The Psychiatric Contribution to a Renal Unit Undertaking Chronic Haemodialysis and Renal Homotransplantation

Cramond, W. A.; Knight, Peter R.; Lawrence, J. R.

doi:10.1192/bjp.113.504.1201

Cited by 87 publications

(14 citation statements)

References 10 publications

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“…The adjustment occurs over weeks and months and may be linked to a grief reaction. Depressive symptoms sometimes develop as part of this process [26].…”

Section: Discussionmentioning

confidence: 99%

Psychiatric disorders in children with chronic renal failure

et al. 2007

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Psychiatric assessment was done according to the DSM-IV TR criteria in 19 children with predialysis chronic renal failure (CRF) and 19 children with end-stage renal disease on regular hemodialysis. The prevalence rate of psychiatric disorders in all the studied patients was 52.6%. Adjustment disorders were the most common disorders (18.4%), followed by depression (10.3%) and neurocognitive disorders (7.7%). Anxiety and elimination disorders were reported in 5.1 and 2.6%, respectively. The disorders were more prevalent (P=0.05) in dialysis (68.4%) than in predialysis patients (36.8%). The presence of psychiatric disorders was not significantly correlated with sex, severity of anemia, duration of CRF or the efficiency or the duration of hemodialysis. In conclusion, psychiatric disorders were prevalent in our patients, especially in those on hemodialysis. Both adjustments with depression and depressive disorders were the most common psychiatric disorders. This array of disorders was more likely explained by the difficulties encountered in living with CRF rather than by demographic or physical factors.

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“…The adjustment occurs over weeks and months and may be linked to a grief reaction. Depressive symptoms sometimes develop as part of this process [26].…”

Section: Discussionmentioning

confidence: 99%

Psychiatric disorders in children with chronic renal failure

et al. 2007

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“…It may disrupt a normal life-style and require considerable psychologic and social accommodation (1)(2)(3)(4)(5). The deterioration from "renal patient" to "dialysis patient" results in progressively more difficult restrictions, crises, and threats of personal loss (6)(7)(8)(9)(10). Chronic recurring stress on an almost daily basis commonly gives rise to elevated levels of depression in this patient group (11).…”

Section: Introductionmentioning

confidence: 99%

The relationship of depression to survival in chronic renal failure.

Burton¹,

Kline²,

Lindsay³

et al. 1986

Psychosomatic Medicine

146

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The authors examine the relationship between psychosocial factors and factors and survival of patients with chronic renal failure, while considering simultaneously the influence of parameters of physiologic functioning. Psychosocial and physiologic variables selected for discriminant analysis were extracted from data on 285 home-dialysis patients in Ontario, Canada. This analytical procedure defined which variables best discriminated between the survivor and nonsurvivor groups. The findings suggest that demographic and psychosocial factors may be more important than physiologic variables in determination of survival on home dialysis. The severity and type of depression is of particular importance to outcome.

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“…Gombos et at. (1964) advocated the use of psychological assessment in the selection of prospective patients, but others found this to be impracticable (Cramond et al, 1967). While selection must operate when dialysis facilities are inadequate, the more constructive policy must surely be to develop dialysis teams which can cope with the psychiatric accompaniments of the treatment.…”

Section: Discussionmentioning

confidence: 99%