Prevalence and related factors of depressive symptoms in hemodialysis patients in northern China

Liu, Xiaodan; Yang, Xiaoshi; Yao, Li; Zhang, Quan; Sun, De‐Zheng; Zhu, Xinwang; Xu, Tianhua; Liu, Qiang; Wang, Lining

doi:10.1186/s12888-017-1294-2

Cited by 33 publications

(36 citation statements)

References 36 publications

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“…DOPPS Phases 1–3 found that HD patients with poor social support were more likely to experience serum albumin <3.5 g/dL (OR = 1.18, 95% CI: 1.02–1.37) [ 201 ]. In contrast, HD patients with social support achieved better social interactions and coping mechanisms toward kidney disease [ 202 ], as well as fewer depression symptoms [ 208 ]. Ultimately, presence of social support enables patient self-efficacy to reach better health status.…”

Section: Non-iatrogenic Causes Of Malnutritionmentioning

confidence: 99%

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

et al. 2020

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Hemodialysis (HD) majorly represents the global treatment option for patients with chronic kidney disease stage 5, and, despite advances in dialysis technology, these patients face a high risk of morbidity and mortality from malnutrition. We aimed to provide a novel view that malnutrition susceptibility in the global HD community is either or both of iatrogenic and of non-iatrogenic origins. This categorization of malnutrition origin clearly describes the role of each factor in contributing to malnutrition. Low dialysis adequacy resulting in uremia and metabolic acidosis and dialysis membranes and techniques, which incur greater amino-acid losses, are identified modifiable iatrogenic factors of malnutrition. Dietary inadequacy as per suboptimal energy and protein intakes due to poor appetite status, low diet quality, high diet monotony index, and/or psychosocial and financial barriers are modifiable non-iatrogenic factors implicated in malnutrition in these patients. These factors should be included in a comprehensive nutritional assessment for malnutrition risk. Leveraging the point of origin of malnutrition in dialysis patients is crucial for healthcare practitioners to enable personalized patient care, as well as determine country-specific malnutrition treatment strategies.

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Section: Non-iatrogenic Causes Of Malnutritionmentioning

confidence: 99%

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

et al. 2020

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“…A study found that mood was a deterrent factor in the level of acceptance of patients undergoing dialysis. 29 A study on the relationship between the spirituality le vel and acceptance of illness has shown positive results. This finding is consistent with a review of 110 studies prior to 2000 and 344 studies between 2000 and 2010 on the relationship of spirituality with mental and physical health, which shows that spirituality helps patients to adapt to a wide range of diseases or various conditions related to depression, general illness, chronic disease, kidney disease, diabetes, lung disease, cancer, blood disorders, heart and vascular disease, dental disease, eye problems, neurological diseases, HIV/AIDS, systemic lupus erythematosus, irritable bowel syndrome, musculoskeletal disease, caregiver burden, psychiatric illness, overall stress, natural disasters, and war or acts of terrorism.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Spirituality and Acceptance of Illness Level in Bipolar Patients

Atsira

Yuliati²,

Atika³

et al. 2020

Kesmas: National Public Health Journal

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Bipolar disorder is a chronic mental condition that affects patients’ quality of life. The management process is affected by acceptance of illness. The ability to accept the illness is related to the spirituality level which is something that is held strongly by Indonesian people. There has been very little research related to the relationship between spirituality with bipolar disorder. This study aimed to analyze relationship between spirituality levels with acceptance of illness in patients with bipolar disorder. This study is a correlational study using questionnaire from bipolar disorder patients contacted through Harmony in Diversity online community as a sample. Samples were taken in total sampling according to inclusion and exclusion criteria. The numbers of samples were 30 samples. Calculation of the correlation between acceptance of illness in patients with bipolar disorder with vertical spirituality (RWB) (p = 0.050) (r = 0.306), horizontal spirituality (EWB) (p = 0.001) (r = 0.556), and general spirituality (SWB) (p = 0.007) (r = 0.444). There is a significant positive correlation between acceptance of illness in patients with bipolar disorder and general spirituality with a more significant horizontal dimension compared to vertical dimension.

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“…A multinational cross-sectional study found that the prevalence of depression was up to 46% from 2278 HD participants [6]. The depression symptoms of HD patients are associated with a series of adverse outcomes, for instance, lower treatment compliance [7,8], malnutrition, increased morbidity [9], decreased quality of life, higher rates of hospitalisation and mortality among HD patients [10][11][12]. However, depression issues are often under recognized and untreated [13].…”

Section: Introductionmentioning

confidence: 99%

The effects of cognitive behavioural therapy on depression and quality of life in patients with maintenance haemodialysis: a systematic review

et al. 2020

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Background: Depression is highly prevalent among Haemodialysis (HD) patients and is known to results in a series of adverse outcomes and poor quality of life (QoL). Although cognitive behavioural therapy (CBT) has been shown to improve depressive symptoms and QoL in other chronic illness, there is uncertainty in terms of the effectiveness of CBT in HD patients with depression or depressive symptoms. Methods: All randomised controlled trials relevant to the topic were retrieved from the following databases: CINHAL, MEDLINE, PubMed, PsycINFO and CENTRAL. The grey literature, specific journals, reference lists of included studies and trials registers website were also searched. Data was extracted or calculated from included studies that had measured depression and quality of life using valid and reliable tools-this included mean differences or standardised mean differences and 95% confidence intervals. The Cochrane risk of bias tool was used to identify the methodological quality of the included studies. Results: Six RCTs were included with varying methodological quality. Meta-analysis was undertaken for 3 studies that employed the CBT versus usual care. All studies showed that the depressive symptoms significantly improved after the CBT. Furthermore, CBT was more effective than usual care (MD = − 5.28, 95%CI − 7.9 to − 2.65, P = 0.37) and counselling (MD = − 2.39, 95%CI − 3.49 to − 1.29), while less effective than sertraline (MD = 2.2, 95%CI 0.43 to 3.97) in alleviating depressive symptoms. Additionally, the CBT seems to have a beneficial effect in improving QoL when compared with usual care, while no significant difference was found in QoL score when compared CBT with sertraline. Conclusions: CBT may improve depressive symptoms and QoL in HD patients with comorbid depressive symptoms. However, more rigorous studies are needed in this field due to the small quantity and varied methodological quality in the identified studies.

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Prevalence and related factors of depressive symptoms in hemodialysis patients in northern China

Cited by 33 publications

References 36 publications

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

Relationship between Spirituality and Acceptance of Illness Level in Bipolar Patients

The effects of cognitive behavioural therapy on depression and quality of life in patients with maintenance haemodialysis: a systematic review

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