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Related Experiment Videos

Screening for depression while patients dialyse: an evaluation.

Joseph Chilcot1, David Wellsted, Ken Farrington

  • 1Renal Unit, Lister Hospital, Coreys Mill Lane, Stevenage, Hertfordshire, SG1 4AB, UK. josephchilcot@nhs.net

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|March 8, 2008
PubMed
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Screening haemodialysis patients for depression during treatment using the Beck Depression Inventory-II (BDI) is effective. This method can improve detection of depression in this vulnerable population.

Area of Science:

  • Nephrology
  • Psychiatry
  • Clinical Psychology

Background:

  • Depression is under-recognized in the haemodialysis (HD) population due to a lack of routine screening.
  • Screening HD patients during treatment is a potential method to improve detection rates.
  • The optimal screening procedure for depression in HD patients is unclear.

Purpose of the Study:

  • To determine if the Beck Depression Inventory-II (BDI) can be reliably administered to HD patients during their dialysis sessions.
  • To assess the feasibility and validity of on-dialysis depression screening.

Main Methods:

  • Forty HD patients completed the BDI during dialysis and again when off-dialysis.
  • Bland and Altman analysis assessed agreement between on- and off-dialysis BDI scores.

Related Experiment Videos

  • A clinical interview was used alongside the off-dialysis BDI assessment.

    • Main Results:

    • High agreement was found between on- and off-dialysis BDI assessments, though somatic item responses differed.
    • The clinical interview identified 22% of patients meeting DSM-IV criteria for major depressive disorder.
    • An optimal BDI cut-off of >=16 demonstrated 88.9% sensitivity and 87.1% specificity.

    Conclusions:

    • On-dialysis assessment using the BDI is a viable procedure for screening depression in HD patients.
    • This practical screening approach may enhance the detection of depression in the dialysis population.
    • Routine screening during dialysis can improve mental health care for HD patients.