Hong Kong Journal of Nephrology
Volume 7, Issue 2 , Pages 82-89, October 2005

Prevalence of Psychological Problems in Chinese Peritoneal Dialysis Patients

Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China

Article Outline

Background

Psychological problems are common among dialysis patients. We studied the prevalence of psychological problems in a cohort of Chinese peritoneal dialysis (PD) patients.

Methods

We studied 167 unselected adult PD patients from a single dialysis unit. Psychological status and social support were assessed by the Hospital Anxiety and Depression Scale (HADS) and the Medical Outcomes Study Social Support Survey, Chinese version (MOS-SSS-C) questionnaires, respectively.

Results

With the HADS questionnaire, 33 (19.8%) and 76 patients (45.5%) had at least mild anxiety and depression symptoms, respectively. With the MOS-SSS-C questionnaire, 13.8% of patients had borderline social support, and 4.2% had poor social support. There was a close internal correlation between HADS and MOS-SSS-C scores. A higher HADS depression score was noted in male patients (8.19 ± 6.80, p = 0.023), elderly patients (r = 0.189, p = 0.033), and those with no full-time job (7.47 ± 4.31 vs 4.45 ± 2.16, p = 0.011). Patients who needed four daily exchanges had a significantly lower overall MOS-SSS-C score than those on three daily exchanges (248.4 ± 96.5 vs 284.5 ± 87.3, p = 0.032). Patients with poor compliance to drug had a higher HADS anxiety score (7.80 ± 4.44 vs 4.25 ± 4.17, p < 0.001) and lower MOS-SSS-C overall score (184.6 ± 115.9 vs 287.5 ± 91.2, p < 0.001), but the HADS depression score was similar.

Conclusion

Psychological symptoms are highly prevalent in Chinese PD patients. Depressive symptoms are common in elderly male patients without full-time jobs. On the other hand, anxiety symptoms and poor social support are associated with poor compliance to various aspects of treatment.

Key words:  compliance , depression , psychology , social support

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PII: S1561-5413(09)60219-2

doi:10.1016/S1561-5413(09)60219-2

Hong Kong Journal of Nephrology
Volume 7, Issue 2 , Pages 82-89, October 2005

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