Prevalence of depressive and anxiety disorders in dialysis patients with chronic kidney disease
Journal Title: Archives of Psychiatry and Psychotherapy - Year 2016, Vol 18, Issue 1
Abstract
Aim of the studyThe objective of this study was to assess the prevalence of depression in Polish dialysis patients and assess the relations of depression with attitude toward illness.Subject or material and methods107 patients undergoing dialysis (56 men and 51 women) aged 23-85 (M=56.63 years, SD=15.45) were diagnosed with the Mini-International Neuropsychiatric Interview (M.I.N.I.). They also filled out the Beck Depression Inventory (BDI) and Acceptance of Illness Scale (AIS).ResultsDepressive disorders were diagnosed in 74 (69.2%) patients, including: a major depressive episode - 31 (29%), dysthymia - 30 (28%), and an episode of depression with melancholic features - 23 (21.5%). Only 23 (21.5%) patients met no criteria for a mental disorder in the M.I.N.I. There were statistically significant differences among mean scores in BDI in the following groups: depression with melancholic features (M=20.9, SD=9), a major depressive episode (M=18.08, SD=8), dysthymia (M=13.75, SD=6), and without depressive disorder (M=3.8, SD=3). There were statistically significant moderate correlations between intensity of depressive symptoms and acceptance of illness (r=0.5; p < 0.001).DiscussionRelation between intensity of depression and low acceptance of illness suggests that hemodialysis low mood is related to an increase in maladaptive attitude toward chronic kidney disease.ConclusionsA very high rate of prevalence of depressive disorders in dialysis patients was confirmed in the Polish population when a clinical structured interview was applied. It indicates that routine screening for depressive disorders in these patients is necessary.
Authors and Affiliations
Andrzej Kokoszka, Katarzyna Leszczyńska, Rafał Radzio, Dorota Daniewska, Agnieszka Łukasiewicz, Wojciech Orzechowski, Aldona Piskorz, Ryszard Gellert
Keywords
Related Articles
- EP ID EP144110
- DOI 10.12740/APP/61977
- Views 66
- Downloads 0
Neuropsychological functioning across different states of bipolar disorder: mania or hypomania and depression
Aim of the studyThe aim of the study was to compare neuropsychological functioning across different states of bipolar disorder: mania/hypomania and depression.Subject or material and methodsCognitive functions were exami...
Cerebellar cognitive affective syndrome CCAS – a case report
Aim . The aim of the study was to describe a case of the patient with cerebellar cognitive affective syndrome CCAS, characterize the role of cerebellum in the regulation of cognitive functions and present the procedure...
Psychological masculinity, femininity and tactics of manipulation in patients with borderline personality disorder
Aim. The aim of the study was a relation between the borderline personality disorder and psychological gender, and tendency to use various manipulation tactics in everyday life and therapeutic context. Methods. Th...
Links between defence mechanisms and severity of symptoms of panic disorder in women and men with difficult and aspirin-induced asthma
Background. The author examined psychiatrically a group of 106 patients with difficult asthma and 100 patients with aspirin-induced asthma. The special interest of the study were the links between defence mechanisms used...
The comparison of behavioral and emotional problems in children with a bipolar parent and children with healthy parents in Zahedan, Iran, 2011
[sup][/sup]Aim of the study . Mental illness in parents can cause behavioral problems in children because of genetic contribution and their narrowed parenting capabilities. Organic and psychotic disease in mother and fat...