Influence of Depression and Anxiety on Hemodialysis Patients: The Value of Multidisciplinary Care
Metadata
Show full item recordEditorial
MDPI
Materia
Anxiety Depressions Psychological inflexibility Hemodialysis Quality of life
Date
2021Referencia bibliográfica
Delgado-Domínguez, C.J.; Sanz-Gómez, S.; López-Herradón, A.; Díaz Espejo, B.; Lamas González, O.; de los Santos Roig, M.; Berdud Godoy, I.; Rincón Bello, A.; Ramos Sánchez, R. Influence of Depression and Anxiety on Hemodialysis Patients: The Value of Multidisciplinary Care. Int. J. Environ. Res. Public Health 2021, 18, 3544. https://doi.org/10.3390/ ijerph18073544
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.