MVP Journal of Medical Sciences

Study of Psychiatric Morbidity among Patients with End-Stage Renal Disease Receiving Haemodialysis in a Tertiary Health Care Institute


Affiliations

  • Dr. Vasantrao Pawar Medical College and Research Centre, Department of Psychiatry, Nashik, Maharashtra, 422003, India
  • Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Department of Psychiatry, Nashik, Maharashtra, 422003, India

Abstract

Background: There has been an increase in the global burden of chronic kidney disease. India especially has to face the brunt of this problem due to factors such as increased life expectancy and a recent epidemic of type-2 diabetes mellitus. Patients with End Stage Renal Disease (ESRD), have to depend on renal replacement therapy for their survival. ESRD is a multifaceted problem having medical and psychological consequences. Psychiatric problems like depression and anxiety are especially common among ESRD patients being treated with haemodialysis. A presence of psychopathology among these patients is associated with poor outcome. Aim: The aim of this study was to find out the prevalence of psychiatric illness among ESRD patients who are being treated with haemodialysis. Setting and Design: A cross sectional study was conducted in a haemodialysis unit of a tertiary health care institute. Material and Method: Seventy four ESRD patients on maintenance haemodialysis were selected. They were interviewed using a special proforma and screened using the Mini –international Neuropsychiatry interview English Version 6.0.0. Statistical Analysis Used: The data was analysed using SPSS version 19 & EPI INFO software. Result: Psychopathology was found in 52.70% of the study population. Depression was the most common psychiatric illness found followed by generalized anxiety disorder. Conclusion: Patients on haemodialysis should be routinely screened for psychological disturbances and psychiatric morbidity to diagnose underlying mental illness.

Keywords

Psychiatric morbidity, End Stage Renal Disease (ESRD), Haemodialysis

Subject Discipline

Hematology

Full Text:

References

Bargman J, Skorecki K. Chronic kidney disease. In: Lango D, editor. Harrison’s principle of internal medicine. 18th ed.McGraw-Hill; 2012. p. 2308–21.

Levy NB. Psychological reactions to machine dependency: hemodialysis. Psychiatr Clin North Am. 1981 Aug; 4(2):351–63. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/7024938 PMid:7024938.

Kimmel PL. Psychosocial factors in dialysis patients. Kidney Int. 2001 Apr; 59(4):1599–613. Available from: http:// dx.doi.org/10.1046/j.1523-1755.2001.0590041599.x https:// doi.org/10.1046/j.1523-1755.2001.0590041599.x.

Chilcot J, Wellsted D, Da Silva-Gane M, Farrington K. Depression on dialysis. nephron clin pract. 2008; 108(4):c256–64. Available from: http://www.karger.com/ doi/10.1159/000124749.

Aghanwa HS, Morakinyo O. Psychiatric complications of hemodialysis at a kidney center in Nigeria. J Psychosom Res.1997 May 1; 42(5):445–51. Available from: https://www.researchgate.net/publication/14025296_Psychiatric_Complications_ of_Haemodialysis_at_a_Kidney_Centre_in_Nigeria https://doi.org/10.1016/S0022-3999(96)00360-1.

Chen C-K, Tsai Y-C, Hsu H-J, Wu I-W, Sun C-Y, Chou C-C, et al. Depression and suicide risk in hemodialysis patients with chronic renal failure. Psychosomatics. Jan; 51(6):528–528e6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21051686.

Cukor D, Rosenthal DS, Jindal RM, Brown CD, Kimmel PL.Depression is an important contributor to low medication adherence in hemodialyzed patients and transplant recipients.Kidney Int. 2009 Jun; 75(11):1223–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19242502 https:// doi.org/10.1038/ki.2009.51 PMid:19242502.

International M, Interview N. M.i.n.i. 2006; 0:1–27.

AlDukhayel A. Prevalence of depressive symptoms among hemodialysis and peritoneal dialysis patients. Int J Health Sci (Qassim). 2015 Jan; 9(1):9–16. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid= 4394933&tool=pmcentrez&rendertype=abstracthttps://doi.org/10.12816/0024678.10.

Diale NNN, Mamadou SO, Aida S, Habib TM, Boucar D. Factors related to depression in patients undergoing hemodialysis due to renal failure in Senegal.Psychology. 2015; 6(4):409–14. Available from: http:// ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference& D=psyc11&NEWS=N&AN=2015-14791-011https://doi.org/10.4236/psych.2015.64038

Pramiladevi R, SM G, Kora S. Depression in Patients on Haemodialysis in Bagalkot. Medica Innov. 2012; 1(2).

Sanathan SR, Bharathan V, Alla P, Madhuri S. Depressive Symptoms in Chronic Kidney Disease Patients on Maintenance Hemodialysis. World Journal of Pharmacy and Pharmaceutical Sciences 2014; 3(8):535–48.

Khaira A, Mahajan S, Khatri P, Bhowmik D, Gupta S, Agarwal SK. Depression and marital dissatisfaction among Indian hemodialysis patients and their spouses: A cross-sectional Study. Ren Fail. 2012 Jan; 34(3):316–22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22263897 https:// doi.org/10.3109/0886022X.2011.647291 PMid:22263897.

Patel ML, Sachan R, Nischal A. Anxiety and depression- A suicidal risk in patients with chronic renal failure on maintenance hemodialysis. International Journal of Scientific and Research Publications. 2012; 2(3):1–6. https://doi.org/10.15373/22778179/OCT2013/105.


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