Prevalence of Depression in Jordanian Hemodialysis Patients

Awwa, Izzat Ahmad Al; Jallad, Shatha

doi:10.5812/ijpbs.11286

Cited by 15 publications

(15 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the literature, there are few examples of studies investigating the relationship between VA type and depression in HD patients, and they all reported no association. 8,9 Thus, to the best of our knowledge our study is the first to highlight this association. CVC may be related to depression via greater inflammation state.…”

Section: Discussionsupporting

confidence: 50%

The association between vascular access type and depressive symptoms in geriatric hemodialysis population

et al. 2020

View full text Add to dashboard Cite

Objectives A well-functioning vascular access is crucial for hemodialysis treatment, and arteriovenous fistula is the recommended vascular access type. Arteriovenous fistula is superior to other vascular access types in many aspects, but the effect of arteriovenous fistula on patients’ psychiatric state is not well described yet. The aim of this study is to determine whether there is an association between vascular access type and depression scores. Methods This cross-sectional study was conducted at two hemodialysis centers. Geriatric Depression Scale-15 was administered to geriatric hemodialysis patients, using ≥5 score as the cut-off value for the presence of depressive symptoms. Descriptive tests, Kolmogorov–Smirnov test, Pearson’s Chi-square test, Mann–Whitney test, Kruskal–Wallis test, Spearman’s rank correlation calculation, and multiple logistic regression analysis were performed accordingly to analyze the data. Results Of 75 participants, 34 (45.3%) were female and the mean age was 73.4 ± 5.9 years (range: 65–92). The prevalence of depressive symptoms in the geriatric hemodialysis population was 53.3%. Central venous catheter, hypertension, and increased time on hemodialysis have been found to be risk factors for higher depression scores (aOR 10.505 (95% CI 1.435–76.900), p = 0.021; aOR 9.783 (95% CI 2.508–38.169), p = 0.001; aOR 1.019 (95% CI 1.003–1.035), p = 0.017, respectively). Among patients with arteriovenous fistula, those with hypertension had higher depression scores ( p = 0.008). Conclusions Geriatric hemodialysis patients were found to have depressive symptoms commonly, and central venous catheter, hypertension, and increased time on hemodialysis have been found to be risk factors for presence of depressive symptoms. To the best of our knowledge, this is the first study highlighting that arteriovenous fistula is associated with lower depression scores and lower prevalence of depressive symptoms.

show abstract

Section: Discussionsupporting

confidence: 50%

The association between vascular access type and depressive symptoms in geriatric hemodialysis population

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The high prevalence of depression in ESRD has been attributed, in parts, to the biopsychosocial changes, especially the presence of uremia, associated with the disease and its treatment - dialysis. 8–10 Using the Beck Depression Inventory, Nabolsi et al. estimated the prevalence of moderate-severe and severe depression among 244 patients with ESRD at 19.7% and 21.3%, respectively and associated depression to poor quality of life 2 ; whereas Alawwa et al., utilizing the PHQ-9 questionnaire, found moderate to severe depression in 29% among a sample of 49 hemodialysis patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of pre- and post-hemodialysis PHQ-9 depression scores in patients with end-stage renal disease: A cross-sectional study

AlAwwa

Ibrahim

Obeid

et al. 2020

Int J Psychiatry Med

View full text Add to dashboard Cite

Objectives An overlap between the somatic symptoms of depression and those of uremia seen in end-stage renal disease (ESRD) patients may affect the diagnosis of depression. This study aims to evaluate the effect of hemodialysis on the diagnosis of depression among patients on maintenance hemodialysis as dialysis diminishes the uremic symptoms, and to compare depression scores before and after dialysis. Methods This was a cross-sectional analytic study conducted from November 2018 through April 2019, in three tertiary hospitals. Consenting participants aged 18 years or older, who had received hemodialysis for at least three months were included. The Patient Health Questionnaire (PHQ-9) tool was used to collect patients’ data and to identify symptoms of depression Pre- and post-hemodialysis. Depression scores were compared using the paired sample Wilcoxon rank test or the McNemar test, where appropriate. Results Overall, 163 participants were enrolled in the study. The average age of the participants was 56.5 years old, whereas 44.8% were females. The prevalence of depressive symptoms before hemodialysis was 48.5%, with prevalence of mild, moderate and moderately severe of 34.4%, 11.7% and 2.5%, respectively. On the other hand, the prevalence of depressive symptoms after hemodialysis was 46.6% with 36.8%, 9.2% and 0.6% of the participants reporting mild, moderate and moderately severe symptoms, respectively. We found no significant difference in depression scores before and after dialysis (p-values > 0.05). Conclusion Our study supports the fact that the prevalence of depression is high among patients with ESRD on maintenance hemodialysis. We didn’t find a significant difference in depression scores among hemodialysis patients before and after dialysis, with negligible effect of uremic symptoms on the diagnosis of depression. We suggest adopting routine screening of depression among this high-risk group of patients.

show abstract

“…The PHQ-9 has adequate validity for screening of depression and adequate internal consistency reliability(L€ owe et al, 2004) in a variety of populations. The Arabic version of PHQ-9 has been widely used in studies involving Arabic populations(Al-Amer et al, 2020;Al Awwa & Jallad, 2018;Safadi et al, 2016) and its psychometric properties are adequate among Arabic speaking adolescents (Al-Amer et al…”

mentioning

confidence: 99%

Depression and anxiety among school adolescent females: A national study from Jordan

AlAzzam

AL-Sagarat

Razeq

et al. 2021

School Psychology International

View full text Add to dashboard Cite

Depression and anxiety are major mental health concerns among adolescent females within the school community and inflect many implications for psychological service providers in schools. The aims of this descriptive correlational study are to estimate the prevalence of anxiety and depression among high school adolescent females in Jordan, and to determine the contributing factors associated with depression and anxiety. Data were collected using self-report questionnaires from a clustered stratified sample of 405 high school females attending public schools in Jordan. Severe levels of depression and anxiety were reported by 25.7% and 21% of high school adolescent females, respectively. Education challenges and having a history of health problems contributed to having higher levels of depression and anxiety among the high school adolescent females. School mental health services regarding adolescent females mental health should be activated and supported through policies and legislation in Jordan.

show abstract

Prevalence of Depression in Jordanian Hemodialysis Patients

Cited by 15 publications

References 13 publications

The association between vascular access type and depressive symptoms in geriatric hemodialysis population

The association between vascular access type and depressive symptoms in geriatric hemodialysis population

Comparison of pre- and post-hemodialysis PHQ-9 depression scores in patients with end-stage renal disease: A cross-sectional study

Depression and anxiety among school adolescent females: A national study from Jordan

Contact Info

Product

Resources

About