ASSESSMENT AND PREVALENCE OF DEPRESSION AND ANXIETY IN CHRONIC KIDNEY DISEASE PATIENTS STAGES 3-5D
Dr. PDSS Prakash*, Dr. Karuna Sree P., Mandumula Rishika, Rondla Shruthi Reddy and Shree Priya Munagala
ABSTRACT
Background: Chronic kidney disease (CKD) is the chronic deterioration of kidney function over time with high morbidity and mortality rates. In most chronic illnesses psychiatric disorders coexist as comorbidities. Researches have confirmed that presence and prevalence of anxiety and depression is more common among CKD patients as compared to other chronic conditions. Mental health issues in CKD patients affect morbidity, mortality and prognosis. This worsens overall health related quality of life. Methodology: A cross sectional, observational study in 120 patients was conducted over a period of 3 months to screen and detect the prevalence of depression and anxiety using the Hospital Anxiety and Depression scale (HADS) questionnaire in CKD patients of stages 3-5D. Results: Prevalence was calculated using Chi square test. depression was 14.1% and anxiety was 20%. Also, among the population the prevalence of borderline depression was 19.1% and borderline anxiety was 17.5%. Anxiety and borderline depression were more prevalent compared to their counterparts and the severity of these advanced with increase in age. Conclusion: This study has shown that 1/3rd population has signs of anxiety and depression. Hence, prevalence of psychological comorbidities in CKD patients can explain the need to provide large scale screening using clinician validated scales so that their health-related outcomes would be better if their psychological health improved. This ensures that highest level of care is provided for the patient.
Keywords: chronic kidney disease, anxiety, depression, dialysis, prevalence.
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