Association of depression/anxiety and quality of life in patients with chronic kidney disease undergoing hemodialysis: a study from Western Rajasthan

Abstract

Context: Chronic kidney disease (CKD) is emerging as a public health problem globally. Depression and anxiety are commonly seen in patients with CKD who are undergoing hemodialysis, and these ailments deteriorate the quality of life (QoL) of these patients. Aims: The present study aimed to determine the association between depression/anxiety and QoL in CKD patients. Settings and Design: This cross-sectional study was conducted at the nephrology department of the institution on 100 patients with CKD undergoing hemodialysis, who fulfilled the inclusion criteria for this study. Informed consent was taken prior to enrollment for the study. Materials and Methods: After seeking sociodemographic information, the Hospital Anxiety and Depression Scale was applied to screen for and to assess the severity of anxiety and depression, while the World Health Organization-QOL Assessment BREF questionnaire was administered to measure the subjective QoL. Data collected were subjected to suitable statistical analysis. Results: The prevalence of depression and anxiety among CKD patients was 66% and 61%, respectively. CKD patients with depression and anxiety had worse scores on all domains of QoL questionnaire. Both depression and anxiety negatively correlated with all domains of QoL. Conclusions: Depression and anxiety are highly prevalent in patients with CKD, and patients afflicted with the above had impaired QoL.

Keywords

• anxiety
• chronic kidney disease
• depression
• hemodialysis
• quality of life