Depression in chronic hemodialysis patients: About 106 cases.

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Lobna Zouari
Monia Elleuch
Ines Feki
Chourouk Allouch
Sourour Yaïch
Jihen Ben Thabet
Nacereddine Zouari
Faiçal Jarraya
Jamil Hachicha
Mohamed Maâlej

Abstract

Background: Depression is the most common psychiatric disorder in chronic hemodialysis patients and is associated with mortality.
Aim: To evaluate the prevalence of the depression in patients undergoing chronic hemodialysis, and to identify the correlated factors.
Methods: The study population included 106 patients on chronic hemodialysis. The Hospital-Anxiety and Depression Scale was used to diagnosis depression.
Results: The prevalence of the depression among the patients surveyed was 46.2%. Among 8 factors correlated with the depression at the univariate analysis, only 2 factors were still strongly correlated at the multivariate analysis: professional inactivity (OR = 6.54; p = 0.01) and anxiety (OR = 1.,5; p = 0.00).
Conclusion: According to our study, professional inactivity and/or anxiety should make looking for depression in order to optimize the management of the patients on chronic hemodialysis.

Keywords:

Coping, depression, hemodialysis, prevalence, risk factors

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References

  1. Njah M, Nasr M, Ben Dhia N. Morbidité anxio-dépressive chez le patient hémodialysé. Néphrologie 2001; 22: 353-7.
  2. Kimmel PL, Peterson RA. Depression in end-stage renal disease patients treated with hemodialysis: tools, correlates, outcomes, and needs. Semin Dial. 2005; 18:91-7.
  3. Janssen van Doorn K, Heylen M, Mets T, Verbeelen D. Evaluation of functional and mental state and quality of life in chronic haemodialysis patients. Int Urol Nephrol. 2004; 36: 263-7.
  4. Sqalli-Houssaini T, Ramouz I, Fahi Z et al. Troubles anxiodépressifs et qualité de l'hémodialyse. Nephrol Ther 2005; 1: 31-7.
  5. Dogan E, Erkoc R, Eryonucu B, Sayarlioglu H, Agargun MY. Relation between depression, some laboratory parameters, and quality of life in hemodialysis patients. Ren Fail. 2005; 27:695-9.
  6. Hedayati SS, Minhajuddin AT, Toto RD, Morris DW, Rush AJ.Prevalence of major depressive episode in CKD. Am J Kidney Dis. 2009; 54: 424-32.
  7. Montagnac R, Defert P, Schillinger F. Impact psychologique de l'hémodialyse périodique chez l'adulte. Néphrologie 1992; 13:145-9.
  8. Sa duyu A, Sentürk VH, Sezer S, R, Ozel S. Psychiatric problems, life quality and compliance in patients treated with haemodialysis and renal transplantation. Turk Psikiyatri Derg. 2006; 17: 22-31.
  9. Untas A, Chauveau P. Vers une meilleure évaluation des aspects psychosociaux en néphrologie. Nephrol Ther 2008; 4: 228-30.
  10. Zigmond A.S., Snaith R.P. The Hospital Anxiety and Depressive Scale. Acta Psychiatr Scand 1983; 67: 361-70.
  11. Muller L, Spitz E. Evaluation multidimensionnelle du coping : validation du Brief COPE sur une population française. Encéphale 2003; 29: 507-18.
  12. Taskapan H, Ates F, Kaya B et al. Psychiatric disorders and large interdialytic weight gain in patients on chronic haemodialysis. Nephrology 2005; 10: 15-20.
  13. Watnick S, Kirwin P, Mahnensmith R, Concato J. The prevalence and treatement of depression among patients starting dialysis. Am J Kidney Dis. 2003; 41: 105-10.
  14. Lopes AA, Bragg J, Young E. Et al. Depression as a predictor of mortality and hospitalization among hemodialysis patients in USA and Europe. Kidney Int 2002; 62:199-207.
  15. American psychiatric association. Diagnostic and Statistical Manual of Mental Disorders (DSM IV) Washington DC, 1994. Traduction française par J.-D. Guelfi et al., Masson, Paris, 1996.
  16. Brour S, Rabhi N, Boussetta A. Handicap professionnel et psychiatrie. Tunis Med, 1991, 69:45-49.
  17. 17-Chanoit PF, Nasr M. Epidémiologie et prévention des maladies mentales. Ann Med Psychol, 1991, 149, 5.
  18. Kovess V. Epidémiologie et santé mentale. Editions Médecine - Sciences, Flammarion, 1996.
  19. Even C. Cliniques des troubles dépressifs. In : Guelfi J-D, Rouillon F. Manuel de psychiatrie. Paris: Elsevier Masson; 2007. P. 257-265.
  20. Buhl C, Hardy P. Interactions medico-psychiatriques. In: Guelfi JD, Rouillon F. Manuel de psychiatrie. Paris: Elsevier Masson; 2007. P. 314-322
  21. Finkelstein FO, Finkelstein SH. Depression in chronic dialysis patients: assessment and treatment. Nephrol Dial Transplant 2000; 15:1911-3.
  22. Walters BA, Hays RD, Spritzer KL, Fridman M, Carter WB. Health-related quality of life, depressive symptoms, anemia, and malnutrition at hemodialysis initiation. Am J Kidney Dis 2002; 40:1185-94.
  23. Koo JR, Yoon JW, Kim SG et al. Association of depression with malnutrition in chronic hemodialysis patients. Am J Kidney Dis 2003; 41:1037-42.
  24. Jadoulle V, Hoyois P, Jadoul M. Anxiety and depression in chronic haemodialysis: some somatopsychic determinants. Clin Nephrol. 2005; 63: 113-8.
  25. Christensen AJ, Wiebe JS, Smith TW, Turner CW. Predictors of survival among hemodialysis patients: Effect of perceived family support. Health. Psychol., 1994 ; 13:521-525.