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...
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BMC
2019-05-01
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Online Access: | http://link.springer.com/article/10.1186/s12889-019-6796-z |
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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. |
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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 |
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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 |
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