[Anxiety and depression in emodialysis]

The patients in terminal uremia show anxiety and depression correlate with anagraphic and dialytic age, here evidenced trought the Hospital Anxiety and Depression Scale (HADS). In a cohort of 120 patients, only 100 have been selected, because of incompatibility (11.6%) or refusal (5%). The pool composed of 100 patients (59 men, 41 women; mean age of 70.8±12.07 years; 30% mean age of 74.27±3.12 and mean time on dialysis of 55.03±70.12 months, was treated with Bicarbonate High Flux, Hemodialysis Filtration(HDF), Hemofiltration Replacement (HFR), Acetate Free Hemofiltration (AFB), in Ultrapure, 40% in dialysis <24 months. Analyzing the data, the 58% (25% men, 33% women) presented level of anxiety and depression of IV° Likert, versus 16.6% of the general population. The correlation of variables indicates that among the patients under HD, the increase of anagraphyc age correlates with an increase at IV° of anxiety and depression, seen in 36% of patients with a mean age of 78.61± 5.95 (19% men, 17% women) and in 22% of patients with a mean age of 59.22± 8.43 (7% men, 15% women). Considering the dialytic time, the IV° itself correlates with patients under treatment <2 years, regardless for age. In fact 22% of these patients (8% man, 14% women - mean age of 69.31± 8.40) present a level of anxiety and depression worst than the population in longer treatment (87.36± 16.36 months), who instead represent 10% of the sample (3% men, 7% women -mean age 72.2± 11.24). This data can be read as a psychosomatic adaptation, but anymore as a consequence of the improvement of cenesthesy due to a personalized haemodialysis.