González-De-Jesús LN, Sánchez-Román S, Morales-Buenrostro LE, Ostrosky-Solís F, Alberú J, García-Ramos G, Marino-Vázquez LA, McClintock SM

Language: English
References: 26
Page: 558-563
PDF size: 162.94 Kb.

ABSTRACT

Objective. To assess the presence of emotional distress in patients with chronic kidney disease (CKD), and the effect of kidney transplant on these symptoms. Material and methods. This was a two-part study. Part one was cross-sectional, observational, and descriptive, where 75 patients with CKD were evaluated for emotional distress with the Hospital Anxiety and Depression Scale (HAD) and the Symptom Checklist 90 (SCL-90). In part two, we longitudinally followed 19% of the study cohort to examine symptomatological changes after their kidney transplantation. Results. The results of the HAD indicated that 30.7% of the study cohort with End-Stage Renal Disease (ESRD) showed anxious symptoms, and 25.3% showed depressive symptoms. The change in the HAD total score before and after kidney transplant was not significant. However, a significant decrease in total score on the SCL-90 was observed before and after transplantation. Conclusion. Improvement on emotional distress was found after kidney transplantation.

REFERENCES

1. Skorecki K, Green J, Brenner BM. Chronic renal failure. In: Kasper DL, Braunwald E, Fauci AS, et al. Harrison’s Principles of Internal Medicine. Chapter 261. 16th. Ed. New York: Mc Graw Hill; 2005.

2. Simón MA. Psicología de la salud: aplicaciones clínicas y estrategias de intervención. Madrid: Ediciones Pirámide; 1993.

3. Valderrabano F, Jofre R, López-Gómez JM. Quality of life in end stage renal disease patients. Am J Kidney Dis 2001; 38: 443-64.

4. Alavi NM, Aliakbarzadeh Z, Sharifi K. Depression, anxiety, activities of daily living, and quality of life scores in patients undergoing renal replacement therapies. Transp Proceedings 2009; 41: 3693-6.

5. Kimmel PL. Depression as a mortality risk factor in hemodialysis patients. Int J Artif Organs 1992; 15: 697-700.

6. Cukor D, Coplan J, Brown C, et al. Course of depression and anxiety diagnosis in patients treated with hemodialysis: A 16- month follow-up. Clin J Am Soc Nephrol 2008; 3: 1752-8.

7. Novak M, Molnar MZ, Szeifert L, et al. Depressive symptoms and mortality in patients after kidney transplantation: A prospective prevalent cohort study. Psychosom Med 2010; 72: 527-34.

8. Cukor D, Rosenthal DS, Jindal RM, et al. Depression is an important contributor to low medication adherence in hemodialyzed patients and transplant recipients. Kidney Inter 2009; 75: 1223-9.

9. Jung AK, Yung KL, Wooseong H, et al. Analysis of depression in continuous ambulatory peritoneal dialysis patients. J Korean Med Sci 2002; 17: 790-4.

10. Hernández-Romo JA, Monteón-Ramos F. Trastornos psiquiátricos en las nefropatías. Nefrolol Mex 2000; 21: 81-90.

11. Baguelin-Pinaud A, Moinier D, Fouldrin G, et al. Renal transplantation, anxiety and depressive disorders and quality of life. Encephale 2009; 35: 429-35.

12. Tsunoda T, Yamashita R, Kojima Y, Takahara S. Risk factors for depression after kidney transplantation. Transp Proceed 2010; 42: 1679-81.

13. Olbrisch M. Psychological assessment and care of organ transplant patients. J Consult Clin Psych 2002; 70: 771-83.

14. Szeifert L, Molnar MZ, Ambrus C, et al. Symptoms of depression in kidney transplant recipients: A cross-sectional study. Am J Kidney Dis 2010; 55: 132-40.

15. Shigekazu H. Psychiatric problems in organ transplantations: examples on the kidney transplants from living relatives in Japan part II: psychiatric and psychological problems among the donors. Jap J Transplant 2005; 40: 264-72.

16. Abdel-Kader K, Unruh ML, Weisbord SD. Symptom burden, depression, and quality of life in chronic and end-stage kidney disease. Clin J Am Soc Nephrol 2009; 4: 1057-64.

17. Hedayati SS, Minhajuddin AT, Toto RD, et al. Prevalence of major depressive episode in CKD. Am J Kidney Dis 2009; 54: 424-32.

18. Fukunishi I, Sugawara Y, Takayama T, et al. Association between pretransplant psychological assessments and posttransplant psychiatric disorders in living-related transplantation. Psychosomatics 2002; 43: 49-54.

19. Fukunishi I, Sugawara Y, Takayama T, et al. Psychiatric disorders before and after living-related transplantation. Psychosomatics 2001; 42: 337-43.

20. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Act Psychiatr Scand 1983; 67: 361-70.

21. López-Alvarenga JC, Vázquez-Velázquez V, Arcila-Martínez D, et al. Exactitud y utilidad diagnóstica del Hospital Anxiety and Depression Scale (HAD) en una muestra de sujetos obesos mexicanos. Rev Invest Clin 2002; 54: 403-9.

22. Derogatis LR. SCL-90: an outpatient psychiatric rating scalepreliminary report. Psychopharma Bull 1973; 9: 13-28.

23. Cruz CS, López L, Blas C, et al. Datos sobre la validez y confiabilidad de la Symptom Checklist 90 (SCL-90) en una muestra de sujetos mexicanos. Sal Mental 2005; 28: 72-81.

24. Craven J, Rodin G, Johnson L, Kennedy S. The diagnosis of major depression in renal dialysis patients. Psychosom Med 1987; 49: 482-92.

25. Kalender B, Ozdemir AC, Koroglu G. Association of depression with markers of nutrition and inflammation in chronic kidney disease and end-stage renal disease. Nephron Clin Pract 2006; 102: 115-21.

26. Harding KJ, Rush AJ, Arbuckle M, et al. Measurement-based care in Psychiatric Practice: A policy framework for Implementation. J Clin Psych [In Press].