scholarly journals On the Relationship Between Depression and Its Severity with Dialysis Adequacy in Hemodialysis Patients in Ahvaz Teaching Hospitals

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shahla Ahmadi Halili ◽  
Mahdieh Kharaj Mahdieh Kharaj ◽  
Leila Sabetnia ◽  
Fatemeh Hayati ◽  
Maryam Pourshams

Background: Depression is a prevalent psychological disorder among hemodialysis patients and is associated with a variety of adverse outcomes. Dialysis adequacy also affects hemodialysis patients' survival rates. Objectives: This study aimed to investigate the prevalence of depression in hemodialysis patients and its association with dialysis adequacy. Methods: In this cross-sectional study, 205 individuals undergoing hemodialysis at Ahvaz teaching hospitals in 2019 were included. The depression level was determined using the Beck Depression Inventory (BDI-II) for the participants aged below 65 years and Geriatric Depression Scale (GDS) for the patients aged above 65 years. Dialysis adequacy measures, including the Kt/V and urea reduction rate (URR), were calculated using standard formulas. Results: IN this study, 60.5% of the participants suffered from depression, and the overall prevalence of depression was 54.6% in individuals aged below 65 and 67% in those aged above 65 years. Among the patients with age below 65 years, 19 persons (17.6%) were suffering from mild depression, 22 individuals (20.4%) were suffering from moderate depression, and 18 individuals (16.7%) had severe depression. Among the patients aged above 65 years, moderate depression was found to affect 45 persons (46.4%), and 20 individuals (20.6%) had severe depression. The mean values of Kt/V and URR were not significantly correlated with depression scores (P > 0.05). Conclusions: Depression is a common disorder among hemodialysis patients in Iran; however, it is not significantly associated with dialysis adequacy. However, the results of studies on the relationship between depression and dialysis adequacy cannot be analyzed simply.

Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 731
Author(s):  
Millena Mirelle Pereira ◽  
Maíra Holanda Rufino ◽  
Leidinar Cardoso Nascimento ◽  
Rivaldo Costa Macêdo ◽  
Rouslanny Kelly Oliveira ◽  
...  

Objective: evaluate the relationship between depression and nutritional status of elderly enrolled in the Hiperdia Program.Methods: cross-sectional study in 91 elderly submitted to nutritional assessment and a structured questionnaire forscreening depression, the Geriatric Depression Scale. Results: there was prevalence of women, 60-65 years old. There wasminimal or moderate depression in 61.5% and severe depression in 2.2%. Proportionally high values of waist circumferencewere identified (91.8%) and overweight (67.6%) in elderly patients with minimal or moderate depression. Conclusion:there is an increasing imbalance in the nutritional status among women with a risk of developing cardiovascular disease,as well as overweight. Elderly are under health risk related to depression. This suggests that despite being inserted in aprogram for control of chronic diseases, they must be accompanied by the health team to improve their quality of life.


2019 ◽  
Vol 11 (2) ◽  
pp. 37-41
Author(s):  
V. V. Gafarov ◽  
E. A. Gromova ◽  
D. O. Panov ◽  
V. N. Maximov ◽  
I. V. Gagulin ◽  
...  

Objective: to study the association of DRD2/ANKK1 Taq1A polymorphism with depression in an open 45–64-year-old male population from Novosibirsk.Patients and methods. A representative sample of an open 45–64-year-old male population (n=781) was surveyed within Screening IV of the international HAPIEE program and the WHO MONICA-psychosocial program in 2003–2005. All the study participants filled out the WHO MONICA-psychosocial Program Depression Scale. The DRD2/ANKK1 Taq1A C32806T (rs 1800497) polymorphism was genotyped using the published methods within the budgeting topic. The Pearson's chi-square (2) test was applied to test the statistical significance of differences between the groups. Significance in all types of analysis was taken at p ≤0.05.Results and discussion. The prevalence of depression in the open 45–64-year-old male population was 36.3%: 13.5% of the examinees had severe depression (SD) and 22.8% had moderate depression (MD). A comparative intergroup analysis showed that the odds ratio (OR) for the incidence of SD was 3.86 times higher in the T/C genotype carriers than in the C/C genotype ones, who, on the contrary, had no depression; the OR for the incidence of SD was also 3.28 times higher in the T/C genotype carriers, while MD was more common in the homozygous C/C genotype carriers. The OR for the incidence of SD was 2.63 times higher in the DRD2 T allele carriers than in the C allele carriers who did not suffer from depression in most cases.Conclusion. A significant association was established between the carriage of Taq1A (T allele) and depression in 45–64-year-old males.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mohamad Fahmi ◽  
Nur Afni Panjaitan ◽  
Ibnu Habibie ◽  
Adiatma Y. M. Siregar ◽  
Gilang Amarullah ◽  
...  

