depression in chronic kidney disease and hemodialysis patients慢性肾脏疾病和血液透析患者的抑郁.pdfVIP

Psychology 2012. Vol.3, No.11, 974-978 Published Online November 2012 in SciRes (http://www.SciRP.org/journal/psych) /10.4236/psych.2012.311146 Depression in Chronic Kidney Disease and Hemodialysis Patients C. P. Andrade, R. C. Sesso Division of Nephrology, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil Email: cpandrad@.br Received July 9th th th , 2012; revised August 12 , 2012; accepted September 11 , 2012 Abstract: Depression is the most common psychiatric condition in Chronic Kidney Disease (CKD), but there are few studies that analyzed this condition in patients in different phases of disease. This article aims to evaluated depression in CKD patients, comparing patients in different phases of disease. Methods: We evaluated 134 patients with CKD submitted to conservative ambulatory treatment, and 36 patients with end-stage renal disease undergoing hemodialysis (HD). To evaluate depression, we used the Beck Depression Inventory (BDI), and the Beck Depression Inventory—SF (BDI-SF), a subscale that allows evaluate only the cognitive aspects of depression. Functional capacity was evaluated using the Karnofsky Performance Scale, and clinical and sociodemographic variables were also investigated. Results: Using BDI, depression was identified in 37.3% of patients in conservative treatment and in 41.6% in HD pa- tients (p 0.05). This percentag