Management of anxiety and depression in haemodialysis patients: the role of non-pharmacological methods

Int Urol Nephrol. 2019 Jan;51(1):113-118. doi: 10.1007/s11255-018-2022-7. Epub 2018 Nov 19.

Abstract

Anxiety and depression in patients undergoing haemodialysis can be reduced by a variety of treatment methods, including pharmacological therapy, cognitive-behavioural therapy, regular exercise and relaxation techniques, such as Benson's relaxation method and acupressure treatment. Additionally, intradialytic exercise training programmes have a positive effect on patients' physical and psychological functioning. Moreover, social support from family and social environment, spirituality and religiosity, tele- nursing programmes and participation in network support groups frequently lead to a reduction of anxiety and depressive symptoms in these people. Finally, the provision of education and information to dialysis patients by renal professionals and a systematic psychiatric evaluation of these individuals can lead to early diagnosis and treatment of depressive symptoms.

Keywords: Anxiety; Cognitive-behavioural therapy; Depression; Education; Exercise; Haemodialysis; Relaxation techniques; Social support.

Publication types

  • Review

MeSH terms

  • Acupressure / methods*
  • Anxiety* / physiopathology
  • Anxiety* / therapy
  • Cognitive Behavioral Therapy / methods*
  • Depression* / physiopathology
  • Depression* / therapy
  • Humans
  • Kidney Failure, Chronic* / psychology
  • Kidney Failure, Chronic* / therapy
  • Psychosocial Support Systems
  • Quality of Life
  • Relaxation Therapy / methods*
  • Renal Dialysis / methods
  • Renal Dialysis / psychology*