Anxiety Disorders in Adults Treated by Hemodialysis: A Single-Center Study

Cukor, Daniel; Coplan, Jeremy D.; Brown, Clinton D.; Friedman, Steven; Newville, Howard; Safier, Michal; Spielman, Lisa; Peterson, Rolf A.; Kimmel, Paul L.

doi:10.1053/j.ajkd.2008.02.300

Cited by 193 publications

(178 citation statements)

References 28 publications

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“…Similar high levels of psychiatric morbidity in critically ill patients have been found by other authors [15]. Among patients receiving haemodialysis for end-stage renal disease, symptoms of anxiety and depression are common, with 45.7% of subjects meeting criteria for an anxiety disorder [16] and 23.7% with significant depressive symptoms [17]. Symptoms consistent with post-traumatic stress are also common in this patient [11] assessed QoL in survivors of critical illness with AKI across ten centres in Finland, using the EuroQol-5D (EQ-5D) questionnaire.…”

Section: Discussionsupporting

confidence: 82%

Psychological outcomes in critically ill patients receiving renal replacement therapy: a matched‐pairs analysis

et al. 2014

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SummaryWe conducted a single-centre observational study over five years to assess the impact of renal replacement therapy on the psychological health of survivors of critical illness. We hypothesised that the added burden of renal replacement would increase the prevalence and severity of anxiety, depression and stress reactions in these patients, compared with matched pairs (matched for age, sex and APACHE II score) who did not receive renal replacement. Participants completed postal questionnaires. A total of 342 patients with acute kidney injury received renal replacement. One hundred and seventy-nine (52.3%) survived to hospital discharge, and 161 (47.1%) were alive at 90 days. Seventy-seven (47.8% of survivors) completed questionnaires. We found 77 matches for the Hospital Anxiety and Depression Scale analysis and 72 for the Impact of Events Scale analysis. Clinically relevant symptoms of psychiatric morbidity were common, with anxiety and depression affecting 49 (63.6%) patients and stress reactions affecting 24 (33.3%) patients. Mean scores (95% CI) were 11.4 (9.6-13.2) and 20.1 (15.7-24.6), respectively. On multivariate analysis, we found no significant differences between renal replacement patients and controls, in either the frequency or severity of these symptoms.

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Section: Discussionsupporting

confidence: 82%

Psychological outcomes in critically ill patients receiving renal replacement therapy: a matched‐pairs analysis

et al. 2014

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“…Similarly, 20% to 40% of those patients meet the criteria for anxiety. 6,7 The quality of life of dialysis patients is also impaired, justifying the innumerous studies aiming at providing an improvement in their life conditions and confort. 8 In this scenario of increasing prevalence of comorbidities and of patients on dialysis, religion plays a role.…”

Section: Results a N D Discussionmentioning

confidence: 99%

Espiritualidade no paciente em diálise: o nefrologista deve abordar?

Lucchetti¹,

Almeida²,

Granero³

2010

J. Bras. Nefrol.

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“…The higher percentages for all three parameters were seen as compared to previous studies such as those done by Kutner et al who found the prevalence rate of depression and anx- iety to be 26.6% and 45% respectively and Cukor et al who found the prevalence rate of depression and anxiety to be 29% and 45.7% respectively in ESRD patients. 14,15 These findings can be attributed to the facts that in the Indian population most of the people have low income status with poor approach to a good medical facility. Also a low level of education, financial issues, frequent visits for dialysis and prolonged waiting time aggravate the stressful conditions in CKD patients.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

Aggarwal

Jain

Dabas

et al. 2017

Prilozi

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Background: Chronic kidney disease (CKD) is an emerging health problem in both developed and developing countries. Depression, anxiety and sleep disturbances are highly prevalent in patients with chronic disease, but remain undertreated despite significant negative consequences on patients' health. Assessment of key components of mental health early in disease course will help to identify high risk subjects in whom modifying these predictors will help in providing active and healthy life in CKD patients. Methods: We did a cross sectional study in 200 patients of CKD stage III to V-D fulfilling the eligibility criteria who were on follow up in a single tertiary care center in the state of Haryana, India. We assessed the prevalence of anxiety, depression and insomnia and their correlation with demographic variables in these patients. The structured questionnaire used in this study gathered information on respondent demographic and disease characteristics, and information obtained from the HADS and PSQI questionnaire. Factors associated with anxiety, depression and insomnia were examined by a multiple logistic regression analysis. results: The prevalence of anxiety, depression and insomnia were found to be 71%, 69% and 86.5% respectively. As the CKD stage advanced, the prevalence as well as severity of these parameters increased. Anxiety, depression and sleep quality were found to be significantly correlated to unemployment, low income, low education, urban residence and presence of co-morbidities. The anxiety, depression and insomnia scores were found to have a strong negative correlation with eGFR, hemoglobin, serum calcium (p <0.01) and a positive correlation with TLC, blood urea, serum creatinine and serum phosphate (p <0.05). conclusion: We observed a high prevalence of anxiety, depression and insomnia in CKD patients. There is a need to develop strategies to accurately identify "high risk" subjects who may benefit from preventive measures before complications occur. By identifying CKD patients with high risk of developing these mental health related issues, healthcare provider may be better able to ensure the provision of appropriate rehabilitation to this population.

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Anxiety Disorders in Adults Treated by Hemodialysis: A Single-Center Study

Cited by 193 publications

References 28 publications

Psychological outcomes in critically ill patients receiving renal replacement therapy: a matched‐pairs analysis

Psychological outcomes in critically ill patients receiving renal replacement therapy: a matched‐pairs analysis

Espiritualidade no paciente em diálise: o nefrologista deve abordar?

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

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