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. 2012;5(4):346-54.
Epub 2012 Aug 22.

Findings of multidimensional instruments for determining psychopathology in diabetic and non-diabetic hemodialysis patients

Gülperi Celik  1 , Bilge Burçak Annagür, Mümtaz Yılmaz, Fatih Kara
Affiliations

Findings of multidimensional instruments for determining psychopathology in diabetic and non-diabetic hemodialysis patients

Gülperi Celik et al. Int J Clin Exp Med. 2012.

Abstract

Objective: The aim of this study was to expand the research on psychiatric complications of end-stage renal disease (ESRD), as well as to examine the prevalence of a broad range of psychopathology in diabetic and non-diabetic hemodialysis (HD) patients.

Methods: One hundred nineteen HD patients were invited to enter the cross-sectional study. To assess quality of life, quality of sleep, mental status and depression and anxiety symptoms, the 36-item Short Form, Pittsburgh Sleep Quality Index (PSQI), Mini-Mental State Examination and Hospital Anxiety and Depression Scale, respectively, were used.

Results: The mean age of all patients was 56.9±16.1 years; 54 (45.4%) were female. In the diabetic patients group, 84.8% of the patients had low MCS scores, and 89.2% patients had low PCS scores; 73.9% were poor sleepers; 63.0% had cognitive decline; 62.0% patients were depressive symptoms; and 28.3%had symptoms of anxiety. When comparing the diabetic and non-diabetic patients, the diabetic patients had lower role-emotional, sleep duration, and sleep efficiency scores.

Conclusions: Incorporating a standard assessment and, eventually, treatment of psychopathologic symptoms into the care provided to diabetic and hemodialysis patients might improve quality of life and sleep, depressive symptoms and, reduce mortality risk.

Keywords: Anxiety; depression; diabetes mellitus; hemodialysis patients; quality of life; quality of sleep.

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Figures

Figure 1
Figure 1
Mean scores for components of the SF- 36 for the 119 diabetic and non-diabetic hemodialysis patients. Pcs, SF- 36 Physical Component Summary; mcs, SF- 36 Mental Component Summary; pf, Physical functioning; rf, Role physical; bp, Bodily pain; gh, General health; vt, Vitality; sf, Social functioning; re, Role emotional; mh, Mental health.
Figure 2
Figure 2
Mean scores for components of the PSQI for the 119 diabetic and non-diabetic hemodialysis patients.
See this image and copyright information in PMC

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