Influence of Depression and Anxiety on Hemodialysis Patients: The Value of Multidisciplinary Care

Carlos J. Delgado-Domínguez, Sergio Sanz-Gómez, Ana López-Herradón, Beatriz Díaz Espejo, Olaya Lamas González, Macarena de los Santos Roig, Isabel Berdud Godoy, Abraham Rincón Bello and Rosa Ramos Sánchez
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Carlos J. Delgado-Domínguez: Centro de Hemodiálisis San Rafael, Fresenius Medical Care Services Andalucía (FMCSA), Calle Julio Arteche, 1, 14005 Córdoba, Spain
Sergio Sanz-Gómez: Departamento de Psiquiatría, Facultad de Medicina, Universidad de Sevilla, Avenida Sánchez Pizjuán, s/n, 41009 Sevilla, Spain
Ana López-Herradón: Departamento Médico, Fresenius Medical Care España, Ronda de Poniente, 8, 28760 Madrid, Spain
Beatriz Díaz Espejo: Centro de Hemodiálisis San Rafael, Fresenius Medical Care Services Andalucía (FMCSA), Calle Julio Arteche, 1, 14005 Córdoba, Spain
Olaya Lamas González: Departamento Médico, Fresenius Medical Care España, Ronda de Poniente, 8, 28760 Madrid, Spain
Macarena de los Santos Roig: Departamento de Metodología de las Ciencias del Comportamiento, Facultad de Psicología, Campus de Cartuja, s/n, Universidad de Granada, 18011 Granada, Spain
Isabel Berdud Godoy: Centro de Hemodiálisis San Rafael, Fresenius Medical Care Services Andalucía (FMCSA), Calle Julio Arteche, 1, 14005 Córdoba, Spain
Abraham Rincón Bello: Departamento Médico, Fresenius Medical Care España, Ronda de Poniente, 8, 28760 Madrid, Spain
Rosa Ramos Sánchez: Departamento Médico, Fresenius Medical Care España, Ronda de Poniente, 8, 28760 Madrid, Spain

IJERPH, 2021, vol. 18, issue 7, 1-12

Abstract: Affective disorders promote poorer outcomes in hemodialysis patients. According to the presence or not of depression/anxiety in these patients, aims were to analyze differences in sociodemographic, clinical and/or psychological factors and to identify predictors. One hundred eighty-six hemodialysis patients were classified based on their depression/anxiety status. Basal characteristics showed differences between groups where mainly male sex (Depression: OR 0.2; Anxiety: OR 0.3) albumin (Depression: OR 0.1; Anxiety: OR 0.2) and calcium levels (Depression: OR 0.5; Anxiety: OR 0.4), impaired quality of life (Depression: OR 1.4; Anxiety: OR 1.2) and psychological inflexibility (Depression: OR 1.3; Anxiety: OR 1.2) were associated (all p < 0.01) to these mental conditions. Multivariate models showed that worse quality of life (OR 1.3; p < 0.001) predicted depression while marital status (with a partner; OR 0.3; p = 0.025) and albumin levels (OR 0.1; p = 0.027) were protective factors. Depression represented a risk factor for anxiety (OR 1.2; p = 0.001), although calcium levels (OR 0.5; p = 0.039) would protect this state. Interestingly, psychological inflexibility predicted both disorders (Depression: OR 1.2, p < 0.001 and Anxiety: OR 1.1; p = 0.002). Results highlight the relevance of well-trained multidisciplinary hemodialysis units to control the influence of these factors on the presence of depression/anxiety, and thus, their impact on the patients’ outcomes.

Keywords: anxiety; depression; psychological inflexibility; hemodialysis; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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