PSYCHIATRIC MORBIDITY IN PATIENTS WITH CHRONIC KIDNEY

Authors

  • Vikhram Ramasubramanian consultant psychiatrist,ahana hospitals,annanagar, madurai,

Abstract

Background Chronic Kidney Disease (CKD) is a public health problem that tends to take dimensions of epidemic and has serious impact on quality of patient's life. Aim The aim of the present study was to evaluate the psychiatric morbidity in chronic kidney disease patients undergoing haemodialysis. Materials and Methods This study enrolled 130 chronic kidney disease patients undergoing haemodialysis. Psychological characteristics of the patients were assessed with the Mini-International Neuropsychiatric Interview (MINI). Results The mean age of patients undergoing haemodialysis were 53years ± 13.9 and the mean age of male were 52.79 yrs± 13.9 and female were 53.37yrs ± 12.8.9.The results of renal dysfunction showed mean 2.99 yrs± 3.12, with mean duration of male is 3.23 ± 3.5 yrs and female is 2.57yrs ± 2.2.40% of patients (n=52) were diagnosed with psychiatric illness, 27.69% male patients (n=36),12.3% female patients(n=16).The duration of renal disease (mean=2.99yrs) was compared with duration of psychiatric illness (mean=1.34yrs). It was observed that difference between the means is statistically significant (p = 0.02).The results showed that the mean duration of mental illness was 1.34yrs + 1.47. 69.2% were males (n=36), and 16, 30.8% were females. Most of the patients (n=25, 19.23%) diagnosed to have a psychiatric illness belonged to the age group of 40-60 yrs. The age of onset of renal disease in our sample was 50yrs+ 14.05 and the age of onset of psychiatric morbidity was 50.92 yrs+13.63. Conclusion The present study has been helpful in understanding the onset of psychiatric illness among the CKD patients undergoing haemodialysis. Keywords Psychiatric Morbidity, Dialysis, Chronic renal failure, Psychological factors

Downloads

Download data is not yet available.

Author Biography

Vikhram Ramasubramanian, consultant psychiatrist,ahana hospitals,annanagar, madurai,

M.D.Psychiatrist

References

References

Papadakis E. Approach of patients with kidney disease and patients with beta-

thalassemia in a general hospital in Crete and investigation of their quality of life.

thesis, 2010

Leung KCD. Psychosocial aspects in renal patients.Perit Dial Int 2003; 23(S2):

S90-S94.

Gerogianni KG. Stressors of patients undergoing chronic hemodialysis. Nursing

; 42 (2): 228-246.

Theofilou P. Quality of life in end - stage renal disease: a qualitative analysis.

Interscientifichealth care 2011; 3 (2): 70-80.

Reichsman F, Levy NB. Adaptation to hemodialysis: A four year study of 25

patients. Arch Intern Med. 1972;138:859-65.

Levy NB. Psychological reaction to machine dependency.Psychiatr Clin North Am.

;4:351-63.

De Sousa A. Psychiatric issues in renal failure and dialysis. Indian J Nephrol.

;18(2):47-50.

Addison T. A Selection of the Collected Works of Thomas Addison. (Ed. by

Wilks &Daldy),1868; New Sydenham Society, London.

Kaplan de-nour A. Some notes on the psychological significance of urination.

Journal of Nervous and Mental disease, 1969;148:615.

Schreiner GE. Mental and personality changes in the uremic syndrome. Med Ann

Dist Columbia, 1959; 28(6): 316-23.

Tyler R. Neurological complications of acute and chronic renal failure.

In: The Treatment of Renal Failure.1965.Heinemann,London.

Kemph JP. Renal failure, artificial kidney and kidney transplant. Am J Psychiatry.

;122(11):1270-4.

Reichsman F, Levy NB. Adaptation to hemodialysis: A four year study of 25

patients. Arch Intern Med.1972;138:859-65.

Levy NB. Psychological reaction to machine dependency.Psychiatr Clin North Am

;4:351-63.

Catalano C. Withdrawal of renal replacement therapy in Newcastle upon

Tyne: 1964-1993. Nephrol Dial Transplant, 1996; 11(1):133-9.

Cramond WA, Knight PR ,Lawrence JR, The psychiatric contribution to a

renal unit undertaking chronic haemodialysis and renal homotransplantation. Br

J Psychiatry, 1967. 113(504):1201-12.

De-Nour AK. Psychotherapy with patients on chronic haemodialysis. Br J

Psychiatry, 1970;116(531):207-15.

Fricchione GL.Psychological adjustment to end-stage renal disease and

the implications of denial. Psychosomatics, 1992;33(1):85-91.

Taylor S .Adjustment to threatening events – a theory of cognitive adaptation.

American Psychologist, 1983;1161–1173.

Brown TM, Brown RL.Neuropsychiatric consequences of renal failure.

Psychosomatics, 1995; 36(3): 244-53.

National Kidney Foundation. National Kidney Foundation Kidney Disease

Outcomes Quality Initiative (K/DOQI) Guidelines. Retrieved February 2002

;21,2006 from http://www.kidney.org/professionals/ kdoqi/guidelinesckd/toc.htm

Baldree KS, Murphy SP, and Powers MJ, Stress identification and coping

patterns in patients on hemodialysis. Nurs Res. 1982;31(2):107-12.

