Relationship between anxiety, depression, psychological well- being and quality of life in diabetic patients having Haemodialysis

ABSTRACT

To assess the relationship between anxiety, depression, psychological well-being and their association with quality of life in diabetics having haemodilysis due to renal failure and those without haemodilysis.Cross-sectional comparative study. The study was conducted at the inpatient department of Nephrology, Pakistan Institute of Medical Sciences, Islamabad from March 2005 to June 2005.The sample consisted of 60 diabetic patients selected through non-probability convenient sampling technique, whereby 30 patients had haemodilysis and 30 patients were without haemodilysis. Anxiety, depression, quality of life and psychological well being were assessed with General Health Questionnaire 12 [GHQ 12], Hospital Anxiety and Depression Scale [HADS] and WHO Quality of Life Brief [00L BREF] respectively.The mean scores of HADS of diabetic patients with or without haemodilysis on depression dimension were 12.43 [S.D + 3.55] and 8.93 [S.D. + 4.47] respectively where the difference was statistically significant. Mean scores of patients with and without haemodilysis for anxiety were 14.00 [S.D.+ 3.454] and 7.23 [S.D + 2.763] respectively which were again statistically significant. A significant positive correlation existed between anxiety and depression as well as quality of life and psychological well-being whereas depression was inversely correlated to both psychological well-being and quality of life. The diabetic patients with haemodilysis have anxiety, depression and poor quality of life when compared to those without haemodilysis