Abstract Background Prevalence of depression in Indonesia is estimated at about 3.7% of the total population, although the actual may be higher. Studies worldwide have linked the environment where people live to their mental health status. However, little research is found in Indonesia regarding this link. We examined the association between individuals’ perception towards their neighborhood and their depression symptoms. Methods Social trust was measured at the individual (level 1) and community (level 2) levels based on the Indonesian Family Life Survey 5 (IFLS5) in 2014. Depression was measured using the 10-item Center for Epidemiologic Studies-Depression Scale Revised (CESD-R-10) and the scores were transformed into logit form using the Rasch model. Multilevel regression was used to determine correlations. Results Of the total sample of 14,227 respondents in this study, about 19.4% had experienced severe depression symptoms in the past week. Social trust was found to be significantly associated with severe depression symptoms. The weaker the individuals’ social trust towards their neighbourhood, the higher the probability of experiencing severe depression symptoms would be. Conclusions This study shows that social trust is associated with the severity of depression symptoms: the higher the social trust, the lower the probability of having severe depression symptoms is. Depression symptoms may also be attributed to significant differences between communities.


2012 ◽  
Vol 2 (1) ◽  
pp. 40-45
Author(s):  
Jasmina Mahmutović ◽  
Aida Rudić ◽  
Fatima Jusupović ◽  
Arzija Pašalić ◽  
Refet Gojak

Introduction: Depressive disorder, as a major problem of public health, takes high fourth place in its prevalence in general population, and is considered to be the second most frequent health problem of femalepopulation. Depression is the most frequent mental problem of persons in their third age of life. The aim of this study is to evaluate prevalence of depression and establish the ratio between the current number ofdiagnosed and of unrecognised depression among the residents of Gerontology Centre in Sarajevo.Methods: This is a cross-sectional, descriptive, and analytical study undertaken throughout May and June 2011 on the sample of 150 residents of “The Gerontology Centre“ in Sarajevo that were above 65 years of age. The following instruments were used for the research: the Geriatric Depression Scale (GDS), modified questionnaire consisting of two parts (general data and data related to health state), and the medical records of the residents. For statistic analysis of data was used the SPSS program for Windows.Results: According to GDS, prevalence of depression was 65.3%, out of which mild depression occurred in 46.7% cases and severe depression in 18.7%. The prevalence of verified (diagnosed) depression was 11.3per cents.Conclusions: According to the GD scale, unrecognised depressions seem to be almost six times more frequent (65.3:11%) than is the case with depressions diagnosed in medical records of the protégées of theGerontology Centre in Sarajevo. Timely recognition of depression and its treating in institutions for protection of health of persons in third age of life can substantially improve the quality of life of these patients.


Author(s):  
Roli R. Gupta ◽  
Lohit S. Vaishnao ◽  
Shivani Shinde ◽  
Ishani Singh ◽  
Tanaya Mishra ◽  
...  

Background: A pandemic is the worldwide spread of a new disease and currently COVID‑19 has become a major medical crisis. The worldwide rapid increase of infected cases has created a sense of uncertainty and anxiety about the situations and upcoming exams period. It also leads to stress amongst the students. Objectives of the study was to evaluate and analyse the prevalence of depression, anxiety and stress among final year students of Maharashtra using DASS-21.Methods: It was an online survey which was conducted using Google Forms with link sent using Whatsapp. A standard DASS-21 questionnaire was used for the study. The survey questionnaire would take around 3-4 min to complete. Total 324 responses were received by the stipulated time.Results: The study showed that the engineering final year students are more depressed than others. 34 engineering and 26 medical students were suffering from anxiety. The relationship between anxiety level and course was statistically significant. On depression scale 47% participants were suffering from mild to moderate stress.Conclusions: Index survey suggested that the pandemic affected the preparation of the respondents to a great extent and affected their mental status negatively.


