Validation of Two Screening Tools for Anxiety in Hemodialysis Patients (original) (raw)
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Iranian Journal of Psychiatry and Behavioral Sciences, 2016
Background: Depression and anxiety are common among hemodialysis patients and affect their treatment outcomes. Dialysis adequacy also affects the hemodialysis patients' survival rates. Objectives: This study aimed to evaluate the correlation between anxiety and depression with dialysis adequacy. Patients and Methods: In this cross-sectional study, 127 hemodialysis patients (73 males, 57.5%) with the mean age of 55.7 ± 17.5 were enrolled. Demographic and recent laboratory data were collected using self-administered questionnaires and by reviewing medical records. Dialysis adequacy measures including the Kt/V and urea reduction rate (URR) were calculated using standard formulas. The Hospital Anxiety and Depression Scale (HADS) was used to diagnose depression and anxiety. Independent sample t-test and Chisquare test were used to compare the values in different groups. Pearson correlations and linear regression were used to analyze the data using SPSS version 21. Results: The prevalence rates of depression and anxiety (HADS score ≥ 8) were 31.5% and 41.7%, respectively. The prevalence of both conditions was significantly higher in women than in men (P < 0.05). The mean values of Kt/V and URR were not different in patients with and without depression or anxiety. The anxiety scores were correlated with age (P = 0.007, r =-0.24) and parathyroid hormone (P = 0.04, r =-0.19). Younger age and lower parathyroid hormone were the only factors that predicted higher scores of anxiety in linear regression. The Kt/V or URR were not significantly correlated with depression and anxiety scores. Conclusions: Depression and anxiety are common among hemodialysis patients. There are no statistically significant correlation between depression and anxiety and dialysis adequacy.
Acta Neuropsychologica, 2019
Identifying anxio-depressive disorders, evaluating their prevalence and determining the different factors that can intervene in their hap- pening to the patients suffering from hemodialysis. Transversal descriptive and analytical study over 70 patients, real- ized at the dialysis unit of the Idrissi regional hospital’s department of medicine at Kenitra, Morocco, over a period of three months starting from 27 March to 26 June 2015. The data were acquired from a survey and psychiatric evaluation scales: The scale HADS (Hospital Anxiety and Depression Scale ) to evaluate anxiety and depression and the scale of « Big Five French Inventory to evaluate the treats of personality» (BF-Fr). Average age was from 54,66±15,96 years. The seniority of the hemodialysis was on average 5,20±3,23 years. The studied traits of personality show a decrease regard to the average score of dimen- sion O (overture of sense) and of the dimension E score (extraversion) versus an evaluation of the dimension N s...
Anxiety among short-term and long-term Dialysis Patients
The Journal of Medical Sciences
Background: Common symptoms of anxiety are palpitations, tremors, dyspepsia, numbness, tingling, nervousness, shortness of breath, sweating, and a feeling of dread. These symptoms, if they occur, can reduce a person's quality of life. Objectives: The main objective was to study the incidence of anxiety in chronic kidney disease (CKD) patients undergoing hemodialysis (HD). Materials and methods: Patients were recruited of either sex undergoing HD. Sociodemographic and anxiety-related details were collected. Result and discussion: The study found that anxiety disorder is highly prevalent in patients undergoing HD and thus replicated the findings of previous studies. The study also adds to the existing literature by throwing light on patients' age-segregated anxiety levels and various sociodemographic factors, and possible underlying reasons for the population. These patients should undergo a psychological evaluation in the early phase of illness so that timely and appropriate interventions can be done and their quality of life can be enhanced by reducing the disease burden. Conclusion: Future studies should explore the other comorbidities in CKD patients and also biopsychosocial impact of these symptoms and their effect on disease progression.
