Correlates of symptoms of depression and anxiety in chronic hemodialysis patients
Abstract Objective Little is known about the demographic, clinical and laboratory variables which may be correlated with symptoms of depression and anxiety in hemodialysis (HD) patients. The present study aimed at evaluating such correlation in HD patients treated at a single HD center in a Mediterr...
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| Veröffentlicht in: | General hospital psychiatry 2010-03, Vol.32 (2), p.125-131 |
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| creator | Bossola, Maurizio, M.D Ciciarelli, Claudia, M.D Conte, Gian Luigi, M.D Vulpio, Carlo, M.D Luciani, Giovanna, M.D Tazza, Luigi, M.D |
| description | Abstract Objective Little is known about the demographic, clinical and laboratory variables which may be correlated with symptoms of depression and anxiety in hemodialysis (HD) patients. The present study aimed at evaluating such correlation in HD patients treated at a single HD center in a Mediterranean country. Methods Eighty HD patients were assessed for depression and anxiety with the Beck Depression Inventory (BDI) and the Hamilton Anxiety Rating Scale (HARS). The scores of BDI and HARS were correlated with demographic, clinical and laboratory variables. Results Based on the Beck Depression Inventory, 38 patients had no symptoms of depression and 42 had symptoms of depression. Based on the HARS, three patients had no symptoms of anxiety and 38 had mild symptoms of anxiety, whereas moderate or severe symptoms of anxiety were present in 39 patients. In univariate analysis, BDI score correlated significantly with age, the Charlson Comorbidity Index, SF-36 Vitality Subscale, Mini-Mental Status Examination, creatinine, albumin, plasma 25-hydroxy vitamin D and interleukin-6 (IL-6) levels. HARS score correlated significantly with age, Charlson Comorbidity Index, SF-36 Vitality Subscale and parathyroid hormone (PTH) levels. In the multivariate analysis, a direct and an inverse correlation between BDI and IL-6 [ P =.042, OR=1.31 (95% CI=1.01–1.71)] and creatinine [ P =.050, OR=0.73 (95% CI=0.54–1.00)] was observed. With regard to HARS, only a direct correlation with Charlson Comorbidity Index [ P |
| doi_str_mv | 10.1016/j.genhosppsych.2009.10.009 |
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The present study aimed at evaluating such correlation in HD patients treated at a single HD center in a Mediterranean country. Methods Eighty HD patients were assessed for depression and anxiety with the Beck Depression Inventory (BDI) and the Hamilton Anxiety Rating Scale (HARS). The scores of BDI and HARS were correlated with demographic, clinical and laboratory variables. Results Based on the Beck Depression Inventory, 38 patients had no symptoms of depression and 42 had symptoms of depression. Based on the HARS, three patients had no symptoms of anxiety and 38 had mild symptoms of anxiety, whereas moderate or severe symptoms of anxiety were present in 39 patients. In univariate analysis, BDI score correlated significantly with age, the Charlson Comorbidity Index, SF-36 Vitality Subscale, Mini-Mental Status Examination, creatinine, albumin, plasma 25-hydroxy vitamin D and interleukin-6 (IL-6) levels. HARS score correlated significantly with age, Charlson Comorbidity Index, SF-36 Vitality Subscale and parathyroid hormone (PTH) levels. In the multivariate analysis, a direct and an inverse correlation between BDI and IL-6 [ P =.042, OR=1.31 (95% CI=1.01–1.71)] and creatinine [ P =.050, OR=0.73 (95% CI=0.54–1.00)] was observed. With regard to HARS, only a direct correlation with Charlson Comorbidity Index [ P <.001, OR=1.55 (95% CI=1.22–1.96)] was found. Conclusion Although numerous demographic, clinical and laboratory variables correlated with BDI and HARS in univariate analysis, the multivariate regression analysis showed only a direct correlation between BDI and IL-6 [ P =.042, OR=1.31 (95% CI=1.01–1.71)] and an inverse correlation between BDI and creatinine [ P =.050, OR=0.73 (95% CI=0.54–1.00)] and a direct correlation between HARS and the Charlson Comorbidity Index [ P <.001, OR=1.55 (95% CI=1.22–1.96)].