Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study.
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFOP |
Texto Completo: | http://www.repositorio.ufop.br/handle/123456789/12140 https://doi.org/10.1590/1516-3180.2018.0272280119 |
Resumo: | BACKGROUND: Depression and anxiety are the most prevalent psychological disorders among end-stage renal disease patients and are associated with various conditions that result in poorer health outcomes, e.g. reduced quality of life and survival. We aimed to investigate the prevalences of depression and anxiety among patients undergoing renal replacement therapy. DESIGN AND SETTING: Cross-sectional study in Belo Horizonte, Brazil. METHODS: Patients’ depression and anxiety levels were assessed using the Beck Inventory. The independent variables were the 36-Item Short-Form Health Survey (SF-36), Charlson Comorbidity Index and Global Subjective Assessment, along with sociodemographic and clinical characteristics. RESULTS: 205 patients were included. Depression and anxiety symptoms were detected in 41.7% and 32.3% of dialysis patients and 13.3% and 20.3% of transplantation patients, respectively. Lower SF-36 mental summary scores were associated with depression among transplantation patients (odds ratio, OR: 0.923; 95% confidence interval, CI: 0.85-0.99; P = 0.03) and dialysis patients (OR: 0.882; 95% CI: 0.83-0.93; P ≤ 0.001). Physical component summary was associated with depression among dialysis patients (OR: 0.906; 95% CI: 0.85-0.96; P = 0.001). Loss of vascular access (OR: 3.672; 95% CI: 1.05-12.78; P = 0.04), comorbidities (OR: 1.578; 95% CI: 1.09-2.27; P = 0.01) and poorer SF-36 mental (OR: 0.928; 95% CI: 0.88-0.97; P = 0.002) and physical (OR: 0.943; 95% CI: 0.89-0.99; P = 0.03) summary scores were associated with anxiety among dialysis patients. CONCLUSIONS: Depression and anxiety symptoms occurred more frequently among patients undergoing dialysis. Quality of life, comorbidities and loss of vascular access were associated factors. |
id |
UFOP_3fad3f60a2bf3c5305a48dd01f0d0e4a |
---|---|
oai_identifier_str |
oai:localhost:123456789/12140 |
network_acronym_str |
UFOP |
network_name_str |
Repositório Institucional da UFOP |
repository_id_str |
3233 |
spelling |
Brito, Daniela Cristina Sampaio deMachado, Elaine LeandroReis, Ilka AfonsoCarmo, Lilian Pires de Freitas doCherchiglia, Mariângela Leal2020-05-04T15:36:50Z2020-05-04T15:36:50Z2019BRITO, D. C. S. et al. Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study. São Paulo Medical Jornal, v. 137,n. 2, p. 137-147, jul. 2019. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000200137&tlng=en>. Acesso em: 10 fev. 2020.1806-9460http://www.repositorio.ufop.br/handle/123456789/12140https://doi.org/10.1590/1516-3180.2018.0272280119BACKGROUND: Depression and anxiety are the most prevalent psychological disorders among end-stage renal disease patients and are associated with various conditions that result in poorer health outcomes, e.g. reduced quality of life and survival. We aimed to investigate the prevalences of depression and anxiety among patients undergoing renal replacement therapy. DESIGN AND SETTING: Cross-sectional study in Belo Horizonte, Brazil. METHODS: Patients’ depression and anxiety levels were assessed using the Beck Inventory. The independent variables were the 36-Item Short-Form Health Survey (SF-36), Charlson Comorbidity Index and Global Subjective Assessment, along with sociodemographic and clinical characteristics. RESULTS: 205 patients were included. Depression and anxiety symptoms were detected in 41.7% and 32.3% of dialysis patients and 13.3% and 20.3% of transplantation patients, respectively. Lower SF-36 mental summary scores were associated with depression among transplantation patients (odds ratio, OR: 0.923; 95% confidence interval, CI: 0.85-0.99; P = 0.03) and dialysis patients (OR: 0.882; 95% CI: 0.83-0.93; P ≤ 0.001). Physical component summary was associated with depression among dialysis patients (OR: 0.906; 95% CI: 0.85-0.96; P = 0.001). Loss of vascular access (OR: 3.672; 95% CI: 1.05-12.78; P = 0.04), comorbidities (OR: 1.578; 95% CI: 1.09-2.27; P = 0.01) and poorer SF-36 mental (OR: 0.928; 95% CI: 0.88-0.97; P = 0.002) and physical (OR: 0.943; 95% CI: 0.89-0.99; P = 0.03) summary scores were associated with anxiety among dialysis patients. CONCLUSIONS: Depression and anxiety symptoms occurred more frequently among patients undergoing dialysis. Quality of life, comorbidities and loss of vascular access were associated factors.This is an open access article distributed under the terms of the Creative Commons license. Fonte: o próprio artigo.info:eu-repo/semantics/openAccessQuality of lifeRenal replacement therapyDepression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da UFOPinstname:Universidade Federal de Ouro Preto (UFOP)instacron:UFOPLICENSElicense.txtlicense.txttext/plain; charset=utf-8924http://www.repositorio.ufop.br/bitstream/123456789/12140/2/license.txt62604f8d955274beb56c80ce1ee5dcaeMD52ORIGINALARTIGO_DepressionAnxietyPatients.pdfARTIGO_DepressionAnxietyPatients.pdfapplication/pdf177371http://www.repositorio.ufop.br/bitstream/123456789/12140/1/ARTIGO_DepressionAnxietyPatients.pdfae009a6825190363288999e2b19c83b1MD51123456789/121402020-05-04 11:36:50.258oai:localhost: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ório InstitucionalPUBhttp://www.repositorio.ufop.br/oai/requestrepositorio@ufop.edu.bropendoar:32332020-05-04T15:36:50Repositório Institucional da UFOP - Universidade Federal de Ouro Preto (UFOP)false |
