Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Pop‐Jordanova, Nada; Polenakovič, Momir

doi:10.5301/ijao.5000188

Cited by 11 publications

(12 citation statements)

References 43 publications

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“…29–33 Some studies describe a direct association between age and depression, 31,34 whereas, similar to the present report, other studies did not show such a relationship. 33 A negative association between age and depression has also been reported.…”

Section: Discussionsupporting

confidence: 78%

Relation Between Anxiety, Depression, and Physical Activity and Performance in Maintenance Hemodialysis Patients

Zhang

Kim

et al. 2014

Journal of Renal Nutrition

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Objective Maintenance hemodialysis (MHD) patients have a high prevalence of anxiety and depression and decreased daily physical activity (DPA) and exercise capacity. Since affective disorders may affect DPA and physical performance, we investigated possible relationships between anxiety or depression and DPA and physical performance in relatively healthy MHD patients Design Cross-sectional cohort study Setting UCLA Clinical and Translational Science Institute (CTSI) at Harbor-UCLA Medical Center Subjects 72 relatively healthy MHD patients and 39 normal adults Intervention DPA was measured for seven days with an Actigraph Activity Monitor®. Physical performance was assessed using 6-minute walk (6-MWT), sit-to-stand (STS) and stair climbing tests. Subjects completed the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale (HADS) Main Outcome Measure Physical activity counts (expressed as vector magnitude), performance in 6-MWT, STS, and stair-climbing tests, and BAI, BDI and HADS scores Results Anxiety and depression by BAI and BDI were identified in 43% and 33% of MHD patients and 2.5% and 5% of normals (p< 0.0001 for each comparison). MHD patients without anxiety or depression had decreased DPA and physical performance compared to normals, indicating that MHD patients have reduced DPA and physical performance independent of anxiety or depression. MHD patients with both anxiety and depression generally had the most impaired DPA and physical performance. Higher BAI and BDI scores were each associated with impaired physical performance. In fully-adjusted analyses, the average DPA in MHD patients was negatively correlated with the BDI(r = −0.33, p=0.01) but not with the BAI. DPA on the day of hemodialysis (p=0.01), day after dialysis (p=0.03), and day two after dialysis (p=0.03) each correlated negatively with degree of depression by BDI. MHD patients displayed negative correlations between BAI and 6-MWT (p=0.03) and between BAI and STS (p=0.04) Conclusions In relatively healthy adult MHD patients, anxiety and depression are common and are associated with impaired physical performance. There was a trend towards stronger negative associations between BDI scores and DPA than between BAI scores and DPA.

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Section: Discussionsupporting

confidence: 78%

Relation Between Anxiety, Depression, and Physical Activity and Performance in Maintenance Hemodialysis Patients

Zhang

Kim

et al. 2014

Journal of Renal Nutrition

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“…20 In a group of HD patients, PopJordanova et al found a significant negative correlation between depression and duration of dialysis. 21 On the other hand, Bossola et al reported that, symptoms of depression worsened in a meaningful proportion of HD patients over time, whereas, anxiety score decreased or remained stable. 22 Finally, Cukor et al found no relation of length of time on dialysis with depression or anxiety in HD patients.…”

Section: Discussionmentioning

confidence: 99%

Serum apelin is associated with affective disorders in peritoneal dialysis patients

et al. 2016

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Objective: Depression and anxiety are prevalent affective disorders in peritoneal dialysis (PD) patients. Recent research has proposed a potential role of apelinergic system in pathogenesis of depression. The present study aimed to evaluate the frequency of depression and anxiety and their potential relation with serum apelin levels among PD patients. Methods: A total of 40 PD patients were enrolled into the study. Depressive symptoms and anxiety were assessed with the Beck's Depression Inventory and the Beck's Anxiety Inventory. Serum apelin-12 levels were measured by immunoenzymatic assays using commercially available ELISA kit for standard human apelin. Results: Of the patients, 16 (40%) had depression, 20 (50%) had anxiety. The patients with depression and anxiety had a significantly longer time on dialysis (p < 0.001 for both), significantly higher serum apelin (p < 0.001 for both) and C-reactive protein levels (p < 0.001 for both) than those without depression and anxiety. In multivariate analysis, serum apelin was the only parameter associated independently with depression and anxiety scores. Conclusions: A substantial number of PD patients had depression and anxiety. Increased levels of serum apelin may constitute a significant independent predictor of development of depression and anxiety in PD patients. ARTICLE HISTORY

