Anxiety and depression in emodialysis

Abstract

The patients in terminal uremia show anxiety and depression correlate with anagraphic and dialytic age, here evidenced trought  the Hospital Anxiety and Depression Scale (HADS).

In a cohort of 120 patients, only 100 have been selected, because of incompatibility (11.6%) or  refusal (5%). The pool composed of 100 patients (59 men, 41 women; mean age of 70.8±12.07 years; 30% mean age of 74.27±3.12 and  mean time on dialysis of 55.03±70.12 months, was treated with Bicarbonate High Flux, Hemodialysis Filtration (HDF), Hemofiltration Replacement (HFR), Acetate Free Hemofiltration (AFB),  in Ultrapure, 40% in dialysis <24 months.

Analyzing the data, the 58% (25% men, 33% women) presented  level of anxiety and depression of IV° Likert,  versus 16.6% of the general population.

The correlation of variables indicates that among the patients under HD, the increase of anagraphyc age correlates with an increase at IV° of anxiety and depression, seen in 36% of patients with a mean age of 78.61± 5.95 (19% men, 17% women) and in 22% of patients with a mean age of 59.22± 8.43 (7% men, 15% women).

Considering the dialytic time, the IV° itself correlates with patients under treatment <2 years, regardless for  age. In fact 22% of these patients (8% man, 14% women – mean age of 69.31± 8.40) present a level of anxiety and depression worst than the population in longer treatment (87.36± 16.36 months), who instead represent 10% of the sample (3% men, 7% women -mean age 72.2± 11.24). This data can be read as a psychosomatic adaptation, but anymore  as a consequence of the improvement of cenesthesy due to a personalized haemodialysis.

 

Keywords: anxiety, depression, time of dialysis.

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