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Current Psychiatry Research and Reviews

Editor-in-Chief

ISSN (Print): 2666-0822
ISSN (Online): 2666-0830

Research Article

The Relation between Preserved Social Support, Resilience (Depression and Anxiety) and Psychiatric Disorders among a Sample of Egyptian Patients on Regular Hemodialysis

Author(s): Ayman Al-Hosainey Abd Al-Maksoud , Ahmed Salama Al-Adl , Amir Fathi Asla , Eshak I. Bahbah *, Doaa Emad, Amal Mokhtar and Mahmoud Mohamed Attia

Volume 15, Issue 3, 2019

Page: [209 - 214] Pages: 6

DOI: 10.2174/2666082215666190917162630

Price: $65

Abstract

Background: Patients on hemodialysis are at a high risk of psychiatric disorders as they face an emotional challenge in addition to physical impairment.

Objective: This study aims to assess the prevalence of depression and anxiety among a sample of patients with end-stage renal disease on regular dialysis, and the effect of resilience and social support on them.

Methods: This cross-sectional study was conducted on 45 patients who had been on hemodialysis for the past three months. Anxiety and depression were assessed with a clinical interview. The severity of depression, perceived social support, and resilience were assessed using the Beck Depression Inventory (BDI), Multi-dimensional Scale of Perceived Social Support (MSPSS), and Resilience Scale, respectively.

Result: The mean age of enrolled patients was 49.2 ± 14.0 years, and the mean duration of hemodialysis was 4.5 ± 3.8 years. The prevalence of depression was 24.4% and that of anxiety was 20%. According to our analysis, 15 (33.3%) patients were diagnosed with minor depression, 6 (13.3%) with mild depression, 14 (31.1%) with moderate depression, and 10 (22.2%) with severe depression. Resilience correlated significantly with a psychiatric diagnosis (p=0.004). Perceived social support was also found to be significantly correlated with a psychiatric diagnosis (p=0.012).

Conclusion: Depression and anxiety are common mental disorders in patients with CKD and are considered as the main determinants of quality of life and death rate. Increasing awareness, early evaluation, and management of depression and anxiety may improve the functional, social, and clinical outcomes of the patients with CKD.

Keywords: Anxiety, depression, end-stage renal disease, dialysis, resilience, chronic kidney disease.

