ABSTRACT
Introduction: Chronic Kidney Disease (CKD) is emergingas an important chronic disease globally. In India, it isestimated that prevalence of CKD is around 15 -20%. Patientswith CKD are prone to develop psychiatric illness likedepression, anxiety, insomnia and even psychosis. Multiplefactors contribute to the risk of psychiatric morbidity inCKD. Psychiatric morbidity in CKD is associated withpoor adherence and outcome. Study aimed to determine theassociation of psychiatric morbidity in CKD with factors likesocial support, functional ability, cognitive functioning and itsimpact on treatment adherence in chronic kidney disease.Material and methods: Cross sectional study, conductedin department of nephrology, Kilpauk Medical College for6 months from February 2017 to August 2017. Consentingpatients in the age group of 18 – 60 years, diagnosed tohave CKD by consultant nephrologist and on varioustreatment modalities (conservative treatment, hemodialysis,renal transplantation) were included in this study. Patientsdiagnosed to have mental illness prior to the onset of CKDwere excluded.Results: A total of 110 patients consented to participate in thestudy. Of these, 36.4% (n=40) were in conservative treatment,31.8% (n= 35) were in hemodialysis, 31.8% (n=35) were postrenal transplant patients.Conclusion: Treatment adherence, social support systemand functional ability were better for patients on postrenal transplantation than either conservative treatment orhemodialysis