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. 2016 Jan:168:164-170.e1.
doi: 10.1016/j.jpeds.2015.09.040. Epub 2015 Oct 23.

Depressive Symptoms in Children with Chronic Kidney Disease

Amy J Kogon  1 , Matthew B Matheson  2 , Joseph T Flynn  3 , Arlene C Gerson  4 , Bradley A Warady  5 , Susan L Furth  6 , Stephen R Hooper  7 ; Chronic Kidney Disease in Children (CKiD) Study Group
Collaborators, Affiliations

Depressive Symptoms in Children with Chronic Kidney Disease

Amy J Kogon et al. J Pediatr. 2016 Jan.

Abstract

Objective: To assess depression in children with chronic kidney disease and to determine associations with patient characteristics, intellectual and educational levels, and health-related quality of life (HRQoL).

Study design: Subjects aged 6-17 years from the Chronic Kidney Disease in Children cohort study completed the Children's Depression Inventory (CDI), Wechsler Abbreviated Scales of Intelligence, Wechsler Individual Achievement Test-II-Abbreviated, and the Pediatric Inventory of Quality of Life Core Scales 4.0. Regression analyses determined associations of CDI score and depression status with subject characteristics, intellectual and educational levels, and HRQoL. A joint linear mixed model and Weibull model were used to determine the effects of CDI score on longitudinal changes in glomerular filtration rate and time to renal replacement therapy.

Results: A total of 344 subjects completed the CDI. Eighteen (5%) had elevated depressive symptoms, and another 7 (2%) were being treated for depression. In adjusted analyses, maternal education beyond high school was associated with 5% lower CDI scores (estimate, 0.95; 95% CI, 0.92-0.99). Depression status was associated with lower IQ (99 vs 88; P = .053), lower achievement (95 vs 77.5; P < .05), and lower HRQoL by parent and child reports (effect estimates, -15.48; 95% CI, -28.71 to -2.24 and -18.39; 95% CI, -27.81 to -8.96, respectively). CDI score was not related to change in glomerular filtration rate.

Conclusion: Children with depression had lower psychoeducational skills and worse HRQoL. Identifying and treating depression should be evaluated as a means of improving the academic performance and HRQoL of children with chronic kidney disease.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Unadjusted HRQoL Overall and Domain Median Scores by Parent Proxy and Self Report
See this image and copyright information in PMC

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