Prevalence of Depressive Symptoms among Hemodialysis and Peritoneal Dialysis Patients

Aldukhayel, Abdulrhman

doi:10.12816/0024678

Cited by 41 publications

(45 citation statements)

References 18 publications

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“…Similarly, other studies have shown significant association between depression and level of income. 28 Eighteen percent of the participants in the present study reported poor quality of life. The changes in patients' social relationship and psychological wellbeing due to illness symptoms have been recognized as factors contributing to the poor quality of life.…”

Section: Discussionmentioning

confidence: 60%

Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: a cross-sectional study

Ganu

Boima

Adjei

et al. 2018

Ghana Medical Journal

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Section: Discussionmentioning

confidence: 60%

Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: a cross-sectional study

Ganu

Boima

Adjei

et al. 2018

Ghana Medical Journal

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“…Although establishing the diagnosis of depression by a psychiatrist is more reliable than questionnaire assessment, our patients favored the survey approach. One obvious strength of the study protocol was to minimize the effects of overlapping symptoms of uremia as much as possible and to correlate the adequacy of HD with depression; both were overlooked in several previous studies that resulted in an overestimation of the prevalence of depression in dialysis patients (14,15). We are planning a new survey that involves more patients from several dialysis centers with evaluation of pre and post-HD PHQ-9 scores to clarify the role of uremic symptoms on the diagnosis of depression, with longer follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Considering the similarity of many depression symptoms such as lack of interest, poor appetite, insomnia, and weakness with symptoms of uremia, we instructed the patients to complete the PHQ-9 form the same day few hours' post-HD sessions, when uremic symptoms are the least. This critical precaution was overlooked in similar studies conducted formerly in the Middle and the Far East, that resulted in a considerable overestimation of the rate of depression in such patients (14,15). We categorized the patients, according to the results of the PHQ-9 scores, considering a score of 10 or more as an indicator of significant clinical depression that required intervention, on the other hand, scores more than 20 suggested severe depression that required psychiatric consultation or referral.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Depression in Jordanian Hemodialysis Patients

Awwa

Jallad

2018

Iran J Psychiatry Behav Sci

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Background: Although depression is recognized as the most common psychiatric disorder in hemodialysis patients with a significant negative impact on management and prognosis, we didn't find any previous data regarding its prevalence in Jordanian patients. Objectives: We conducted this study to determine the prevalence of depression in Jordanian hemodialysis patients, the factors that may influence it, and to boost the awareness of its detrimental consequences. Methods: In a descriptive cross-sectional study, patients on hemodialysis at the University of Jordan hospital in July 2015 participated in this survey utilizing a validated Arabic translation of the patient health questionnaire 9 (PHQ-9). The patients answered the questionnaire on the same day of dialysis, specifically, a few hours post dialysis when the effects of indistinguishable uremic symptoms are minimal. Results: From the 49 patients that completed the survey, we found 29% to have depression, though significantly higher than the general population, however, considerably lower than similar studies. This finding may be due to the critical timing of questionnaire answering that had been ignored in other studies and led to an overestimation of the diagnosis of depression in hemodialysis patients. Interestingly, most patients were unaware of the diagnosis and refused therapeutic intervention. Although the adequacy of hemodialysis correlated with depression, it didn't reach statistical significance. Also, several relevant factors didn't correlate with depression, which may imply an independent endogenous origin of the disorder in hemodialysis patients. Conclusions: Depression is highly prevalent and under diagnosed among hemodialysis patients in Jordan, which is ironic with patient's negative attitude towards the diagnosis and its treatment. Hence, we recommend a policy of routine assessment of depression accompanied by an educational program to emphasize the importance of treatment in improving the quality of life and the overall outcome of hemodialysis therapy.

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“…A total is then calculated by adding the points of each question and the value obtained is between 20 and 80. The interpretation of the obtained score is as follows: <50: absence of depression; 50–59: mild depression; 60–69: moderate depression; ≥70: severe depression [12,13]. …”

Section: Methodsmentioning

confidence: 99%

Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women

et al. 2017

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Health-related quality of life (QOL) is reported to be reduced during pregnancy. Associations between QOL, physical activity (PA), insomnia, depression and worry are insufficiently investigated among pregnant women. The aim of this study was to evaluate QOL and PA patterns among healthy pregnant women, and to examine how QOL might correlate to PA, sleep, worry and depression. This is an observational cross-sectional study, conducted among a convenient sample of 141 healthy pregnant women using five questionnaires: WHOQOL-brief (WHO quality of life questionnaire, brief version, ISI (Insomnia Severity Index), PSWQ (Penn State Worry Questionnaire), ZSRDS (Zung Self-Rating Depression Scale), and Pregnancy Physical Activity Questionnaire (PPAQ). Pre-gestational BMI was inversely correlated to overall health while education was positively correlated to psychological health, social relationships and environment domains. Smoking before and during pregnancy significantly impacted the general health and psychological health. Total and light PA were positively correlated to psychological health and social relationships. Sports/exercise showed positive correlations with several QOL domains. Insomnia and depression were significantly associated with a decrease in all domains of QOL, while worries were associated with a decrease in physical, psychological and environmental domains. There were significant negative correlations between ZSRDS scores and total activity. PA, worries, depression and insomnia affected QOL during pregnancy. Furthermore, pregnant women presenting depression had a reduced total PA. Sleep and mental health as well as encouraging PA during pregnancy are necessary to improve the quality of life of pregnant women.

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Prevalence of Depressive Symptoms among Hemodialysis and Peritoneal Dialysis Patients

Cited by 41 publications

References 18 publications

Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: a cross-sectional study

Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: a cross-sectional study

Prevalence of Depression in Jordanian Hemodialysis Patients

Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women

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