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“…Nesse sentido, todas as complicações físicas geradas pela própria doença e pelo tratamento hemodialítico, como o desgaste após as sessões, as restrições alimentares e hídricas, as mudanças da própria imagem corporal promovida pela presença das fístulas, as limitações de atividades físicas, a ociosidade e o sedentarismo impostos podem levar as pacientes a arquitetar sentimentos de inutilidade, baixa autoestima, desvalorização da própria vida e depressão. Vários estudos ratificaram a relação entre hemodiálise e sintomas depressivos, tais como medo, tristeza, choro fácil e desânimo, tudo contribuindo para a diminuição expressiva da qualidade de vida 18,[20][21][22] . Ressalta-se por meio dos resultados da presente pesquisa que muitas foram as mudanças que afetavam o cotidiano e a vida das mulheres em idade fértil em hemodiálise.…”

Section: Discussionunclassified

Hemodiálise E Seus Impactos Psicossociais Em Mulheres Em Idade Fértil

2017

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RESUMOObjetivou compreender os impactos psicossociais da hemodiálise na vivência de mulheres em idade fértil. É um estudo transversal descritivo com abordagem qualitativa e exploratória. Foram feitas entrevistas semiestruturadas com oito mulheres em idade fértil em tratamento de hemodiálise por um período mínimo de 24 meses em um hospital escola. As entrevistas foram analisadas na perspectiva da Teoria Fundamentada nos Dados. As categorias que emergiram da codificação dos discursos foram: enfrentamento e suporte social; mudanças na vida cotidiana; autoimagem e sexualidade; perspectivas futuras. Evidenciou-se que as principais estratégias de enfrentamento se referem ao suporte familiar e religioso. Dentre as mudanças cotidianas, destacaram-se a indisposição para as tarefas diárias, o comprometimento profissional e o prejuízo da participação na vida dos filhos. A forma como vivenciam sua sexualidade e autoimagem impacta diretamente em seu meio familiar e conjugal. As perspectivas de futuro das mulheres se vinculam principalmente à esperança de um transplante renal. Descritores HEMODIÁLISE E SEUS IMPACTOS PSICOSSOCIAIS EM MULHERES EM IDADE FÉRTIL HEMODIALYSIS AND ITS PSYCHOSOCIAL IMPACTS IN CHILDBEARING AGE WOMEN ABSTRACTAimed to understand the psychosocial impacts of hemodialysis in the experience of childbearing age women. This is a descriptive cross-sectional study with qualitative and exploratory approach. Were made eight semi-structured interviews with childbearing age women undergoing dialysis treatment for a minimum of 24 months in a teaching hospital. The interviews were analyzed from the perspective of Grounded Theory. The categories that emerged from the coding of the speeches were coping and social support; changes in everyday life; self-image and sexuality; future perspectives. It became clear that the main coping strategies are found in the family and religious support. Among the everyday changes, the highlights were the unwillingness for everyday tasks, professional commitment and less participation in the children lives. The way they experience their sexuality and self-image has a direct impact on your family and conjugal environment. Finally, the future prospects are linked to the hope of a kidney transplant.

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Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Cited by 11 publications

References 43 publications

Relation Between Anxiety, Depression, and Physical Activity and Performance in Maintenance Hemodialysis Patients

Relation Between Anxiety, Depression, and Physical Activity and Performance in Maintenance Hemodialysis Patients

Serum apelin is associated with affective disorders in peritoneal dialysis patients

Hemodiálise E Seus Impactos Psicossociais Em Mulheres Em Idade Fértil

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