Correlation Hemodialysis Intensity with Anxiety in Chronic Kidney Failure Patients
JSRET, 2022
This study looked at the link between hemodialysis intensity and anxiety in individuals with chronic renal failure who were receiving hemodialysis. A correlation analysis is the method of study. The population for this study consisted of 80 respondents, and 35 samples were taken using consecutive sampling methods. The Chi-Square test was used for data analysis in this study using SPSS for Windows version 25.0. The results of the research and data analysis can be used to draw the conclusion that there is a correlation between the intensity of hemodialysis and anxiety levels in patients with chronic renal failure undergoing hemodialysis, as determined by the Chi-Square test calculation of sig value of 0.020 0.05. The research was conducted on 35 respondents. It was determined that among patients with chronic renal failure receiving hemodialysis, there was a link between the intensity of hemodialysis and the degree of anxiety. The patient starts to adapt well and the degree of anxiety starts to reduce following continued therapy, which is expected to help the family support and encourage the patient.
Depression and anxiety among patients with chronic kidney disease receiving hemodialysis
2018
Introduction: Depression and anxiety are among the most common comorbid illnesses in people with end-stage renal disease. The current study aimed to assess the actual pattern of symptoms of depression and anxiety in the hemodialysis population in Qazvin. Methods: For this purpose, 80 individuals (40 hemodialysis patients and 40 individuals as the control group) have participated in this study. All participants completed Beck Depression Inventory and Cattell Anxiety Inventory. Additionally, clinical status, socioeconomic and demographic variables of patients have been collected and analyzed by appropriate statistical methods (independent T-test and chi-square test). Results: In examining the variables of depression in terms of severe and mild depression, there have been 14 hemodialysis patients (35%) versus 34 (85%) individuals from the control group, in terms of moderate depression-severe index there has been 26 (65%) versus 6 (15%). Regarding the anxiety variable in terms of the ma...
Applied Nursing Research, 2018
Background: Dialysis is a lifelong treatment required by end stage renal disease patients who are not able to undergo renal transplantation. Dialysis impacts the patients' quality of life drastically, increasing the risk of mortality. Depression and anxiety are commonly reported among dialysis patients, but their prevalence and correlates vary by sociocultural context. Objective: The aim of this study is to examine the prevalence of anxiety and depression and associated factors among patients receiving hemodialysis at a major tertiary referral medical center in Lebanon that receives patients from all over the country. Design: A cross-sectional, descriptive design was used. Methods: Ninety patients receiving hemodialysis were targeted using convenience sampling, with a final sample size of 83 patients. The patients were interviewed while undergoing their dialysis session using the Hospital Anxiety and Depression Scale, and asked demographic and clinical questions. Results: The majority of participants were married men over 60 years of age; 48% achieved high school education. Depression was prevalent in 40.8% and anxiety in 39.6%, with 20 patients (24.1%) having both conditions. Although 24.1% self-reported anxiety symptoms, only 2.4% were taking anxiolytics. Illiterate patients had significantly higher depression scores than those with higher levels of education (p = 0.021). Patients who were living with their family had higher anxiety scores than those living alone (p = 0.014). Conclusion: Anxiety and depression are underdiagnosed and undertreated in Lebanese dialysis patients. Screening and appropriate referral to mental health specialists are needed.
International Urology and Nephrology
Purpose The aims of the study are to explore the prevalence and risk factors of anxiety and depression in hemodialysis (HD) patients and to study their relationship with quality of life (QOL). Methods This cross-sectional study involved 298 HD patients. Sociodemographic, clinical, and laboratory data of the patients were obtained from their records. Anxiety and depression were assessed by utilizing Hospital Anxiety and Depression Scale (HADS). In addition, QOL of the patients were evaluated by fulfilling the Kidney Disease Quality of Life-36. Results This study included 298 HD patients (male 59.1%) with a median age of 49 years. Abnormal and borderline cases of anxiety were recognized in 49.6%, 26.2% of the patients, respectively, while depression cases and borderline cases were identified in 55 and 28.2% of the patients, respectively. Percentages of females (41 and 48% vs 26.4%, respectively), and patients who were not working (92.3 and 93.9% vs 72.2%, respectively) increased signi...
