Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study

ABSTRACT BACKGROUND: Depression and anxiety are the most prevalent psychological disorders among end-stage renal disease patients and are associated with various conditions that result in poorer health outcomes, e.g. reduced quality of life and survival. We aimed to investigate the prevalences of...

Full description

Bibliographic Details
Main Authors: Daniela Cristina Sampaio de Brito, Elaine Leandro Machado, Ilka Afonso Reis, Lilian Pires de Freitas do Carmo, Mariangela Leal Cherchiglia
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000200137&lng=en&tlng=en
id doaj-282ddcd104944168ae1f0b0831cc2cf1
record_format Article
spelling doaj-282ddcd104944168ae1f0b0831cc2cf12020-11-24T23:54:38ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460137213714710.1590/1516-3180.2018.0272280119S1516-31802019000200137Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional studyDaniela Cristina Sampaio de BritoElaine Leandro MachadoIlka Afonso ReisLilian Pires de Freitas do CarmoMariangela Leal CherchigliaABSTRACT BACKGROUND: Depression and anxiety are the most prevalent psychological disorders among end-stage renal disease patients and are associated with various conditions that result in poorer health outcomes, e.g. reduced quality of life and survival. We aimed to investigate the prevalences of depression and anxiety among patients undergoing renal replacement therapy. DESIGN AND SETTING: Cross-sectional study in Belo Horizonte, Brazil. METHODS: Patients’ depression and anxiety levels were assessed using the Beck Inventory. The independent variables were the 36-Item Short-Form Health Survey (SF-36), Charlson Comorbidity Index and Global Subjective Assessment, along with sociodemographic and clinical characteristics. RESULTS: 205 patients were included. Depression and anxiety symptoms were detected in 41.7% and 32.3% of dialysis patients and 13.3% and 20.3% of transplantation patients, respectively. Lower SF-36 mental summary scores were associated with depression among transplantation patients (odds ratio, OR: 0.923; 95% confidence interval, CI: 0.85-0.99; P = 0.03) and dialysis patients (OR: 0.882; 95% CI: 0.83-0.93; P ≤ 0.001). Physical component summary was associated with depression among dialysis patients (OR: 0.906; 95% CI: 0.85-0.96; P = 0.001). Loss of vascular access (OR: 3.672; 95% CI: 1.05-12.78; P = 0.04), comorbidities (OR: 1.578; 95% CI: 1.09-2.27; P = 0.01) and poorer SF-36 mental (OR: 0.928; 95% CI: 0.88-0.97; P = 0.002) and physical (OR: 0.943; 95% CI: 0.89-0.99; P = 0.03) summary scores were associated with anxiety among dialysis patients. CONCLUSIONS: Depression and anxiety symptoms occurred more frequently among patients undergoing dialysis. Quality of life, comorbidities and loss of vascular access were associated factors.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000200137&lng=en&tlng=enDepressionAnxietyQuality of lifeKidney failure, chronicRenal replacement therapy
collection DOAJ
language English
format Article
sources DOAJ
author Daniela Cristina Sampaio de Brito
Elaine Leandro Machado
Ilka Afonso Reis
Lilian Pires de Freitas do Carmo
Mariangela Leal Cherchiglia
spellingShingle Daniela Cristina Sampaio de Brito
Elaine Leandro Machado
Ilka Afonso Reis
Lilian Pires de Freitas do Carmo
Mariangela Leal Cherchiglia
Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
São Paulo Medical Journal
Depression
Anxiety
Quality of life
Kidney failure, chronic
Renal replacement therapy
author_facet Daniela Cristina Sampaio de Brito
Elaine Leandro Machado
Ilka Afonso Reis
Lilian Pires de Freitas do Carmo
Mariangela Leal Cherchiglia
author_sort Daniela Cristina Sampaio de Brito
title Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
title_short Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
title_full Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
title_fullStr Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
title_full_unstemmed Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
title_sort depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
publisher Associação Paulista de Medicina
series São Paulo Medical Journal
issn 1806-9460
description ABSTRACT BACKGROUND: Depression and anxiety are the most prevalent psychological disorders among end-stage renal disease patients and are associated with various conditions that result in poorer health outcomes, e.g. reduced quality of life and survival. We aimed to investigate the prevalences of depression and anxiety among patients undergoing renal replacement therapy. DESIGN AND SETTING: Cross-sectional study in Belo Horizonte, Brazil. METHODS: Patients’ depression and anxiety levels were assessed using the Beck Inventory. The independent variables were the 36-Item Short-Form Health Survey (SF-36), Charlson Comorbidity Index and Global Subjective Assessment, along with sociodemographic and clinical characteristics. RESULTS: 205 patients were included. Depression and anxiety symptoms were detected in 41.7% and 32.3% of dialysis patients and 13.3% and 20.3% of transplantation patients, respectively. Lower SF-36 mental summary scores were associated with depression among transplantation patients (odds ratio, OR: 0.923; 95% confidence interval, CI: 0.85-0.99; P = 0.03) and dialysis patients (OR: 0.882; 95% CI: 0.83-0.93; P ≤ 0.001). Physical component summary was associated with depression among dialysis patients (OR: 0.906; 95% CI: 0.85-0.96; P = 0.001). Loss of vascular access (OR: 3.672; 95% CI: 1.05-12.78; P = 0.04), comorbidities (OR: 1.578; 95% CI: 1.09-2.27; P = 0.01) and poorer SF-36 mental (OR: 0.928; 95% CI: 0.88-0.97; P = 0.002) and physical (OR: 0.943; 95% CI: 0.89-0.99; P = 0.03) summary scores were associated with anxiety among dialysis patients. CONCLUSIONS: Depression and anxiety symptoms occurred more frequently among patients undergoing dialysis. Quality of life, comorbidities and loss of vascular access were associated factors.
topic Depression
Anxiety
Quality of life
Kidney failure, chronic
Renal replacement therapy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000200137&lng=en&tlng=en
work_keys_str_mv AT danielacristinasampaiodebrito depressionandanxietyamongpatientsundergoingdialysisandkidneytransplantationacrosssectionalstudy
AT elaineleandromachado depressionandanxietyamongpatientsundergoingdialysisandkidneytransplantationacrosssectionalstudy
AT ilkaafonsoreis depressionandanxietyamongpatientsundergoingdialysisandkidneytransplantationacrosssectionalstudy
AT lilianpiresdefreitasdocarmo depressionandanxietyamongpatientsundergoingdialysisandkidneytransplantationacrosssectionalstudy
AT mariangelalealcherchiglia depressionandanxietyamongpatientsundergoingdialysisandkidneytransplantationacrosssectionalstudy
_version_ 1725465570063679488