Evaluation of depressive symptoms in patients with chronic renal failure

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dc.contributor.author Andrade, Carolina P. [UNIFESP]
dc.contributor.author Cruz, Maria Carolina N.
dc.contributor.author Urrutia, Milton
dc.contributor.author Pereira, Otavio
dc.contributor.author Draibe, Sergio A.
dc.contributor.author Nogueira-Martins, Luiz A. [UNIFESP]
dc.contributor.author Sesso, Ricardo
dc.date.accessioned 2018-06-15T18:07:28Z
dc.date.available 2018-06-15T18:07:28Z
dc.date.issued 2010-03-01
dc.identifier.citation Journal Of Nephrology. Milan: Wichtig Editore, v. 23, n. 2, p. 168-174, 2010.
dc.identifier.issn 1121-8428
dc.identifier.uri http://repositorio.unifesp.br/11600/44513
dc.description.abstract Background: Although depression is the most commonly found psychiatric disorder in patients on chronic dialysis, its prevalence in earlier stages of chronic kidney disease (CKD) is not established. This study aims to investigate the prevalence of depression in patients with different stages of CKD and the factors associated with depressive affect.Methods: A total of 155 nondialytic patients with CKD on conservative therapy and 36 patients on hemodialysis treatment were studied. Depression was rated using the Beck Depression Inventory (BDI) and the Beck Depression Inventory-Short Form (BDI-SF). Functional capacity was evaluated using the Karnofsky Performance Scale, and clinical and sociodemographic variables were also investigated.Results: Using the BDI, depression was identified in 37.7% of the patients on conservative treatment and in 41.7% of those on hemodialysis (p=NS, not significant). The percentage of patients on conservative therapy with moderate or severe depression was higher when the BDI was used, compared with the BDI-SF (37.7% vs. 12.3%, p<0.001). No association was observed between depression and the stages of kidney disease. Among patients with CKD, depression was more prevalent among females (17.9%), patients of low income (54.2%), patients of social class D or E (47.4%), those living with friends or relatives (41.2%) and patients with poor functional capacity (p<0.001).Conclusions: We observed a high prevalence of depression in patients with CKD, but no significant difference was found between the stages of the disease. Depression was associated with sociodemographic characteristics and functional capacity. en
dc.description.sponsorship Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent 168-174
dc.language.iso eng
dc.publisher Wichtig Editore
dc.relation.ispartof Journal Of Nephrology
dc.rights Acesso restrito
dc.subject Chronic kidney disease en
dc.subject Depression en
dc.subject Hemodialysis en
dc.title Evaluation of depressive symptoms in patients with chronic renal failure en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Univ Fed Sao Paulo, Div Nephrol, Escola Paulista Med, Dept Med, BR-04023900 Sao Paulo, Brazil
dc.description.affiliation Univ Fed Sao Paulo, Dept Psychiat, Escola Paulista Med, BR-04023900 Sao Paulo, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Div Nephrol, Escola Paulista Med, Dept Med, BR-04023900 Sao Paulo, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Dept Psychiat, Escola Paulista Med, BR-04023900 Sao Paulo, Brazil
dc.description.source Web of Science
dc.identifier.wos WOS:000276349400007



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