Journal of Evidence Based Medicine and Healthcare
BACKGROUND The prevalence of chronic kidney disease (CKD) has steadily increased over the past few decades. Multiple factors including improvements in life expectancy and increasing prevalence of comorbid illness such as hypertension and diabetes have contributed to this. Most common form of treatment in CKD patients is haemodialysis. Depression and anxiety disorders are common psychological problem among haemodialysis patients. However, there is minimal literature on the prevalence of anxiety and depressive symptoms and their impact on patient's quality of life and treatment outcomes. Quality of life (QoL) is another neglected aspect of CKD care, as the available resources are often used to address the general medical needs. The current study aims to assess the prevalence of symptoms of depression and anxiety in patients of haemodialysis and the perceived quality of life in these patients. METHODS A cross sectional observational study was done in 120 haemodialysis patients after approval from Institutional Ethics Committee and after getting informed consent from patients. The study was done in the dialysis unit under Department of Nephrology, Travancore Medical College, Kollam. Patients were screened by a semi-structured questionnaire which includes the patients' socio-demographic data. Hospital Anxiety and Depression Scale (HADS) was used to assess severity of anxiety and depressive symptoms. The Quality of Life (QoL) was assessed using Kidney Disease Quality of Life questionnaire (KDQOL-36™), with higher scores indicating better quality of life. RESULTS The prevalence of anxiety symptoms in study sample is 64.2% and prevalence of depressive symptoms in study sample was found to be 37.5% which was significantly high. There was statistically significant association between anxiety and depressive symptoms with age of patients, gender, duration of dialysis and complication during dialysis. The five domains of KDQOL showed that mean scores of QoL in areas of mental and physical health along with effect of kidney disease on life and burden of having kidney disease were less indicating poor quality of life. Anxiety and depression were negatively correlated to all the domains of KDQOL indicating that anxiety and depressive symptoms worsened quality of life of dialysis patients. CONCLUSIONS Depressive and anxiety symptoms are significantly prevalent in patients undergoing maintenance haemodialysis which usually go un-addressed. Older patients and females were more at risk of developing depressive and anxiety symptoms. Longer periods of dialysis and complications during dialysis were also important contributors to depressive and anxiety symptoms. Quality of Life was poor in patients on dialysis, and symptoms of anxiety and depressive negatively impacted quality of life.
The anxiety symptoms among chronic kidney disease patients who undergo hemodialysis therapy
International Journal of Public Health Science (IJPHS)
Unresolved anxiety can lead to some impact on which a person tends to have a negative assessment of the meaning of life, decreased quality of life, emotional changes such as chronic depression and psychosis disorders. The general objective in this research is to find out the symptoms of anxiety symptoms of chronic kidney disease patients undergo hemodialysis. This research employed cross sectional design. This study used non-probability sampling type quota sampling. Sample was calculated using the Slovin formula obtained a sample size of 171. The proportion of patient with chronic kidney disease treated with hemodialysis based on the anxiety level resulting mild anxiety (86.5%) and moderate anxiety (13.5%). There are symptoms of anxiety symptoms in patients with chronic kidney disease undergoing hemodialysis.
General Hospital Psychiatry, 2020
Depression and anxiety often coexist in patients with end-stage-kidney disease. Recently, studies showed that a composite 'general distress score' which combines depression and anxiety symptoms provides a good fit in dialysis and oncology patients. We aim to investigate if the three most frequently used self-report questionnaires to measure depression and anxiety in dialysis patients are sufficiently unidimensional to warrant the use of such a general distress score in two cohorts of dialysis patients. Methods: This study includes two prospective observational cohorts of dialysis patients (total n = 749) which measured depression and anxiety using Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Hospital Anxiety and Depression Scale (HADS). Confirmatory factor analyses was used to investigate both a strictly unidimensional model and a multidimensional bifactor model that includes a general distress, depression and anxiety factor. The comparative fit index (CFI) and The Root Mean Square Error of Approximation (RMSEA) were used as model fit indices. Results: Factor analysis did not show a good fit for a strictly unidimensional general distress factor for both the BDI/BAI and HADS (CFI 0.690 and 0.699, RMSEA 0.079 and 0.125 respectively). The multidimensional model performed better with a moderate fit for the BDI/BAI and HADS (CFI 0.873 and 0.839, RMSEA 0.052 and 0.102). Conclusions: This data shows that the BDI/BAI and HADS are insufficiently unidimensional to warrant the use of a general distress score in dialysis patients without also investigating anxiety and depression separately. Future research is needed whether the use of a general distress score might be beneficial to identify patients in need of additional (psychological) support.