</description><identifier>ISSN: 0163-8343</identifier><identifier>EISSN: 1873-7714</identifier><identifier>DOI: 10.1016/j.genhosppsych.2009.10.009</identifier><identifier>PMID: 20302985</identifier><identifier>CODEN: GHPSDB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anxiety ; Anxiety Disorders - diagnosis ; Anxiety Disorders - epidemiology ; Anxiety Disorders - etiology ; Biological and medical sciences ; Chronic Disease ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; Cognition Disorders - etiology ; Comorbidity ; Depression ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - etiology ; Diagnostic and Statistical Manual of Mental Disorders ; Emergency and intensive care: renal failure. Dialysis management ; Female ; Hemodialysis patients ; Humans ; Intensive care medicine ; Kidney Failure, Chronic - epidemiology ; Kidney Failure, Chronic - psychology ; Kidney Failure, Chronic - rehabilitation ; Male ; Medical sciences ; Middle Aged ; Mood disorders ; Neuropsychological Tests ; Parathyroid Hormone - blood ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Renal Dialysis - methods ; Severity of Illness Index ; Young Adult</subject><ispartof>General hospital psychiatry, 2010-03, Vol.32 (2), p.125-131</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-321f0ca2a86d7a9e06e15c9f7ddafa5fd1792e5792d378dcd9f30660a07a382a3</citedby><cites>FETCH-LOGICAL-c530t-321f0ca2a86d7a9e06e15c9f7ddafa5fd1792e5792d378dcd9f30660a07a382a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.genhosppsych.2009.10.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22576867$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20302985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bossola, Maurizio, M.D</creatorcontrib><creatorcontrib>Ciciarelli, Claudia, M.D</creatorcontrib><creatorcontrib>Conte, Gian Luigi, M.D</creatorcontrib><creatorcontrib>Vulpio, Carlo, M.D</creatorcontrib><creatorcontrib>Luciani, Giovanna, M.D</creatorcontrib><creatorcontrib>Tazza, Luigi, M.D</creatorcontrib><title>Correlates of symptoms of depression and anxiety in chronic hemodialysis patients</title><title>General hospital psychiatry</title><addtitle>Gen Hosp Psychiatry</addtitle><description>Abstract Objective Little is known about the demographic, clinical and laboratory variables which may be correlated with symptoms of depression and anxiety in hemodialysis (HD) patients. The present study aimed at evaluating such correlation in HD patients treated at a single HD center in a Mediterranean country. Methods Eighty HD patients were assessed for depression and anxiety with the Beck Depression Inventory (BDI) and the Hamilton Anxiety Rating Scale (HARS). The scores of BDI and HARS were correlated with demographic, clinical and laboratory variables. Results Based on the Beck Depression Inventory, 38 patients had no symptoms of depression and 42 had symptoms of depression. Based on the HARS, three patients had no symptoms of anxiety and 38 had mild symptoms of anxiety, whereas moderate or severe symptoms of anxiety were present in 39 patients. In univariate analysis, BDI score correlated significantly with age, the Charlson Comorbidity Index, SF-36 Vitality Subscale, Mini-Mental Status Examination, creatinine, albumin, plasma 25-hydroxy vitamin D and interleukin-6 (IL-6) levels. HARS score correlated significantly with age, Charlson Comorbidity Index, SF-36 Vitality Subscale and parathyroid hormone (PTH) levels. In the multivariate analysis, a direct and an inverse correlation between BDI and IL-6 [ P =.042, OR=1.31 (95% CI=1.01–1.71)] and creatinine [ P =.050, OR=0.73 (95% CI=0.54–1.00)] was observed. With regard to HARS, only a direct correlation with Charlson Comorbidity Index [ P <.001, OR=1.55 (95% CI=1.22–1.96)] was found. Conclusion Although numerous demographic, clinical and laboratory variables correlated with BDI and HARS in univariate analysis, the multivariate regression analysis showed only a direct correlation between BDI and IL-6 [ P =.042, OR=1.31 (95% CI=1.01–1.71)] and an inverse correlation between BDI and creatinine [ P =.050, OR=0.73 (95% CI=0.54–1.00)] and a direct correlation between HARS and the Charlson Comorbidity Index [ P <.001, OR=1.55 (95% CI=1.22–1.96)].