD patients. Pre‐ and post‐therapy counselling by nurses and early recognition of emotional difficulties may also help these patients adapt to psychosocial stressors.

Quality of life, depression, adherence to treatment and illness perception of patients on haemodialysis

“…[44][45][46][47] The results confirmed previous findings that depression was found to be a significant factor that influenced the patients' experiencing poor QOL. It was also found that the more the patients perceive the seriousness of their illness the more they adhere to their therapeutic regimen and the higher their QOL.…”

Factors Influencing Quality of Life in Adult End-Stage Renal Disease Patients Undergoing Hemodialysis

“…The functioning of patients with depression was also found to be similar to or worse than the functioning of patients with chronic physical illness (Cruz et al, 2010). However, screening and treatment of depression should be important parts of the standard care for patients with ESRD (Lin et al, 2011). Therefore, the QOL of hemodialysis patients can only be improved when emotional state is treated as a physical symptom.…”

“…Fifty percent of hemodialysis patients experience emotional symptoms including anxiety resulting from unfamiliar medical staff and medical mechanical alarm sounds (Feroze et al, 2012), role loss, and the stress of job loss (Moattari et al, 2012). As a result, 14.8%j36.3% of hemodialysis patients are diagnosed with depressive disorders (Cukor, Coplan, Brown, Peterson, & Kimmel, 2008;Lin et al, 2011). The QOL of patients with ESRD receiving hemodialysis is also reportedly low because of negative emotional symptoms (Cruz, Fleck, & Polanczyk, 2010).…”

Risk of major depression in patients with chronic renal failure on different treatment modalities: A matched‐cohort and population‐based study in Taiwan

“…Based on a convenience sample of 342 participants, Lin et al. found that the prevalence of depression varied by treatment type for ESRD and was highest in patients on PD …”