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Association of depression and urolithiasis
Jordan Angell1, Michael Bryant, Hukang Tu
1Department of Urology and Rollins School of Public Health, Emory University School of Medicine, Atlanta, Georgia 30322, USA. jangell@emory.edu
Urology
|December 6, 2011
Summary
Patients with urolithiasis experience significantly higher depression rates than the general population. Factors like family history and recent stone episodes increase psychological distress, highlighting a need for integrated care.
Area of Science:
- Nephrology
- Psychiatry
- Urology
Background:
- Urolithiasis (kidney stones) is a recurrent condition.
- Chronic urolithiasis can negatively impact quality of life and mental health.
- Depression prevalence in urolithiasis patients warrants investigation.
Purpose of the Study:
- To test if urolithiasis patients have higher depression rates than the general population.
- To identify factors associated with depression in urolithiasis patients.
Main Methods:
- Prospective study of 115 urolithiasis patients.
- Utilized Emory stone and CES-D depression questionnaires.
- Compared patient depression scores to U.S. population norms.
Main Results:
- 30.4% of urolithiasis patients showed significant depression (CES-D ≥ 16), vs. 16.5% in the U.S. population.
- Family history, recent stone episodes, and multiple ER visits correlated with higher depression.
- Lower comorbidity index (Charlson ≤ 1) was linked to increased depression.
Conclusions:
- Urolithiasis patients exhibit a substantially higher prevalence of depression.
- Stone-related factors are associated with significant psychological distress.
- Addressing depression is crucial for comprehensive urolithiasis patient care.
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