</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anxiety</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - etiology</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - epidemiology</subject><subject>Cognition Disorders - etiology</subject><subject>Comorbidity</subject><subject>Depression</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - etiology</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Female</subject><subject>Hemodialysis patients</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Kidney Failure, Chronic - epidemiology</subject><subject>Kidney Failure, Chronic - psychology</subject><subject>Kidney Failure, Chronic - rehabilitation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Neuropsychological Tests</subject><subject>Parathyroid Hormone - blood</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Renal Dialysis - methods</subject><subject>Severity of Illness Index</subject><subject>Young Adult</subject><issn>0163-8343</issn><issn>1873-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk3L1DAQgIMovuvqX5AiiKeuk2TbtB4EWT_hBRH1HMZk6mZtm5rpiv33Zt31A08ekgnMM5PkSYR4IGEjQdaPD5vPNO4jTxMvbr9RAG1ObHK4IVayMbo0Rm5vilWGddnorb4Sd5gPAFCpSt8WVwo0qLapVuLdLqZEPc7ERewKXoZpjsPPtacpEXOIY4Gjz-N7oHkpwli4fYpjcMWehugD9gsHLiacA40z3xW3OuyZ7l3iWnx8-eLD7nV5_fbVm92z69JVGuZSK9mBQ4VN7Q22BDXJyrWd8R47rDovTauoypPXpvHOt52GugYEg7pRqNfi0bnvlOLXI_Fsh8CO-h5Hike2RusG2m2-6lo8OZMuReZEnZ1SGDAtVoI9GbUH-7dRezJ6yuWQi-9ftjl-Gsj_Lv2lMAMPLwCyw75LOLrAfzhVmbqpTeaenznKUr4FSpZdFubIh0Rutj6G_zvP03_auD7kx8D-Cy3Eh3hMY9ZupWVlwb4__YHTF4AWQKlW6h-xPbHV</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Bossola, Maurizio, M.D</creator><creator>Ciciarelli, Claudia, M.D</creator><creator>Conte, Gian Luigi, M.D</creator><creator>Vulpio, Carlo, M.D</creator><creator>Luciani, Giovanna, M.D</creator><creator>Tazza, Luigi, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>Correlates of symptoms of depression and anxiety in chronic hemodialysis patients</title><author>Bossola, Maurizio, M.D ; Ciciarelli, Claudia, M.D ; Conte, Gian Luigi, M.D ; Vulpio, Carlo, M.D ; Luciani, Giovanna, M.D ; Tazza, Luigi, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-321f0ca2a86d7a9e06e15c9f7ddafa5fd1792e5792d378dcd9f30660a07a382a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anxiety</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Anxiety Disorders - etiology</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - epidemiology</topic><topic>Cognition Disorders - etiology</topic><topic>Comorbidity</topic><topic>Depression</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - etiology</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Female</topic><topic>Hemodialysis patients</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Kidney Failure, Chronic - epidemiology</topic><topic>Kidney Failure, Chronic - psychology</topic><topic>Kidney Failure, Chronic - rehabilitation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Neuropsychological Tests</topic><topic>Parathyroid Hormone - blood</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Renal Dialysis - methods</topic><topic>Severity of Illness Index</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bossola, Maurizio, M.D</creatorcontrib><creatorcontrib>Ciciarelli, Claudia, M.D</creatorcontrib><creatorcontrib>Conte, Gian Luigi, M.D</creatorcontrib><creatorcontrib>Vulpio, Carlo, M.D</creatorcontrib><creatorcontrib>Luciani, Giovanna, M.D</creatorcontrib><creatorcontrib>Tazza, Luigi, M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>General