Abstract
Patients with chronic kidney disease, due not only to the complexity and multidimensional nature of problems, but mainly to the long term duration of the disease, are one of the most difficult groups of patients, often suffering from psychiatric morbidity. Depression according to a number of surveys is the most common psychological problem in patients undergoing renal dialysis. The high prevalence of the disease considers necessary for the systematic investigation of the problem and provide an adequate response. This review paper we deal with depressive symptoms in patients with CKD, using the person-centered approach, which is based on the principles of existentialism and phenomenology. Main concept is the equal relationship between therapist and the client, so that the person is able to understand himself/herself, to change the perception of him/her, change espoused attitudes and redefine the way in which he/she directs the behavior.
Highlights
In recent years there has been increased focus on the effects of chronic diseases, the psychological status of patients and the factors that determine good or poor adaptation to these diseases
Depression is perhaps the most important psychiatric condition in patients with Chronic Kidney Disease (CKD), which often duplicates with symptoms of incipient renal failure or if the renal failure may cause depressive symptoms
The high prevalence of depression is a powerful incentive for creating supportive environments to psychological treatment in these patients
Summary
In recent years there has been increased focus on the effects of chronic diseases, the psychological status of patients and the factors that determine good or poor adaptation to these diseases. A wide range of factors affects the psychosocial adaptation of these patients. Special category is patients with Chronic Kidney Disease (CKD). The complexity and nature of the disease as well as the problems they face, especially at the biological level; often have as result the occurrence of psychiatric morbidity of the patient, with obvious impact on relatives [1]. Depression is perhaps the most important psychiatric condition in patients with CKD, which often duplicates with symptoms of incipient renal failure or if the renal failure may cause depressive symptoms. Of increased interest has the person-centered approach, that it might be an important therapeutic context in terms of psychotherapy in patients with CKD, given that while the effectiveness on certain condition has been proven until today, only a few is known about its effect on these patients
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