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Psychol Health Med ; 23(9): 1069-1078, 2018 10.
Article in English | MEDLINE | ID: mdl-29706105

ABSTRACT

Chronic kidney disease is associated with a high prevalence of depression, which increases inversely with the glomerular filtration rate. This paper aims to evaluate the factors associated with a low quality of life and depression in patients on haemodialysis. Two hundred patients undergoing haemodialysis answered the Medical Outcomes Study 36 - Item Short - Form Health Survey (SF-36) and Beck Depression Inventory (BDI). Clinical and laboratory variables were analysed and correlated with these two tools. The prevalence of depression was 29%. Anaemia and hypoalbuminemia were independent risk factors for depression. All SF-36 domains showed worse results in patients with depression, and the pain domain presented the highest correlation. Our findings provide evidence that patients on haemodialysis have a low quality of life and a high prevalence of depression. A greater number of comorbidities, an excessive number of medications, diabetes mellitus, anaemia and hypoalbuminemia were associated with a reduced quality of life.


Subject(s)
Depression/epidemiology , Depressive Disorder/epidemiology , Kidney Failure, Chronic/therapy , Quality of Life , Adult , Anemia/epidemiology , Anemia/psychology , Antidepressive Agents/therapeutic use , Brazil/epidemiology , Comorbidity , Cross-Sectional Studies , Depression/psychology , Depressive Disorder/drug therapy , Depressive Disorder/psychology , Diabetes Mellitus/epidemiology , Diabetes Mellitus/psychology , Female , Humans , Hypoalbuminemia/epidemiology , Hypoalbuminemia/psychology , Kidney Failure, Chronic/psychology , Logistic Models , Male , Middle Aged , Pain , Polypharmacy , Prevalence , Psychiatric Status Rating Scales , Renal Dialysis/psychology , Risk Factors
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