Prospective study of depression among dialysis patients in Saudi Arabia
Objectives The purpose was to determine the short-term course of depression among dialysis patients in Saudi Arabia and identify baseline characteristics that may influence course. Methods Thirty-nine dialysis patients in Jeddah, SA, were identified with subthreshold, minor, or major depressive disorders using the Structured Clinical Interview for Depression (SCID) and followed up at 6 and 12 weeks using the Longitudinal Interview and Follow-up Evaluation (LIFE) schedule. Depressive symptoms were tracked using the Hamilton Depression Rating Scale (HDRS). Patient characteristics measured at baseline included demographic, psychosocial, physical health, and treatment factors. Results Of the 20 patients with major or minor depressive disorder, eight (40 %) fully remitted by 6 weeks and an additional three patients remitted over the next 6 weeks, leaving 45 % with significant depressive symptoms persisting beyond 12 weeks. Subthreshold disorders followed a similar course (42 % with persistent symptoms). Few patients received treatment for depression. Those with more education, severe health problems, poorer psychological function, more severe depressive symptoms, or a family psychiatric history were less likely to remit. Similar factors predicted change in depressive symptoms assessed by HDRS, especially high medical co-morbidity, severe illness, and overall poor psychological functioning. Conclusions Nearly one-half of depressed dialysis patients in Saudi Arabia continue to have significant symptoms beyond 12 weeks of follow-up, few of whom were treated. Specific characteristics at baseline identify depressed dialysis patients at greater risk of persistent symptoms who need treatment..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2015 |
|---|---|
| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
|---|---|
| Enthalten in: |
International urology and nephrology - 47(2015), 6 vom: 22. Apr., Seite 1001-1010 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Al Zaben, Faten [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| Themen: |
Chronic kidney disease |
|---|
| Anmerkungen: |
© Springer Science+Business Media Dordrecht 2015 |
|---|
| doi: |
10.1007/s11255-015-0977-1 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
OLC2048996086 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | OLC2048996086 | ||
| 003 | DE-627 | ||
| 005 | 20230518002241.0 | ||
| 007 | tu | ||
| 008 | 200819s2015 xx ||||| 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s11255-015-0977-1 |2 doi | |
| 035 | |a (DE-627)OLC2048996086 | ||
| 035 | |a (DE-He213)s11255-015-0977-1-p | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q VZ |
| 100 | 1 | |a Al Zaben, Faten |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Prospective study of depression among dialysis patients in Saudi Arabia |
| 264 | 1 | |c 2015 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a © Springer Science+Business Media Dordrecht 2015 | ||
| 520 | |a Objectives The purpose was to determine the short-term course of depression among dialysis patients in Saudi Arabia and identify baseline characteristics that may influence course. Methods Thirty-nine dialysis patients in Jeddah, SA, were identified with subthreshold, minor, or major depressive disorders using the Structured Clinical Interview for Depression (SCID) and followed up at 6 and 12 weeks using the Longitudinal Interview and Follow-up Evaluation (LIFE) schedule. Depressive symptoms were tracked using the Hamilton Depression Rating Scale (HDRS). Patient characteristics measured at baseline included demographic, psychosocial, physical health, and treatment factors. Results Of the 20 patients with major or minor depressive disorder, eight (40 %) fully remitted by 6 weeks and an additional three patients remitted over the next 6 weeks, leaving 45 % with significant depressive symptoms persisting beyond 12 weeks. Subthreshold disorders followed a similar course (42 % with persistent symptoms). Few patients received treatment for depression. Those with more education, severe health problems, poorer psychological function, more severe depressive symptoms, or a family psychiatric history were less likely to remit. Similar factors predicted change in depressive symptoms assessed by HDRS, especially high medical co-morbidity, severe illness, and overall poor psychological functioning. Conclusions Nearly one-half of depressed dialysis patients in Saudi Arabia continue to have significant symptoms beyond 12 weeks of follow-up, few of whom were treated. Specific characteristics at baseline identify depressed dialysis patients at greater risk of persistent symptoms who need treatment. | ||
| 650 | 4 | |a Depression course | |
| 650 | 4 | |a Dialysis | |
| 650 | 4 | |a Saudi Arabia | |
| 650 | 4 | |a Stressful life events | |
| 650 | 4 | |a Chronic kidney disease | |
| 700 | 1 | |a Sehlo, Mohammad Gamal |4 aut | |
| 700 | 1 | |a Khalifa, Doaa Ahmed |4 aut | |
| 700 | 1 | |a Al Shohaib, Saad |4 aut | |
| 700 | 1 | |a Shaheen, Faisul |4 aut | |
| 700 | 1 | |a Alzaben, Linda |4 aut | |
| 700 | 1 | |a Ahmad, Rami Ghazi |4 aut | |
| 700 | 1 | |a Ashy, Jafar Ayman |4 aut | |
| 700 | 1 | |a Felemban, Reema Ghazi |4 aut | |
| 700 | 1 | |a Koenig, Harold G. |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t International urology and nephrology |d Springer Netherlands, 1970 |g 47(2015), 6 vom: 22. Apr., Seite 1001-1010 |w (DE-627)129479004 |w (DE-600)204048-7 |w (DE-576)014860627 |x 0301-1623 |7 nnns |
| 773 | 1 | 8 | |g volume:47 |g year:2015 |g number:6 |g day:22 |g month:04 |g pages:1001-1010 |
| 856 | 4 | 1 | |u https://doi.org/10.1007/s11255-015-0977-1 |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a SSG-OLC-PHA | ||
| 912 | |a SSG-OLC-DE-84 | ||
| 951 | |a AR | ||
| 952 | |d 47 |j 2015 |e 6 |b 22 |c 04 |h 1001-1010 | ||