dc.title.pt_BR.fl_str_mv |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. |
title |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. |
spellingShingle |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. Brito, Daniela Cristina Sampaio de Quality of life Renal replacement therapy |
title_short |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. |
title_full |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. |
title_fullStr |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. |
title_full_unstemmed |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. |
title_sort |
Depression and anxiety among patients undergoing dialysis and kidney transplantation : a cross-sectional study. |
author |
Brito, Daniela Cristina Sampaio de |
author_facet |
Brito, Daniela Cristina Sampaio de Machado, Elaine Leandro Reis, Ilka Afonso Carmo, Lilian Pires de Freitas do Cherchiglia, Mariângela Leal |
author_role |
author |
author2 |
Machado, Elaine Leandro Reis, Ilka Afonso Carmo, Lilian Pires de Freitas do Cherchiglia, Mariângela Leal |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Brito, Daniela Cristina Sampaio de Machado, Elaine Leandro Reis, Ilka Afonso Carmo, Lilian Pires de Freitas do Cherchiglia, Mariângela Leal |
dc.subject.por.fl_str_mv |
Quality of life Renal replacement therapy |
topic |
Quality of life Renal replacement therapy |
description |
BACKGROUND: Depression and anxiety are the most prevalent psychological disorders among end-stage renal disease patients and are associated with various conditions that result in poorer health outcomes, e.g. reduced quality of life and survival. We aimed to investigate the prevalences of depression and anxiety among patients undergoing renal replacement therapy. DESIGN AND SETTING: Cross-sectional study in Belo Horizonte, Brazil. METHODS: Patients’ depression and anxiety levels were assessed using the Beck Inventory. The independent variables were the 36-Item Short-Form Health Survey (SF-36), Charlson Comorbidity Index and Global Subjective Assessment, along with sociodemographic and clinical characteristics. RESULTS: 205 patients were included. Depression and anxiety symptoms were detected in 41.7% and 32.3% of dialysis patients and 13.3% and 20.3% of transplantation patients, respectively. Lower SF-36 mental summary scores were associated with depression among transplantation patients (odds ratio, OR: 0.923; 95% confidence interval, CI: 0.85-0.99; P = 0.03) and dialysis patients (OR: 0.882; 95% CI: 0.83-0.93; P ≤ 0.001). Physical component summary was associated with depression among dialysis patients (OR: 0.906; 95% CI: 0.85-0.96; P = 0.001). Loss of vascular access (OR: 3.672; 95% CI: 1.05-12.78; P = 0.04), comorbidities (OR: 1.578; 95% CI: 1.09-2.27; P = 0.01) and poorer SF-36 mental (OR: 0.928; 95% CI: 0.88-0.97; P = 0.002) and physical (OR: 0.943; 95% CI: 0.89-0.99; P = 0.03) summary scores were associated with anxiety among dialysis patients. CONCLUSIONS: Depression and anxiety symptoms occurred more frequently among patients undergoing dialysis. Quality of life, comorbidities and loss of vascular access were associated factors. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019 |
dc.date.accessioned.fl_str_mv |
2020-05-04T15:36:50Z |
dc.date.available.fl_str_mv |
2020-05-04T15:36:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
BRITO, D. C. S. et al. Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study. São Paulo Medical Jornal, v. 137,n. 2, p. 137-147, jul. 2019. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000200137&tlng=en>. Acesso em: 10 fev. 2020. |
dc.identifier.uri.fl_str_mv |
http://www.repositorio.ufop.br/handle/123456789/12140 |
dc.identifier.issn.none.fl_str_mv |
1806-9460 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1590/1516-3180.2018.0272280119 |
identifier_str_mv |
BRITO, D. C. S. et al. Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study. São Paulo Medical Jornal, v. 137,n. 2, p. 137-147, jul. 2019. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000200137&tlng=en>. Acesso em: 10 fev. 2020. 1806-9460 |
url |
http://www.repositorio.ufop.br/handle/123456789/12140 https://doi.org/10.1590/1516-3180.2018.0272280119 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFOP instname:Universidade Federal de Ouro Preto (UFOP) instacron:UFOP |
instname_str |
Universidade Federal de Ouro Preto (UFOP) |
instacron_str |
UFOP |
institution |
UFOP |
reponame_str |
Repositório Institucional da UFOP |
collection |
Repositório Institucional da UFOP |
bitstream.url.fl_str_mv |
http://www.repositorio.ufop.br/bitstream/123456789/12140/2/license.txt http://www.repositorio.ufop.br/bitstream/123456789/12140/1/ARTIGO_DepressionAnxietyPatients.pdf |
bitstream.checksum.fl_str_mv |
62604f8d955274beb56c80ce1ee5dcae ae009a6825190363288999e2b19c83b1 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFOP - Universidade Federal de Ouro Preto (UFOP) |
repository.mail.fl_str_mv |
repositorio@ufop.edu.br |
_version_ |
1793531357690855424 |