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Depression Levels Before and After Renal Transplantation with Chronic Rejection
Author(s) -
Haberal M
Publication year - 2003
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1046/j.1492-7535.2003.01276.x
Subject(s) - medicine , depression (economics) , transplantation , dialysis , hemodialysis , psychosocial , marital status , beck depression inventory , incidence (geometry) , stage (stratigraphy) , psychiatry , population , anxiety , paleontology , physics , environmental health , biology , optics , economics , macroeconomics
PURPOSE OF STUDY: Psychosocial parameters are closely related with the physical well‐being of ESRD and renal transplantation patients. Additionally, depression has also been increasingly recognized among this group of patients. Our aim in this study was to compare the presence and stage of depression and the confounding parameters in renal transplant recipients and the patients on dialysis therapy. METHODS: Our study included 88 patients (62M/26F, age: 31.1 ± 11.7 years) who were divided into 3 groups: renal transplant recipients (Group I, n = 27), renal transplant waiting list patients (Group II, n = 30) and chronic allograft rejection patients on dialysis therapy (Group III, n = 31). Age, gender, marital status, presence of chronic rejection, duration of transplantation and HD were retrieved from the patient records. Beck Depression Inventory was administrated to each patient by the same psychologist. No acutely interfering illness was present at the time when the test was given. RESULTS: The depression incidence and stage of group I and group III were significantly different (p < 0,003). Although the depression presence and stage was not related with age and gender of the patients, interestingly we observed that it was lower in married patients (p < 0,03). Also there was an inverse correlation between presence and stage of depression and functional graft duration in chronic rejection patients on HD therapy (r = − 0,370; p = 0,04). CONCLUSION: After returning back to HD after chronic rejection, the patients had higher levels of depression. Sharing the physical and psychological problems with another person decreased the depression in married patients; therefore higher social and psychological support must be given to the patients after chronic rejection especially to the single ones.