“…A previous study on hemodialysis patients in Albania found that gender, age, residence area, education level, BMI, monthly income, alcohol use, the origin of renal disease, time of dialysis, frequency of dialysis, and the presence of comorbidities all have an impact on HD Level of anxiety among hemodialysis patients. Elezi et al 10.3389/fpsyg.2023.1281878 Frontiers in Psychology frontiersin.org patients' quality of life (Elezi et al, 2023). Most studies found that the methods used for diagnosis, as well as age, residence, education, marital status, insufficient finances, employment, malnutrition, sexual activity, comorbidity, were associated with mental health issues in end-stage kidney disease patients (Picariello et al, 2017;Traisathit et al, 2019).…”