Abstract
BackgroundEven though depression is one of the most common psychiatric disorders, it is under-recognized in hemodialysis (HD) patients. Existing literature does not provide enough information on evaluation of predictors of depression among HD patients. The objective of the current study was to determine the prevalence and predictors of depression among HD patients.MethodsA multicenter prospective follow-up study. All eligible confirmed hypertensive HD patients who were consecutively enrolled for treatment at the study sites were included in the current study. HADS questionnaire was used to assess the depression level among study participants. Patients with physical and/or cognitive limitations that prevent them from being able to answer questions were excluded.ResultsTwo hundred twenty patients were judged eligible and completed questionnaire at the baseline visit. Subsequently, 216 and 213 patients completed questionnaire on second and final follow up respectively. The prevalence of depression among patients at baseline, 2nd visit and final visit was 71.3, 78.2 and 84.9% respectively. The results of regression analysis showed that treatment given to patients at non-governmental organizations (NGO’s) running HD centers (OR = 0.347, p-value = 0.039) had statistically significant association with prevalence of depression at final visit.ConclusionsDepression was prevalent in the current study participants. Negative association observed between depression and hemodialysis therapy at NGO’s running centers signifies patients’ satisfaction and better depression management practices at these centers.
Highlights
Even though depression is one of the most common psychiatric disorders, it is under-recognized in hemodialysis (HD) patients
Different questionnaires have been compiled and tested to investigate and measure the problems of ‘anxiety and depression’ commonly found in end stage renal disease (ESRD) patients, Khan et al BMC Public Health (2019) 19:531 including to those of “Hospital Anxiety and Depression Scale (HADS)” and “Beck’s Depression Inventory (BDI)”, both being properly validated in chronic kidney disease (CKD) patients [7]
We used the official validated Malay version of HADS provided by the original authors of the published Malay version of HADS from the department of psychiatry, Hospital Universiti Sains Malaysia (HUSM) [13]
Summary
Even though depression is one of the most common psychiatric disorders, it is under-recognized in hemodialysis (HD) patients. Different questionnaires have been compiled and tested to investigate and measure the problems of ‘anxiety and depression’ commonly found in ESRD patients, Khan et al BMC Public Health (2019) 19:531 including to those of “Hospital Anxiety and Depression Scale (HADS)” and “Beck’s Depression Inventory (BDI)”, both being properly validated in chronic kidney disease (CKD) patients [7]. The former questionnaire (HADS) was developed with the objective to investigate anxiety and depression associated fresh cases in an adult population. It is found that due to the give flexibility and because of limited restrictions in their diet and social activities PD patients live with better quality of life [8,9,10]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
