Depression in hemodialysis patients: the role of dialysis shift

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTELES, Flavio
dc.contributor.authorAZEVEDO, Vega Figueiredo Dourado de
dc.contributor.authorMIRANDA, Claudio Torres de
dc.contributor.authorMIRANDA, Milma Pires de Melo
dc.contributor.authorTEIXEIRA, Maria do Carmo
dc.contributor.authorELIAS, Rosilene M.
dc.date.accessioned2014-07-07T16:05:13Z
dc.date.available2014-07-07T16:05:13Z
dc.date.issued2014
dc.description.abstractOBJECTIVE: Depression is the most important neuropsychiatric complication in chronic kidney disease because it reduces quality of life and increases mortality. Evidence demonstrating the association between dialysis shift and depression is lacking; thus, obtaining such evidence was the main objective of this study. METHOD: This cross-sectional study included patients attending a hemodialysis program. Depression was diagnosed using Beck's Depression Inventory. Excessive daytime sleepiness was evaluated using the Epworth Sleepiness Scale. RESULTS: A total of 96 patients were enrolled (55 males, age 48±14 years). Depression and excessive daytime sleepiness were observed in 42.7% and 49% of the patients, respectively. When comparing variables among the three dialysis shifts, there were no differences in age, dialysis vintage, employment status, excessive daytime sleepiness, hemoglobin, phosphorus levels, or albumin levels. Patients in the morning shift were more likely to live in rural areas (p<0.0001), although patients in rural areas did not have a higher prevalence of depression (p = 0.30). Patients with depression were more likely to be dialyzed during the morning shift (p = 0.008). Independent risk factors for depression were age (p<0.03), lower levels of hemoglobin (p<0.01) and phosphorus (p<0.01), and dialysis during the morning shift (p = 0.0009). The hospitalization risk of depressive patients was 4.5 times higher than that of nondepressive patients (p<0.008). CONCLUSION: These data suggest that depression is associated with dialysis shift, higher levels of phosphorus, and lower levels of hemoglobin. The results highlight the need for randomized trials to determine whether this association occurs by chance or whether circadian rhythm disorders may play a role.
dc.description.indexMEDLINE
dc.identifier.citationCLINICS, v.69, n.3, p.198-202, 2014
dc.identifier.doi10.6061/clinics/2014(03)10
dc.identifier.eissn1980-5322
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/6021
dc.language.isoeng
dc.publisherFaculdade de Medicina / USP
dc.relation.ispartofClinics
dc.rightsopenAccess
dc.rights.holderCopyright Faculdade de Medicina / USP
dc.subjectDepression
dc.subjectDialysis Shift
dc.subjectHemodialysis
dc.subject.otherSTAGE RENAL-DISEASE
dc.subject.otherCHRONIC KIDNEY-DISEASE
dc.subject.otherQUALITY-OF-LIFE
dc.subject.otherDAYTIME SLEEPINESS
dc.subject.otherINVENTORY
dc.subject.otherANXIETY
dc.subject.otherHEALTH
dc.subject.otherINFLAMMATION
dc.subject.otherASSOCIATION
dc.subject.otherPOPULATION
dc.subject.wosMedicine, General & Internal
dc.titleDepression in hemodialysis patients: the role of dialysis shift
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalTELES, Flavio:State University of Health Sciences of Alagoas, Maceio, BRAZIL
hcfmusp.author.externalAZEVEDO, Vega Figueiredo Dourado de:State University of Health Sciences of Alagoas, Maceio, BRAZIL
hcfmusp.author.externalMIRANDA, Claudio Torres de:Federal University of Alagoas, Maceio, BRAZIL
hcfmusp.author.externalMIRANDA, Milma Pires de Melo:Federal University of Alagoas, Maceio, BRAZIL
hcfmusp.author.externalTEIXEIRA, Maria do Carmo:State University of Health Sciences of Alagoas, Maceio, BRAZIL
hcfmusp.citation.scopus62
hcfmusp.contributor.author-fmusphcROSILENE MOTTA ELIAS
hcfmusp.description.beginpage198
hcfmusp.description.endpage202
hcfmusp.description.issue3
hcfmusp.description.volume69
hcfmusp.origemWOS
hcfmusp.origem.pubmed24626947
hcfmusp.origem.scieloSCIELO:S1807-59322014000300198
hcfmusp.origem.scopus2-s2.0-84897811443
hcfmusp.origem.wosWOS:000333034000010
hcfmusp.publisher.citySÃO PAULO
hcfmusp.publisher.countryBRAZIL
hcfmusp.relation.referenceKessler RC, 2003, JAMA-J AM MED ASSOC, V289, P3095, DOI 10.1001/jama.289.23.3095
hcfmusp.scopus.lastupdate2024-05-10
relation.isAuthorOfPublication96f51de1-5516-4c3f-8bbe-e187ad50e121
relation.isAuthorOfPublication.latestForDiscovery96f51de1-5516-4c3f-8bbe-e187ad50e121
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