Determinants and prevalence of depression in patients with chronic renal disease, and their caregivers (original) (raw)
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Depression and chronic renal patients on hemodialysis: associated factors
Revista Brasileira de Enfermagem, 2020
Objective: to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis. Method: cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test. Results: 55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day. Conclusion: depressive symptoms are associated with burden...
Background: Depression is the second most debilitating and economically costly illness worldwide. It is the most common psychiatric illness in patients with chronic kidney. Untreated depression in this patient affects treatment and lead to poor prognosis of Chronic Kidney Disease. Cross sectional study was conducted to assess magnitude and factors associated depression among patients with chronic Kidney disease in Black Lion Specialized Hospital and St. Paulo’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on May – June, 2015. A total of 479 patients who had follow up at renal unit in both institutions were recruited to assess depression and its associated correlates. Depression was assessed through face to face interviews by trained psychiatry nurses using the nine item patient health questionnaires (PHQ9). Correlates for depression were assessed using a structured questionnaire and Oslo social support scale. Results: The magnitude of depression among patients with chronic renal disease was 29.4% (95% CI: 25.1, 33.8). When we adjusted for the effect of potential confounding variables, being female [AOR=2.79, 95% CI: 1.78, 4.37)], age ≥ 60 years [AOR=4.17, (95% CI: 2.03, 8.57)], being unmarried [AOR=1.79, (95% CI: 1.12, 2.85)], having no formal education [AOR=2.75, (95% CI: 1.54, 4.89)], Living alone [AOR=1.85, (95% CI: 1.16, 2.94)], co-morbid hypertension [AOR=2.49, (95% CI: 1.48, 4.20)], co-morbid diabetes mellitus (AOR=4.07, (95% CI: 2.45, 6.74)] and poor social support (AOR=1.81, (95% CI: 1.02, 3.19)] were more likely to have depression as compared to their counter parts. Conclusion: Magnitude of depression among CKD patients was high. Being female, age ≥ 60 years, co-morbid chronic illness (hypertension, diabetics), living alone and poor social support were significantly associated with depression. Developing guidelines and training of health workers who are working in renal unit is beneficial to screen and treat depression among patients with chronic renal diseases.
Depression in Chronic Kidney Disease and Hemodialysis Patients
Psychology, 2012
Depression is the most common psychiatric condition in Chronic Kidney Disease (CKD), but there are few studies that analyzed this condition in patients in different phases of disease. This article aims to evaluated depression in CKD patients, comparing patients in different phases of disease. Methods: We evaluated 134 patients with CKD submitted to conservative ambulatory treatment, and 36 patients with end-stage renal disease undergoing hemodialysis (HD). To evaluate depression, we used the Beck Depression Inventory (BDI), and the Beck Depression Inventory-SF (BDI-SF), a subscale that allows evaluate only the cognitive aspects of depression. Functional capacity was evaluated using the Karnofsky Performance Scale, and clinical and sociodemographic variables were also investigated. Results: Using BDI, depression was identified in 37.3% of patients in conservative treatment and in 41.6% in HD patients (p > 0.05). This percentage reduced when the BDI-SF was used, to 11.1% in conservative CKD patients and 13.8% in HD patients (p > 0.05). Depression was associated with marital status, professional activity, income, comorbidities and functional capacity. Discussion: We observed high prevalence of depression in patients with CKD undergoing conservative or hemodialysis treatment. Depression was associated with some clinical and sociodemografic variables and with functional capacity.
Assessment of sociodemographic determinants of depression among patients on hemodialysis
The Professional Medical Journal, 2020
Objectives: Study aimed to assess the frequency of depression in patients on hemodialysis and to see the effect of sociodemographic variables on depression. Study Design: Cross Sectional study. Setting: Hemodialysis unit of Nishtar Medical University, Multan. Period: July 2018 to December 2018. Material & Methods: After taking ethical approval from Institutional ethical review committee. Total 384 patients with chronic kidney disease between the age range 16-60 years of both genders were included in the study. Patients of mood, psychotic and anxiety disorders before the onset of chronic kidney disease, other chronic disease and any substance abuse were excluded on the basis of history. The demographic data i.e. name, age, sex, locality, education & socioeconomic status and employment status was collected from each patient. In addition to these, duration and frequency of dialysis was also noted. All patients were evaluated by single psychiatrist, using ICD-10 criteria for depression...
