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Published on: October 2, 2020

Depression in chronic haemodialysed patients

Yong-Shing Chen1, San-Chiang Wu, Shiang-Yaw Wang

  • 1Department of Psychiatry, Kaohsiung Municipal United Hospital, Kaohsiung, Taiwan.

Nephrology (Carlton, Vic.)
|March 12, 2004
PubMed

Insights

Depression in chronic haemodialysis patients stems from psychosocial issues, not physical conditions. Addressing underlying disease and job status is key to improving mental well-being for these individuals.

Area of Science:

  • Nephrology
  • Psychiatry
  • Public Health

Background:

  • Chronic haemodialysis patients often experience clinical depression.
  • Understanding the contributing factors to depression in this population is crucial for effective management.

Purpose of the Study:

  • To investigate the prevalence and factors associated with clinical depression among chronic stable haemodialysed patients.
  • To differentiate between physical and psychosocial contributors to depression in this cohort.

Main Methods:

  • A cohort of 108 chronic stable haemodialysed patients were assessed for depression using The Taiwanese Depression Questionnaire (TDQ).
  • Analysis focused on three dimensions: affective change, somatic complaint, and cognitive disturbance.
  • Patients were categorized based on TDQ scores (cut-off > 19) and compared regarding underlying diseases, job status, nutrition, and toxin removal indexes.

Main Results:

  • 33.4% of patients exhibited depression scores above the cut-off value.
  • Diabetic patients and the elderly reported higher depression and somatic complaint scores, respectively.
  • No significant differences in nutrition or toxin removal indexes were observed between depressed and non-depressed groups.
  • Underlying disease and employment status were identified as major differentiating factors.

Conclusions:

  • Depression in chronic haemodialysed patients is primarily linked to psychosocial factors rather than physical conditions.
  • The findings highlight the need for targeted psychosocial support interventions for haemodialysis patients.
  • Addressing underlying disease and employment challenges may mitigate depression in this patient group.

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