2011 ◽  
Vol 26 (S2) ◽  
pp. 620-620
Author(s):  
R. Danciulescu Miulescu ◽  
M.E. Calarasu ◽  
R.I. Rosca ◽  
S. Danoiu

Background and aimsCushing's patients demonstrate major depression more than any other medical condition. Major depression is a common, complication of Cushing’s syndrome, with no significant differences between pituitary -dependent and -independent forms. The aims of the study is to estimate the prevalence of depression in patients with Cushing’s syndrome.Materials and methods23 patients with Cushing’s syndrome (14 with pituitary-dependent and 9 with pititary-independent forms) were recruited for this study. The subjects were between 52 and 67 years. Patients were screened initially with a questionnaire detailing their age, medical history, concomitant medications. The Zung self-rating depression scale was used to assess depressive symptomatology. It contains 20 items: index scores below 50 reflect no depression, 50–59 reflect mild depression, 60–69 reflect marked to moderate depression and scores of ≥ 70 reflect severe to extreme depression. Results were compared with measurements in 21 subjects without Cushing’s syndrome.ResultsThe prevalence of depression in patients with Cushing’s syndrome was 52.17% (12 patients). 2 patients (2 women) present mild depression and 10 patients (9 women and 1 men) present moderate or severe depression. Moderate or severe depression was significantly associated with older age, female sex, relatively more severe clinical condition. The prevalence of depression in 21 subjects without Cushing’s syndrome was 4.76% (1 women with mild depression).ConclusionThis study showed that patients with Cushing’s syndrome have a greater a risk of depression than people without Cushing’s syndrome. Patients with Cushing’s syndrome should be routinely screened and adequately treated for depression.


2014 ◽  
Vol 48 (3) ◽  
pp. 368-377 ◽  
Author(s):  
Eduardo Lopes Nogueira ◽  
Leonardo Librelotto Rubin ◽  
Sara de Souza Giacobbo ◽  
Irenio Gomes ◽  
Alfredo Cataldo Neto

OBJECTIVE To analyze the prevalence of depression in older adults and associated factors. METHODS Cross-sectional study using a stratified random sample of 621 individuals aged ≥ 60 from 27 family health teams in Porto Alegre, RS, Southern Brazil, between 2010 and 2012. Community health agents measured depression using the 15-item Geriatric Depression Scale. Scores of ≥ 6 were considered as depression and between 11 and 15 as severe depression. Poisson regression was used to search for independent associations of sociodemographic and self-perceived health with both depression and its severity. RESULTS The prevalence of depression was 30.6% and was significantly higher in women (35.9% women versus 20.9% men, p < 0.001). The variables independently associated with depression were: female gender (PR = 1.4, 95%CI 1.1;1.8); low education, especially illiteracy (PR = 1.8, 95%CI 1.2;2 6); regular self-rated health (OR = 2.2, 95%CI 1.6;3.0); and poor/very poor self-rated health (PR = 4.0, 95%CI 2.9;5.5). Except for education, the strength of association of these factors increases significantly in severe depression. CONCLUSIONS A high prevalence of depression was observed in the evaluations conducted by community health agents, professionals who are not highly specialized. The findings identified using the 15-item Geriatric Depression Scale in this way are similar to those in the literature, with depression more associated with low education, female gender and worse self-rated health. From a primary health care strategic point of view, the findings become still more relevant, indicating that community health agents could play an important role in identifying depression in older adults.


