Prevalence and predictors of depression among hemodialysis patients: a prospective follow-up study

Abstract Background Even 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 wa...

Full description

Bibliographic Details
Main Authors: Amjad Khan, Amer Hayat Khan, Azreen Syazril Adnan, Syed Azhar Syed Sulaiman, Saima Mushtaq
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-6796-z
_version_ 1828756818981027840
author Amjad Khan
Amer Hayat Khan
Azreen Syazril Adnan
Syed Azhar Syed Sulaiman
Saima Mushtaq
author_facet Amjad Khan
Amer Hayat Khan
Azreen Syazril Adnan
Syed Azhar Syed Sulaiman
Saima Mushtaq
author_sort Amjad Khan
collection DOAJ
description Abstract Background Even 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. Methods A 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. Results Two 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. Conclusions Depression 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.
first_indexed 2024-12-10T23:23:18Z
format Article
id doaj.art-b35e5cedb63442c1ac2ab2c628f7f5d7
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-12-10T23:23:18Z
publishDate 2019-05-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-b35e5cedb63442c1ac2ab2c628f7f5d72022-12-22T01:29:39ZengBMCBMC Public Health1471-24582019-05-0119111310.1186/s12889-019-6796-zPrevalence and predictors of depression among hemodialysis patients: a prospective follow-up studyAmjad Khan0Amer Hayat Khan1Azreen Syazril Adnan2Syed Azhar Syed Sulaiman3Saima Mushtaq4Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains MalaysiaDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains MalaysiaChronic Kidney Disease Resource Centre, School of Medical Sciences, Health Campus, Universiti Sains MalaysiaDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains MalaysiaHealth Care Biotechnology Department, Atta ur Rahman School of Applied Biosciences, National University of Science & TechnologyAbstract Background Even 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. Methods A 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. Results Two 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. Conclusions Depression 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.http://link.springer.com/article/10.1186/s12889-019-6796-zDepressionHADSHemodialysisHypertension
spellingShingle Amjad Khan
Amer Hayat Khan
Azreen Syazril Adnan
Syed Azhar Syed Sulaiman
Saima Mushtaq
Prevalence and predictors of depression among hemodialysis patients: a prospective follow-up study
BMC Public Health
Depression
HADS
Hemodialysis
Hypertension
title Prevalence and predictors of depression among hemodialysis patients: a prospective follow-up study
title_full Prevalence and predictors of depression among hemodialysis patients: a prospective follow-up study
title_fullStr Prevalence and predictors of depression among hemodialysis patients: a prospective follow-up study
title_full_unstemmed Prevalence and predictors of depression among hemodialysis patients: a prospective follow-up study
title_short Prevalence and predictors of depression among hemodialysis patients: a prospective follow-up study
title_sort prevalence and predictors of depression among hemodialysis patients a prospective follow up study
topic Depression
HADS
Hemodialysis
Hypertension
url http://link.springer.com/article/10.1186/s12889-019-6796-z
work_keys_str_mv AT amjadkhan prevalenceandpredictorsofdepressionamonghemodialysispatientsaprospectivefollowupstudy
AT amerhayatkhan prevalenceandpredictorsofdepressionamonghemodialysispatientsaprospectivefollowupstudy
AT azreensyazriladnan prevalenceandpredictorsofdepressionamonghemodialysispatientsaprospectivefollowupstudy
AT syedazharsyedsulaiman prevalenceandpredictorsofdepressionamonghemodialysispatientsaprospectivefollowupstudy
AT saimamushtaq prevalenceandpredictorsofdepressionamonghemodialysispatientsaprospectivefollowupstudy