Depression among Chronic Kidney Diseases Patients Receiving Hemodialysis
2020
Background: Chronic Kidney Disease (CKD) is a progressive irreversible loss of renal function over a period of months or years. When kidney disease progresses, it may eventually lead to kidney failure, which requires dialysis or a kidney transplant to maintains life. Hemodialysis is used for patients who require short term dialysis (days to weeks) and for patients with advanced CKD and End Stage renal Disease (ESRD) who require long term or permanent renal replacement therapy. Hemodialysis significantly and adversely affects the lives of patients, both physically and psychologically. Depression is the most common psychological condition among patients with ESRD. Depression in dialysis patients not only effect mortality, but increased rate of hospitalizations and dialysis withdrawal is also very common. Methods: A descriptive cross sectional research design was carried out to identify the depression level of chronic kidney disease patients receiving Hemodialysis in Western Regional H...
Levels of depression and sociodemographic factors in patients with chronic renal
2018
Número completo Más información del artículo Página de la revista en redalyc.org Sistema de Información Científica Redalyc Red de Revistas Científicas de América Latina y el Caribe, España y Portugal Proyecto académico sin fines de lucro, desarrollado bajo la iniciativa de acceso abierto Ciencias Psicológicas ISSN: 1688-4094 ISSN: 1688-4221 Facultad de Psicología Universidad Católica del Uruguay.
Prevalance of Depression among Patients with Chronic Kidney Disease
IOSR Journal of Dental and Medical Sciences, 2014
Objective: Depression is a common psychiatric illness in patients with chronic kidney disease (CKD). It has been shown to affect morbidity & mortality in these patients. This study was done to determine the prevalence of depression in CKD patients. Method: This cross sectional study was done in DMIMS university, Acharya Vinobha Bhave Rural Hospital located in central india is a tertiary hospital. A self administered Zung questionnaire was administered. This questionnaire has 20 questions with an individual scoring to each question. Individuals with a total score of 50 are considered depressed & score above 70 indicates severe depression. Results: Thirty (30) patients of CKD with or without dialysis & 14 controls were interviewed. There were 12 (85%) males & 2 (15%) females. All were age matched. The prevalence of depression among CKD patients was 96.66% while for control group was 5% (P<0.00). Further analysis revealed that CKD patients who were not on dialysis were more depressed than the patients who were on dialysis treatment. The mean Zung score in pre dialysis patients was 61.47 ± 3.95 versus ESRD patients on dialysis which was 56.30 ±3.79 (P<0.001). Conclusion: Depression is highly prevalent among our patients with CKD. We opine that along with other management of CKD symptoms of depression should be targeted & should be considered for treatment.
Relationship between depression and associated demographic factors in patients on haemodialysis
Journal of Gorgan University of Medical Sciences, 2005
Background&Objective: The scale of depression and the cost of prevention in some disease such as chronic renal failure is high. The present study was set up to determine the scale of depression among the haemodialysis patients. Materials&Methods: The present study a crosssectional research. The sample population was all of the haemodialysis patients in the Golestan province (129 patients with the age group 11-77 years). The infromation gathered using, two questionairs included demographic characteristic and Beck depression inventory (BDI). Results: It showed that 37.2% of patients suffered from low to modrate depression and 31% from severe depression. Among different variable there was only significant correlation between depression and etiology of chronic renal failure (P<0.05). Conclusion: This study showed that depression is a serious problem in haemodialysis patients and a threat for their health. It is suggested that periodic psychiatric clinical examination should be carrie...
Depression in Primary Caretakers of Maintenance Hemodialysis Patients
Pakistan Journal of Medical and Health Sciences
Objective: To assess the frequency of depression among the primary caretakers of maintenance hemodialysis (MHD) patients at our center and its association with different factors. Study Design: Prospective cross-sectional study. Place and Duration of Study: The Kidney Centre Postgraduate Training Institute Karachi, Pakistan from 1st July 2021 to 31st December 2021. Methodology: One hundred and eighty-five data were collected using two questionnaires, one for demographic data and other was Beck Depression Inventory (BDI-II) for assessment of depression, filled by the primary investigator and caretaker respectively. BD-II is a self-reporting questionnaire that consists of 21 questions and is used globally for measuring the severity of depression. Results: There were 123 (66.5%) males and 62 (33.5%) females. The mean age was 44.8±12.4 years. Hypertension was the most prevalent comorbid in 56 (30.3%) followed by diabetes mellitus in 32 (17.3%). The most common relationship was children o...