Bohannon RW, Hull D, and Palmeri D, Muscle strength impairments and gait

performance deficits in kidney transplantation candidates. Am J Kidney Dis.1994;

(3):480-5.

Gurklis JA, Menke EM.Identification of stressors and use of coping

methods in chronic hemodialysis patients. Nursing Research, 1998;37(4):236-239,

Lindqvist R, Carlsson M, Sjoden P. Coping strategies and quality of

life among patients on hemodialysis and continuous ambulatory peritoneal

dialysis. Scandinavian Journal of Caring Sciences, 1998;12:223-230.

Nichols KA, Springford V.The psycho-social stressors associated

with survival by dialysis. Behaviour Research and Therapy,1984; 22(5):563-574.

Evans RW, Manninen DL, Garrison LP, Hart G, Blagg CR, GutmanRA. The

quality of life of patients with end-stage renal disease. The New England Journal

of Medicine,1985; 312(9): 553-559.

Kutner NG, Cardenas DD, Bower JD. Rehabilitation, aging, and chronic renal

disease. American Journal of Physical Medicine &Rehabilitation,1992; 77(2), 97-

Rocco MV, Gassman JJ, Wang S, Kaplan RM. The Modification of Diet in Renal

Disease Study Group. Cross-sectional study of quality of life and symptoms in

chronic renal disease patients: The modification of diet in renal disease study.

American Journal of Kidney Diseases, 1997; 29(6), 888-896.

Khan IH, Garratt AM, Kumar A, Cody DJ, Catto GRD, Edward N.Patients'

perception of health on renal replacement therapy: Evaluation using a new

instrument. Nephrology Dialysis Transplantation, 1995;70:684-689.

Julius M, Hawthorne VM, Carpentier-Alting P, Kneisley J, Wolfe RA, Port EK.

Independence in activities of daily living for end-stage renal disease patients:

Biomedical and demographic correlates. American Journal of Kidney Diseases,

; 13(1): 61-69.

Kimmel PL, Cohen SD, Peterson RA. Depression in patients with chronic

renal disease: where are we going? J Ren Nutr. 2008; 18(1):99-103.

Finkelstein FO.The treatment of depression in patients maintained on dialysis. J

Psychosom Res.2002; 53(4):957-60.

DeOreo PB .Hemodialysis patient--Assessed functional health status predicts

Continued survival, hospitalization, and dialysis-attendance compliance. American

Journal of Kidney Diseases.1999; 30(2):204-212.

Fujisawa M, Ichikawa Y, Yoshiya K, Isotani S, Higuchi A, Nagano S. Assessment

of health-related quality of life in renal transplant and hemodialysis patients using

the SF-36 health survey. Urology.2000; 56(2):201-206.

Rydholm L,Pauling J. Contrasting feelings of helplessness in peritoneal and

hemodialysis patients: A pilot study.The American Nephrology Nurse

Association.1991;8(2):184-187.

Batieha A. Epidemiology and cost of haemodialysis in Jordan. East Mediterr

Health J. 2007; 13(3):654-63.

Fauci A S et al. Harrison’s principles of internal medicine. McGraw-Hill Medical;

th edition, New York:2011.

Gupta R: Trends in hypertension epidemiology in India. J Hum Hypertens 2004,

(2):73–8.

RajapurkarM, DabhiM. Burden of disease-Prevalence and Incidence of renal

disease in India. clinical nephrology, vol.74suppl.1/2010(S9-12).

Kimmel PL, Peterson RA. Depression in patients with end-stage renal disease

treated with dialysis: Has the time to treat arrived? Clin J Am Soc

Nephrol2006;1:349-52.

Watnick S, Kirwin P, Mahnensmith R, Concato J. The prevalence and treatmentof

depression among patients starting dialysis. Am J Kidney Dis 2003;41:105-10.

Pramiladevi R.,Goornavar S M,KoraS.Depression in patients on Hemodialysis in

Bagalkot.MedicaInnovatica December 2012 Volume 1 Issue 2:5-11.

Cukor D , Rosenthal DS ,Jindal RM,BrownCD,KimmelPL.Depression is an

important contributor to low medication adherence in hemodialyzed patients and

transplantrecipients.Kidney Int.2009;75:1223-9.

KimmelPL,PetersonRA.Depression in end-stage renal disease patients treated

With hemodialysis:tools,correlates,outcomes,andneeds.Semin Dial. 2005;18:91-7.

Kimmel PL, Thamer M, Richard CM, Ray NF: Psychiatric illness in patients with

end-stage renal disease. Am J Med105: 214–221, 1998

Published

01-01-2015

How to Cite

Ramasubramanian, V. “PSYCHIATRIC MORBIDITY IN PATIENTS WITH CHRONIC KIDNEY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 8, no. 1, Jan. 2015, pp. 312-6, https://mail.innovareacademics.in/journals/index.php/ajpcr/article/view/3760.

Issue

Section

Original Article(s)