@misc{10481/67939,
year = {2021},
url = {http://hdl.handle.net/10481/67939},
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.},
publisher = {MDPI},
keywords = {Anxiety},
keywords = {Depressions},
keywords = {Psychological inflexibility},
keywords = {Hemodialysis},
keywords = {Quality of life},
title = {Influence of Depression and Anxiety on Hemodialysis Patients: The Value of Multidisciplinary Care},
doi = {10.3390/ ijerph18073544},
author = {Delgado-Domínguez, Carlos and Santos Roig, Macarena De Los},
}