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. 2011 Mar;37(1):30-9.
doi: 10.1111/j.1755-6686.2011.00202.x.

Depressive symptoms and dietary adherence in patients with end-stage renal disease

Amani A Khalil  1 , Susan K Frazier, Terry A Lennie, B Peter Sawaya
Affiliations

Depressive symptoms and dietary adherence in patients with end-stage renal disease

Amani A Khalil et al. J Ren Care. 2011 Mar.

Abstract

Depressive symptoms may be associated with fluid and dietary non adherence which could lead to poorer outcomes. The purpose of this study was to examine the relationship between depressive symptoms and fluid and dietary adherence in 100 patients with end-stage renal disease (ESRD) receiving haemodialysis. A descriptive, cross-sectional design with a convenience sample of 100 patients with ESRD receiving maintenance haemodialysis completed instruments that measured self-reported depressive symptoms and perceived fluid and dietary adherence. Demographic and clinical data and objective indicators of fluid and diet adherence were extracted from medical records. As many as two-third of these subjects exhibited depressive symptoms and half were non adherent to fluid and diet prescriptions. After controlling for known covariates, patients determined to have moderate to severe depressive symptoms were more likely to report non adherence to fluid and diet restrictions. Depressive symptoms in patients with ESRD are common and may contribute to dietary and fluid non adherence. Early identification and appropriate interventions may potentially lead to improvement in adherence of these patients.

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Figures

Figure 1
Figure 1. Proportion of patients with depressive symptoms determined by the BDI-II and the BSI depression subscale
Chi square used to test differences in proportions of patients with depressive symptoms using the two instruments BDI –II = Beck Depression Inventory, BSI = Brief Symptom Inventory
Figure 2
Figure 2. Proportion of patients with dietary non-adherence measured by self-report (DDFQ) and objective measures
Chi square used to test differences in proportions of patients identified as non-adherent using subjective and objective measures DDFQ = Dialysis Diet and Fluid Questionnaire
See this image and copyright information in PMC

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