Depression, Anxiety, Activities of Daily Living, and Quality of Life Scores in Patients Undergoing Renal Replacement Therapies

Alavi, N.M. and Aliakbarzadeh, Z. and Sharifi, Kh. (2009) Depression, Anxiety, Activities of Daily Living, and Quality of Life Scores in Patients Undergoing Renal Replacement Therapies. Transplantation Proceedings, 41 (9). pp. 3693-3696.

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The aim of this study was to investigate anxiety, depression, quality of life (QOL), and activities of daily living (ADL) among our hemodialysis and renal transplant subjects. Psychological disorders were prevalent among patients with end-stage renal disease (ESRD), adversely affecting QOL and ADL. All patients �18 years under renal replacement therapy were asked to participate in the study. Patients completed 4 questionnaires including the Symptom Checklist-90 subscales of depression and anxiety, the Nottingham Extended ADL scale, and the Duke Health Profile questionnaire. We examined a total of 100 transplant and 63 hemodialysis patients. Transplant patients were significantly younger, better educated, and with lower morbidity than the hemodialysis patients. Transplant patients also showed less depression and anxiety as well as better ADL and physical health. Of the variance in anxiety scores, 12.2 was explained by gender and the presence of cardiac disease (P = .022). For depression, replacement therapy and gender explained 16.4 of the variance (P = .004). Replacement therapy accounted for 35.3 of the variance of the ADL score (P < .001), while together with the additional factors of age, gender, and education these 52.8 (P = .007) was accounted for. For the general health score, gender, and cardiac disease explained 11.6 of the variance (P < .001). This study demonstrated that depression and anxiety are more prevalent among hemodialysis patients compared with kidney transplant subjects; the method of treatment was a major contributor to the variance in ADL and depression scores among ESRD patients. © 2009 Elsevier Inc. All rights reserved.

Item Type: Article
Additional Information: cited By 26
Uncontrolled Keywords: adult; anxiety; article; comparative study; controlled study; daily life activity; depression; education; female; gender; health; heart disease; hemodialysis; human; kidney failure; major clinical study; male; mental disease; morbidity; priority journal; quality of life index; questionnaire; rating scale; renal replacement therapy; scoring system; Symptom Checklist 90, Activities of Daily Living; Adult; Aged; Anxiety; Cross-Sectional Studies; Depression; Female; Humans; Kidney Failure, Chronic; Kidney Transplantation; Leisure Activities; Male; Marital Status; Middle Aged; Quality of Life; Questionnaires; Regression Analysis; Renal Dialysis
Subjects: Medicine
Divisions: Faculty of Nursing & Midwifery > Department of Nursing - Medical Surgical
Depositing User: editor . 2
Date Deposited: 08 Jan 2017 16:22
Last Modified: 07 Jun 2017 13:36

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