DASS21: a useful tool in the psychological profile evaluation of dialysis patients

Background: The effect of dialysis treatment is complex, with both clinical and socio-psychological effects. In this study, we aimed to assess the psychological status of this growing population of end-stage renal disease. Methods: Using the Short Form of Depression, Anxiety and Stress Scale (DASS21...

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Main Authors: Liu, Wen Jiun, Musa, Ramli, Chew, Thian Fook, Lim, Christopher Thiam Seong, Morad, Zaki, Bujang, Mohamad Adam
Format: Article
Language:English
Published: Lippincott Williams & Wilkins 2018
Online Access:http://psasir.upm.edu.my/id/eprint/72168/1/DASS21.pdf
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author Liu, Wen Jiun
Musa, Ramli
Chew, Thian Fook
Lim, Christopher Thiam Seong
Morad, Zaki
Bujang, Mohamad Adam
author_facet Liu, Wen Jiun
Musa, Ramli
Chew, Thian Fook
Lim, Christopher Thiam Seong
Morad, Zaki
Bujang, Mohamad Adam
author_sort Liu, Wen Jiun
collection UPM
description Background: The effect of dialysis treatment is complex, with both clinical and socio-psychological effects. In this study, we aimed to assess the psychological status of this growing population of end-stage renal disease. Methods: Using the Short Form of Depression, Anxiety and Stress Scale (DASS21) questionnaire, we aimed (1) to measure the psychological states of hemodialysis (HD) or peritoneal dialysis (PD) subjects from 15 sites, (2) to compare DASS21 scores between HD and PD, and (3) to identify the associated demographic and medical factors of better psychological states. Results: A total of 1,332 were eligible for analysis. Stress (48%) recorded the highest negative emotional states, followed by depression (37%) and anxiety (20%). By multivariate analysis, normal body mass index weight status, religion and absence of coronary artery disease were associated with lower score for depression, anxiety and stress, respectively. Tertiary education was associated with the lowest score in depression and anxiety, whereas HD had a lower score in stress than PD. A younger age was associated with worse DASS21 score of anxiety and stress. Conclusions: Obesity, religion and coronary artery disease were significantly associated with all 3 symptoms of depression, anxiety and stress. Older age has a protective effect on anxiety and stress. Further study is needed to evaluate the relationship between these significant factors and each psychological state.
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spelling upm.eprints-721682020-03-05T06:43:15Z http://psasir.upm.edu.my/id/eprint/72168/ DASS21: a useful tool in the psychological profile evaluation of dialysis patients Liu, Wen Jiun Musa, Ramli Chew, Thian Fook Lim, Christopher Thiam Seong Morad, Zaki Bujang, Mohamad Adam Background: The effect of dialysis treatment is complex, with both clinical and socio-psychological effects. In this study, we aimed to assess the psychological status of this growing population of end-stage renal disease. Methods: Using the Short Form of Depression, Anxiety and Stress Scale (DASS21) questionnaire, we aimed (1) to measure the psychological states of hemodialysis (HD) or peritoneal dialysis (PD) subjects from 15 sites, (2) to compare DASS21 scores between HD and PD, and (3) to identify the associated demographic and medical factors of better psychological states. Results: A total of 1,332 were eligible for analysis. Stress (48%) recorded the highest negative emotional states, followed by depression (37%) and anxiety (20%). By multivariate analysis, normal body mass index weight status, religion and absence of coronary artery disease were associated with lower score for depression, anxiety and stress, respectively. Tertiary education was associated with the lowest score in depression and anxiety, whereas HD had a lower score in stress than PD. A younger age was associated with worse DASS21 score of anxiety and stress. Conclusions: Obesity, religion and coronary artery disease were significantly associated with all 3 symptoms of depression, anxiety and stress. Older age has a protective effect on anxiety and stress. Further study is needed to evaluate the relationship between these significant factors and each psychological state. Lippincott Williams & Wilkins 2018-04 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/72168/1/DASS21.pdf Liu, Wen Jiun and Musa, Ramli and Chew, Thian Fook and Lim, Christopher Thiam Seong and Morad, Zaki and Bujang, Mohamad Adam (2018) DASS21: a useful tool in the psychological profile evaluation of dialysis patients. American Journal of the Medical Sciences, 355 (4). 322 - 330. ISSN 0002-9629; ESSN: 1538-2990 https://www.sciencedirect.com/science/article/abs/pii/S0002962917306468?via%3Dihub 10.1016/j.amjms.2017.11.015
spellingShingle Liu, Wen Jiun
Musa, Ramli
Chew, Thian Fook
Lim, Christopher Thiam Seong
Morad, Zaki
Bujang, Mohamad Adam
DASS21: a useful tool in the psychological profile evaluation of dialysis patients
title DASS21: a useful tool in the psychological profile evaluation of dialysis patients
title_full DASS21: a useful tool in the psychological profile evaluation of dialysis patients
title_fullStr DASS21: a useful tool in the psychological profile evaluation of dialysis patients
title_full_unstemmed DASS21: a useful tool in the psychological profile evaluation of dialysis patients
title_short DASS21: a useful tool in the psychological profile evaluation of dialysis patients
title_sort dass21 a useful tool in the psychological profile evaluation of dialysis patients
url http://psasir.upm.edu.my/id/eprint/72168/1/DASS21.pdf
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