Graphical Abstract
[1]
Coresh J, Byrd-Holt D, Astor BC, et al. Chronic kidney disease awareness, prevalence, and trends among U.S. adults, 1999 to 2000. J Am Soc Nephrol 2005; 16(1): 180-8.
[2]
Sharaf El Din UAA, Salem MM, Abdulazim DO. Stop chronic kidney disease progression: time is approaching. World J Nephrol 2016; 5: 258-73.
[3]
Prasad GVR, Ruzicka M, Burns KD, Tobe SW, Lebel M. Hypertension in dialysis and kidney transplant patients. Can J Cardiol 2009; 25: 309-14.
[4]
Nazar CMJ. Significance of diet in chronic kidney disease. J Nephropharmacol 2013; 2: 37-43.
[5]
Moghadasian S, Sahebi Hagh MH, Hokmabadi AL. Lifestyle of hemodialysis patients in comparison with outpatients. J Caring Sci 2012; 1: 101-7.
[6]
AlDukhayel A. Prevalence of depressive symptoms among hemodialysis and peritoneal dialysis patients. Int J Health Sci 2015; 9(1): 9-16.
[7]
Loosman WL, Rottier MA, Honig A, Siegert CEH. Association of depressive and anxiety symptoms with adverse events in Dutch chronic kidney disease patients: a prospective cohort study. BMC Nephrol 2015; 16: 155.
[8]
Pereira B dos S, Fernandes N da S, de Melo NP, Abrita R. Grincenkov FR dos S, Fernandes NM da S. Beyond quality of life: a cross sectional study on the mental health of patients with chronic kidney disease undergoing dialysis and their caregivers. Health Qual Life Outcomes 2017; 15: 1-10.
[9]
Lee YJ, Kim MS, Cho S, Kim SR. Association of depression and anxiety with reduced quality of life in patients with predialysis chronic kidney disease. Int J Clin Pract 2013; 67(4): 363-8.
[10]
Fischer MJ, Kimmel PL, Greene T, et al. Sociodemographic factors contribute to the depressive affect among African Americans with chronic kidney disease. Kidney Int 2010; 77(11): 1010-9.
[11]
Chen C-K, Tsai Y-C, Hsu H-J, et al. Depression and suicide risk in hemodialysis patients with chronic renal failure. Psychosomatics 2010; 51(6): 528-28.
[12]
Cukor D, Coplan J, Brown C, Peterson RA, Kimmel PL. Course of depression and anxiety diagnosis in patients treated with hemodialysis: a 16-month follow-up. Clin J Am Soc Nephrol 2008; 3(6): 1752-8.
[13]
Cukor D, Coplan J, Brown C, et al. Depression and anxiety in urban hemodialysis patients. Clin J Am Soc Nephrol 2007; 2(3): 484-90.
[14]
Hjemdal O, Vogel PA, Solem S, Hagen K, Stiles TC, Wiley J. The relationship between resilience and levels of anxiety, depression, and obsessive-compulsive symptoms in adolescents. Clin Psychol Psychother 2011; 18(4): 314-21.
[15]
Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988; 56(6): 893-7.
[16]
Mostafa E. Resilience Score. The Anglo - Egyptian Library 2015.
[17]
Wongpakaran T, Wongpakaran N, Ruktrakul R. Reliability and validity of the Multidimensional Scale of Perceived Social Support (MSPSS): Thai version. Clin Pract Epidemiol Ment Health 2011; 7: 161-6.
[18]
Palmer S, Vecchio M, Craig JC, et al. Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies. Kidney Int 2013; 84: 179-91.
[19]
Murtagh FEM, Addington-Hall J, Higginson IJ. The prevalence of symptoms in end-stage renal disease: a systematic review. Adv Chronic Kidney Dis 2007; 14: 82-99.
[20]
Stasiak CES, Bazan KS, Kuss RS, Schuinski AFM, Baroni G. Prevalence of anxiety and depression and its comorbidities in patients with chronic kidney disease on hemodialysis and peritoneal dialysis. J Bras Nefrol 2014; 325-31.
[21]
Donia AF, Zaki NF, Elassy M, Elbahaey W. Study of depression and quality of life among hemodialysis patients: an Egyptian experience. Int Urol Nephrol 2015; 47: 1855-62.
[22]
Tsai Y-C, Chiu Y-W, Hung C-C, et al. Association of symptoms of depression with progression of CKD. Am J Kidney Dis 2012; 60: 54-61.
[23]
Rebollo RA, Morales AJM, Eugenia PRM. Depression, anxiety and health-related quality of life amongst patients who are starting dialysis treatment. Ren Care 2017; 43: 73-82.
[24]
Shafi ST, Shafi T. A comparison of anxiety and depression between pre-dialysis chronic kidney disease patients and hemodialysis patients using hospital anxiety and depression scale. Pakistan J Med Sci 2017; 33: 876-80.
[25]
Moreira JM, Bouissou MSCM, Teixeira AL, e Silva SAC, Kummer AM. Anxiety, depression, resilience and quality of life in children and adolescents with pre-dialysis chronic kidney disease. Pediatr Nephrol 2015; 30: 2153-62.
[26]
Berman E, Merz JF, Rudnick M, et al. Religiosity in a hemodialysis population and its relationship to satisfaction with medical care, satisfaction with life, and adherence. Am J Kidney Dis 2004; 44: 488-97.
[27]
Bonelli RM, Koenig HG. Mental disorders, religion and spirituality 1990 to 2010: a systematic evidence-based review. J Relig Health 2013; 52: 657-73.
[28]
Ramirez SP, Macêdo DS, Sales PMG, et al. The relationship between religious coping, psychological distress and quality of life in hemodialysis patients. J Psychosom Res 2012; 72: 129-35.
[29]
Liu J, Gong D, Zeng Y, Li Z, Kong C. Positive factors associated with quality of life among Chinese patients with renal carcinoma: A cross-sectional study. Psychol Health Med 2018; 23: 106-13.
[30]
de Medeiros FCMM, Arantes EP, Tajra RD de P, Santiago HR, Carvalho AF, Libório AB. Resilience, religiosity and treatment adherence in hemodialysis patients: A prospective study. Psychol Health Med 2017; 22: 570-7.
[31]
Alexopoulou M, Giannakopoulou N, Komna E, Alikari V, Toulia G, Polikandrioti M. The effect of perceived social support on hemodialysis patients’ quality of life. Mater Sociomed 2016; 28: 338-42.
[32]
Plantinga LC, Fink NE, Harrington-Levey R, et al. Association of social support with outcomes in incident dialysis patients. Clin J Am Soc Nephrol 2010; 5: 1480-8.
[33]
Ahrari S, Moshki M, Bahrami M. The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. J Caring Sci 2014; 3: 11-9.
[34]
Lilympaki I, Makri A, Vlantousi K, Koutelekos I, Babatsikou F, Polikandrioti M. Effect of perceived social support on the levels of anxiety and depression of hemodialysis patients. Mater Sociomed 2016; 28: 361-5.
[35]
Muhammad K, Naeem A, Saadia A. Perceived social support and death anxiety among patients with chronic diseases. Pak J Med Res 2013; 52: 75-9.

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