Relationship between psychiatric disorders and quality of life in nondialysis patients with chronic kidney disease

Am J Med Sci. 2013 Mar;345(3):218-21. doi: 10.1097/MAJ.0b013e318255a561.

Abstract

Background: The aim of this study was to investigate the relationship between psychiatric disorders (anxiety and depression) and quality of life (QOL) in nondialysis patients with chronic kidney disease (CKD).

Methods: QOL was evaluated in a sample of 57 nondialysis patients with CKD using the 36-item Short Form Health Survey questionnaire comprising 8 scales, including the physical component summary and mental component summary measures. Depression and anxiety were estimated using the Hamilton Depression Rating Scale and Hamilton Anxiety Rating Scale, respectively.

Results: Depression and anxiety scores were negatively correlated with 7 of the 8 scales of the Short Form 36 questionnaire, and with the physical component summary and mental component summary scores, despite 38.6% patients with depression and 54.4% with anxiety, whereas QOL in the depression group, the anxiety group, and the anxiety and depression comorbid group was lower than that for those without the corresponding psychiatric disorders (P < 0.05).

Conclusions: This study demonstrates that depression and anxiety, commonly encountered in patients with CKD, could be a risk factor for QOL in these patients.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Aged
  • Anxiety Disorders / complications
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / psychology*
  • Depression / complications
  • Depression / epidemiology
  • Depression / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Renal Dialysis
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / epidemiology
  • Renal Insufficiency, Chronic / psychology*
  • Surveys and Questionnaires*