Anxiety, Depression and Suicidal Ideation in Lebanese Patients Undergoing Hemodialysis

Abstract

Anxiety, depression and suicidal thoughts are highly prevalent comorbidities of end-stage-renal-disease (ESRD). There are no studies in Lebanon on the prevalence of these symptoms in Lebanese end-stage-renal-disease patients. Moreover, the association between ESRD on one hand, and anxiety, depression and suicidal ideation on the other has never been established in Lebanon. Groups of patients at a high-risk of development of these symptoms are not determined. The Hospital Anxiety and Depression Score and M.I.N.I (module C) were used to measure the prevalence of anxiety, depression and suicidal ideation in 51 patients from the dialysis center of Hotel-Dieu de France Hospital in Lebanon. In our sample, 45% of included patients suffered from symptoms of anxiety and 50% presented symptoms of depression.The prevalence of suicidal ideation as detected by the M.I.N.I. is at 37%. No patients presented with a high risk of suicide. There was a statistically significant correlation between the existence of organic comorbidities and the presence of symptoms of depression and suicidal ideation. As for anxiety, the association was marginally significant. The results obtained by our study are consistent with those found in studies performed in other societies. The profile of depression- and suicidal ideation-prone patients has been determined. It consists of patients with at least one medical comorbidity to the ESRD. This, in turn, should lead to increased awareness and better treatment of these psychiatric ailments, considering their impact on morbidity and mortality in ESRD.

The prevalence of anxiety and depression among end-stage renal disease patients on hemodialysis in Saudi Arabia

“…Based on previous studies, 2,[8][9][10]12,13,15,16,18,20,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] we assumed the existence of a 20% difference in the prevalence of depression between the general population and ESRD patients on HD. In order to obtain a confidence level (power) of 95% and a confidence limit of 10%, we aimed to study 246 patients (calculated using the QuesGen Systems sample size calculator).…”

“…[1][2][3][4][5][6][7] Patients suffering from chronic kidney disease have poor QOL and mental well-being, often suffering from anxiety and depression. [8][9][10] It has been reported that depression is the most common psychiatric abnormality among end-stage renal disease (ESRD) patients.…”

Prevalence of Depression and Its Associated Factors Among Patients of Chronic Kidney Disease in a Tertiary Care Hospital From Assam: A Cross-Sectional Study.

“…20 Prevalence of depression was found lower than that of the study carried out by Makara-Studzińska et al (using BDI -66%); Tanvir et al (using HADS -57%); Bossola et al (using BDI -52.5%); Lee et al (using HADS -47%). [21][22][23][24] Over 50% of the patients were found depressed according to the study carried out by Macaron et al 25 The higher prevalence of depression in our study may be due to use of different tool to assess the depression. Also, the financial burden associated with HD therapy in India and the fact that the cost of treatment is entirely borne by the patients and their family.…”

Evaluation of the Frequency and Related Factors of Depression and Anxiety in Patients with End Stage Renal Disease Receiving Renal Replacement Therapies

“…Pompili ve ark. yaptıkları gözden geçirme de depresyon olan KBH'lı hastalarda intihara eğilim diyaliz hastası olmayan depresyonlulara göre daha yüksek olabileceğini belirtmişlerdir (19 (20). Bizim çalışmamızda intihar girişiminde bulunan hasta yoktu.…”