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Depersonalization in Balkan endemic nephropathy.
Milan Novaković1, Dragan Babić, Natasa Pejanović
1Department for Psychiatry, Faculty of Medicine, Foca, Bosnia and Herzegovina. milanov@rstel.net
Medicinski Arhiv
|July 17, 2007
Summary
Depersonalization and derealization were confirmed in patients with Balkan endemic nephropathy (BEN) undergoing dialysis. These psychological conditions were observed at rates of 3.50% and 3.75% respectively in the BEN group.
Area of Science:
- Nephrology
- Psychiatry
- Endocrinology
Background:
- Balkan endemic nephropathy (BEN) is a serious kidney disease affecting populations in endemic regions.
- Dialysis patients often experience psychological distress, including depersonalization and derealization.
Purpose of the Study:
- To investigate the prevalence of depersonalization and derealization in patients with BEN undergoing dialysis.
- To compare these psychological symptoms between BEN patients and other dialysis patients in Bosnia and Herzegovina.
Main Methods:
- A comparative, cross-sectional study was conducted from 2000 to 2006.
- 753 dialysis patients were analyzed, divided into BEN (N=348) and control (N=18) groups.
- Psychological assessments included the Eizenck Personality Questionnaire, Hamilton Depression Rating Scale, and Mini-Mental State Examination.
Main Results:
- Depersonalization occurred in 3.50% of BEN patients, derealization in 3.75%, and both in 1.19%.
- Depersonalization was present in 3.32% of the control group.
- Regression analysis indicated an 87.5% prediction rate for depersonalization.
Conclusions:
- Depersonalization and derealization are present in dialysis patients with BEN.
- The prevalence rates were 3.50% for depersonalization and 3.57% for derealization in the BEN group.
- Depersonalization can be predicted with 87.50% accuracy in these patients.
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