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

Author

Listed:
  • 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)

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.

Suggested Citation

  • 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 & Rosa Ramo, 2021. "Influence of Depression and Anxiety on Hemodialysis Patients: The Value of Multidisciplinary Care," IJERPH, MDPI, vol. 18(7), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3544-:d:526205
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    Citations

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    Cited by:

    1. Cristina J. González-Flores & Guillermo García-García & Abel Lerma & Héctor Pérez-Grovas & Rosa M. Meda-Lara & Rebeca M. E. Guzmán-Saldaña & Claudia Lerma, 2021. "Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients," IJERPH, MDPI, vol. 18(22), pages 1-12, November.

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