Author:
Bazazzadeh Sepehr,Sharbafchi Mohammad Reza,Naeini Maryam Kazemi,Hosseini Sayed Mohsen,Atapour Abdolamir,Mortazavi Mojgan
Abstract
Abstract
Background
End-stage renal disease (ESRD) is serious global public health challenge in many developing countries. Treatment of ESRD is carried out through renal replacement therapy like peritoneal dialysis (PD). Depression is the most common mood disorder which has a strong impact on the quality of life in patients with ESRD. Little is known about the prevalence and risk factors of depression in peritoneal dialysis patients.
Method and materials
A multicenter cross-sectional study was conducted on 164 adult ESRD patients undergoing peritoneal dialysis for at least three months who referred to the peritoneal dialysis centers of Al-Zahra, Noor & Ali Asghar hospitals, Isfahan, Iran from May to August 2019. Beck Depression Inventory Second Edition questionnaire was used to measure the symptoms of depression and its severity.
Results
43.5% of patients had some levels of depression. Assessing the association of depression with demographic and PD-related factors showed that there was no significant difference regarding age, BMI, dialysis adequacy and residual kidney function, dialysis frequency, type of dialysis solution used, disease duration, and age at the start of dialysis. Ordinal logistics regression analysis showed significant association between depression severity categories and gender (OR = 0.397, CI: 0.160–0.985, p = 0.046), marital status (OR = 2.983, CI: 1.180–7.541, p = 0.021), having a separate room for dialysis (OR = 2.511, CI: 1.108–5.692, p = 0.027).
Conclusion
As our findings have revealed 43.5% of our participants suffered from mild-to-severe depression, we suggest careful attention and routine evaluation for depression in PD patients, especially women and single patients and those who have low socioeconomic status.
Publisher
Springer Science and Business Media LLC
Subject
Transplantation,Urology,Nephrology
Reference55 articles.
1. Eggers PW. Has the incidence of end-stage renal disease in the USA and other countries stabilized? Curr Opin Nephrol Hypertens. 2011;20(3):241–5.
2. Okpechi IG, Nthite T, Swanepoel CR. Health-related quality of life in patients on hemodialysis and peritoneal dialysis. Saudi J Kidney Dis Transpl. 2013;24(3):519–26.
3. Afshar R, Sanavi S, Salimi J. Epidemiology of chronic renal failure in Iran: a four year single- center experience. Saudi J Kidney Dis Transpl. 2007;18(2):191–4.
4. Nafar M, Aghighi M, Dalili N, Abedi BA. Perspective of 20 years hemodialysis registry in Iran, on the road to progress. Iran J Kidney Dis. 2020;14(2):95–101.
5. Sayin A, Mutluay RÜ, Sindel S. Quality of life in hemodialysis, peritoneal dialysis, and transplantation patients. In: Transplantation proceedings. Vol. 39, No. 10. Elsevier; 2007 Dec. p. 3047–53.
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