Screening of depression in chronic kidney disease patients undergoing haemodialysis.

Keywords: Chronic Kidney Disease, Depression, End-Stage Renal Disease, Hospital Anxiety & Depression Scale-HADS.

Abstract

Background: Depression is a common psychiatric disorder among chronic kidney disease (CKD) patients, and it has affected the morbidity & mortality rate of CKD patients. This study aims to determine the frequency and severity of depression in CKD patients on hemodialysis.

Methodology: This cross-sectional study was conducted at the Department of Nephrology, Abbasi Shaheed Hospital, Karachi. A total of 251 patients of age between 18-60 years admitted with End-Stage Renal Disease ESRD and getting maintenance haemodialysis were included. Patients diagnosed with psychiatric, neurological illnesses and taking antidepressants were excluded from the study.  Demographic and clinical characteristics of CKD patients were obtained on the structured questionnaire, and the Hospital Anxiety and Depression Scale (HADS) was utilized.

Results: Of the total, 127 (50.6%) were males, and 124 (49.4%) were females, with a mean age of 53.94 ± 14.67 years. Approximately 65% of ESRD patients were suffering from depression. Among these, the patients who were receiving maintenance dialysis were suffering from a mild form of depression (33.1%) (HADS 5-9), 22.3% had moderate depression (HADS 10-14), and 9.6% had severe depression (HADS>15). Moreover, a significant difference has been observed between age and creatinine levels.

Conclusion: Around 10% of the patients had severe depression, which enhances the attention towards it. Multicenter studies should be conducted across Pakistan to identify the extent of the problem.

Downloads

Download data is not yet available.

Author Biography

Muhammad Fahad, Bahria University Medical & Dental College, Karachi-Pakistan.

 

 

References

1. Andrade CP, Cruz MC, Urrutia M, Pereira O, Draibe SA, Nogueira-Martins LA, Sesso R. Evaluation of depressive symptoms in patients with chronic renal failure. J. Nephrol. 2010;23(2):168.
2. da Silva Junior GB, de Oliveira Barbosa AM, da Silva GP, da Silva LN, Lima GR, Santana CC, da Silva TG, de Oliveira JG, Jardim MH, Araújo SM. Depressive symptoms in chronic kidney disease: A comparison between patients on dialysis versus conservative treatment. Nefrología 2017;14(4):153-159.
3. Rai M, Rustagi T, Rustagi S, Kohli R. Depression, insomnia and sleep apnea in patients on maintenance hemodialysis. Indian J. Nephrol. 2011;21(4):223.
4. Gerogianni SK, Babatsikou FP. Psychological aspects in chronic renal failure. Health Sci. J. 2014;8(2):205.
5. Ma TK, Li PK. Depression in dialysis patients. Nephrology. 2016;21(8):639-646.
Published
2021-09-01
How to Cite
Fahad, M., Kandhro, A. H., & Khan, S. W. (2021). Screening of depression in chronic kidney disease patients undergoing haemodialysis. International Journal of Endorsing Health Science Research (IJEHSR), 9(3), 395-400. https://doi.org/10.29052/IJEHSR.v9.i3.2021.395-400