Neurosurgery ◽  
2015 ◽  
Vol 78 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Hanna Israelsson ◽  
Per Allard ◽  
Anders Eklund ◽  
Jan Malm

ABSTRACT BACKGROUND: If patients with idiopathic normal pressure hydrocephalus (INPH) also have depression, this could have important clinical ramifications in assessment and management of their cognitive function and response to shunting. In many dementias, depression is overrepresented, but the prevalence of depression in shunted patients with INPH is unknown. OBJECTIVE: The objective of this case-control study was to assess the prevalence of symptoms of depression in shunted INPH patients compared with population-based controls. METHODS: INPH patients consecutively shunted from 2008 to 2010 in Sweden were analyzed. Patients remaining after inclusion (within 60-85 years and not having dementia, ie, mini-mental state examination ≥23) had a standardized visit to their healthcare provider and answered an extensive questionnaire. Age- and sex-matched population-based controls underwent the same procedure. Symptoms of depression were assessed using the Geriatric Depression Scale 15 (suspected depression defined as ≥5 points, suspected severe depression as ≥12 points). This study is part of the INPH-CRasH study. RESULTS: One hundred seventy-six INPH patients and 368 controls participated. After adjustment for age, sex, cerebrovascular disease, and systolic and diastolic blood pressure, patients had a higher mean depression score (patients: 4.9 ± 3.7 SD, controls: 1.9 ± 2.3 SD; OR 1.4, 95% CI 1.3-1.6, P &lt; .001), more patients had suspected depression (46% vs 13%, OR 6.4, 95% CI 3.8-10.9, P &lt; .001), and more patients had suspected severe depression (7.3% vs 0.6%, OR 14.4, 95% CI 3.0-68.6, P &lt; .005). CONCLUSION: Symptoms of depression are overrepresented in INPH patients compared with the population, despite treatment with a shunt. Screening for depression should be done in the evaluation of INPH patients in order to find and treat a coexisting depression.


2018 ◽  
Vol 8 (1) ◽  
pp. 43-47
Author(s):  
Uzma Hassan ◽  
Naila Azam ◽  
Ayesha Farooq ◽  
Najm US Saqib Khan

Background: Depression is a common mental disorder, a reason of disability and can lead to suicidal tendency. It is a major contributor to the global burden of disease, causing more than 350 million, all age people suffering from depression. Medical Institute is a stressful and competitive atmosphere so the medical students have to make a lot of personal and social sacrifice to retain respectable educational grades. This pressure may result in an extensive range of psychological ailments like depression, tension and anxiety. Objective: To determine the prevalence of depression in medical students at Rawal Institute of Health Sciences, Islamabad. Methods: Descriptive cross-sectional study was conducted over six months using the non-probability convenience method of sampling. Total 100 students from different classes of 1st to 5th year MBBS were included. A close ended questionnaire was used by interview method and response was noted against thirteen study variables related to symptoms of depression. The prevalence of depression in students was calculated based on the ICD-10 criteria; according to which they were categorized as "no depression" having less than four symptoms, "mild depression" having four symptoms, "moderate depression" having four to six symptoms and "severe depression" having seven or more symptoms. Results: Out of 100 students 55% students were suffering from depression: among which 15 % were having mild depression, 23 % had moderate depression and 17 % had severe depression. It was more common among female students, residing in hostels. Conclusion: The results depicted that there is high prevalence of depression in medical students, more among female students. This study sets an important groundwork for more elaborate and extensive future studies. It is recommended that the Institutes should have comprehensive educational programs, regarding preventive measures about mental health syndromes, and implementation of rehabilitative approaches in this regard.


2021 ◽  
Vol 15 (3) ◽  
pp. 350-356
Author(s):  
Mariana Faoro ◽  
Amer Cavalheiro Hamdan

ABSTRACT Depressive symptoms are associated with a decline of episodic memory, but the relationship with semantic memory remains unclear. Objective: The aim of the study was to analyze the relationship of depressive symptoms with the semantic memory in a community-based sample of elderly adults. The sample comprised two groups, namely, clinical (with depressive symptoms) and control. Methods: The following instruments were used General Evaluation Questionnaire, Montreal Cognitive Assessment-Basic, Wechsler Abbreviate Scale of Intelligence, Geriatric Depression Scale-30 (GDS-30), Beck Depression Inventory-II, Boston Nomination Test (BNT), vocabulary, verbal fluency test (fruits and animals), and Brief Cognitive Screening Battery. Results: The results showed a significant difference between groups only in BNT. A significant correlation was observed between the BNT and GDS-30. Participants with symptoms of severe depression performed poorly on BNT when compared with individuals with mild symptoms. Conclusion: These results support the hypothesis that depressive symptoms in elderly adults can affect semantic memory and may worsen with the severity of symptoms.


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