hospital psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bossola, Maurizio, M.D</au><au>Ciciarelli, Claudia, M.D</au><au>Conte, Gian Luigi, M.D</au><au>Vulpio, Carlo, M.D</au><au>Luciani, Giovanna, M.D</au><au>Tazza, Luigi, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlates of symptoms of depression and anxiety in chronic hemodialysis patients</atitle><jtitle>General hospital psychiatry</jtitle><addtitle>Gen Hosp Psychiatry</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>32</volume><issue>2</issue><spage>125</spage><epage>131</epage><pages>125-131</pages><issn>0163-8343</issn><eissn>1873-7714</eissn><coden>GHPSDB</coden><abstract>Abstract Objective Little is known about the demographic, clinical and laboratory variables which may be correlated with symptoms of depression and anxiety in hemodialysis (HD) patients. The present study aimed at evaluating such correlation in HD patients treated at a single HD center in a Mediterranean country. Methods Eighty HD patients were assessed for depression and anxiety with the Beck Depression Inventory (BDI) and the Hamilton Anxiety Rating Scale (HARS). The scores of BDI and HARS were correlated with demographic, clinical and laboratory variables. Results Based on the Beck Depression Inventory, 38 patients had no symptoms of depression and 42 had symptoms of depression. Based on the HARS, three patients had no symptoms of anxiety and 38 had mild symptoms of anxiety, whereas moderate or severe symptoms of anxiety were present in 39 patients. In univariate analysis, BDI score correlated significantly with age, the Charlson Comorbidity Index, SF-36 Vitality Subscale, Mini-Mental Status Examination, creatinine, albumin, plasma 25-hydroxy vitamin D and interleukin-6 (IL-6) levels. HARS score correlated significantly with age, Charlson Comorbidity Index, SF-36 Vitality Subscale and parathyroid hormone (PTH) levels. In the multivariate analysis, a direct and an inverse correlation between BDI and IL-6 [ P =.042, OR=1.31 (95% CI=1.01–1.71)] and creatinine [ P =.050, OR=0.73 (95% CI=0.54–1.00)] was observed. With regard to HARS, only a direct correlation with Charlson Comorbidity Index [ P <.001, OR=1.55 (95% CI=1.22–1.96)] was found. Conclusion Although numerous demographic, clinical and laboratory variables correlated with BDI and HARS in univariate analysis, the multivariate regression analysis showed only a direct correlation between BDI and IL-6 [ P =.042, OR=1.31 (95% CI=1.01–1.71)] and an inverse correlation between BDI and creatinine [ P =.050, OR=0.73 (95% CI=0.54–1.00)] and a direct correlation between HARS and the Charlson Comorbidity Index [ P <.001, OR=1.55 (95% CI=1.22–1.96)].</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20302985</pmid><doi>10.1016/j.genhosppsych.2009.10.009</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Adult and adolescent clinical studies Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anxiety Anxiety Disorders - diagnosis Anxiety Disorders - epidemiology Anxiety Disorders - etiology Biological and medical sciences Chronic Disease Cognition Disorders - diagnosis Cognition Disorders - epidemiology Cognition Disorders - etiology Comorbidity Depression Depressive Disorder, Major - diagnosis Depressive Disorder, Major - epidemiology Depressive Disorder, Major - etiology Diagnostic and Statistical Manual of Mental Disorders Emergency and intensive care: renal failure. Dialysis management Female Hemodialysis patients Humans Intensive care medicine Kidney Failure, Chronic - epidemiology Kidney Failure, Chronic - psychology Kidney Failure, Chronic - rehabilitation Male Medical sciences Middle Aged Mood disorders Neuropsychological Tests Parathyroid Hormone - blood Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Renal Dialysis - methods Severity of Illness Index Young Adult |
| title | Correlates of symptoms of depression and anxiety in chronic hemodialysis patients |
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