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[Anxiety disorders in dialysis patients]
1Medicinski fakultet Foca. milanov@spinter.net
Medicinski Pregled
|February 13, 2008
Summary
Anxiety is prevalent in all chronic hemodialysis patients, affecting those with Balkan Endemic Nephropathy and other renal conditions. This mental health burden, including depression and cognitive issues, can lead to pre-suicidal risk.
Area of Science:
- Nephrology
- Psychiatry
- Epidemiology
Context:
- Chronic hemodialysis is associated with significant psychological distress.
- Anxiety is a common comorbidity in patients with end-stage renal disease.
- Balkan Endemic Nephropathy (BEN) represents a specific group of patients with renal insufficiency.
Purpose:
- To investigate the prevalence and characteristics of anxiety in chronic hemodialysis patients.
- To compare anxiety levels between patients with Balkan Endemic Nephropathy (BEN) and other causes of renal insufficiency (N18).
- To assess the relationship between anxiety, depression, and general mental health status in this population.
Summary:
- A cross-sectional study of 753 hemodialysis patients in Bosnia and Herzegovina revealed significant differences in socio-demographic factors and mental health between BEN and N18 groups.
- Beck Anxiety Inventory and Hamilton Depression Rating Scale scores were significantly higher in the BEN group, indicating greater anxiety and depression.
- Mental health assessments showed somatization, general anxiety, depression, and cognitive impairment in dialysis patients, with structured anxiety and depression correlating with pre-suicidal risk.
Impact:
- Highlights the high prevalence of anxiety and depression in hemodialysis patients.
- Underscores the need for integrated mental health care in nephrology settings.
- Suggests that early identification and management of psychological distress can mitigate risks, including pre-suicidal behavior.
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