Depression, Hopelessness and Risk of Suicide in patients Undergoing Hemodialysis: A Cross Sectional Study
DOI:
https://doi.org/10.48165/ijabms.2021.23127Keywords:
Depression, Hopelessness, Risk of Suicide, Undergoing Hemodialysis, Cross Sectional Study IntroductionAbstract
Background: Hemodialysis (HD) is associated with organic difficulties and also causes changes in psychological status of patients. Depression is the most common and probably the most important psychopathological complication in in hemodialysis patients. Hopelessness was reported as the aggravating factor of depression. Suicide is established as prevalent mental health problems in patients undergoing hemodialysis.Aim: To assess depression, hopelessness and risk of suicide in patients undergoing hemodialysis.Methods: A cross-sectional study was carried out among 50 hemodialysis patients at tertiary care hospital in India. Scales like Patients health questionnaire-9(PHQ-9), Beck’s hopelessness scale (BHS) and Columbia-suicide severity rating scale(C-SSRS) were used to assess depression, hopelessness and risk of suicide.Result: Out of 50 patients, 38(76%) showed depression, 40(80%) showed hopelessness and 4(8%) showed risk of suicide. There is a significant correlation between sessions of hemodialysis with depression (p value=<0.05**) and hopelessness (p value=<0.05**). There is significant correlation between Depression and hopelessness in hemodialysis patients. (p value=<0.05**).Conclusion: The results from this study suggest that patients who have less sessions of dialysis showed more depression and hopelessness than the patients having more sessions of dialysis. This is may be due to adaptation with hemodialysis procedure in patient’s lifestyle as the number of sessions increases. And in this study depression is strongly associated with hopelessness and well explained by hopelessness
References
Kimmel P.L., Levy N.B. Psychology and Rehabilitation In: Daugirdas J.T.., Blake P.G.., Ing T.S., editors, Handbook of dialysis. Lippincott, Williams & Wilkins. 2000; pp.: 413-419.
Valderrabano F, Jofre R, Lopez-Gomez JM. Quality of life in endstage renal disease patients. Am J Kidney Dis 2001; 38: 443-64.
Furr LA. Psycho-social aspects of serious renal disease and dialysis: a review of the literature. Soc Work Health Care 1998; 27: 97-118.
Abramson LY, Metalsky GT. Hopelessness depression: A therapybased subtype of depression. Psychol Rev 1989; 96: 358-75.
Beck AT, Steer RA, Beck JS, Newman CF. Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression. Suicide Life Threat Behav 1993; 23: 139-45.
Benzein EG, Berg AC (2005) The level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care. Palliative Medicine 19: 234–240.
Kurella M, Kimmel PL, Young BS, et al: Suicide in the United States end-stage renal disease program. J Am Soc Nephrol 2005; 16:774–781
Berlim MT, Mattevi BS, Duarte AP, Thomé FS, Barros EJ, et al. (2006) Quality of life and depressive symptoms in patients with major depression and end-stage renal disease: A matched-pair study. J Psychosom Res 61: 731-734.
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Copyright (c) 2022 Vidhi Jesalpura, Harshil Chauhan, Prutha Desai, Alpesh J Gediya, Dharmesh V Patel, Hitendra A Gandhi, Krishna K. Dave
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