Prevalence and Factors Associated with Depression in Chronic Kidney Disease Patients at Bandan Hospital, Buriram Province.

Abstract

Background: Depression is the most common psychiatric problem found in patients with chronic kidney disease. All of the chronic kidney disease patients should be screened for depression status for appropriate and effective management. Detecting the early stage of depression and providing prompt intervention can lead to decrease in suicidal events, morbidity and mortality in chronic kidney disease patients.
Objectives: To evaluate the prevalence and factors associated with depression in chronic kidney disease patients who come to Bandan out patient department.
Methods: This is an analytic cross-section study design. The questionnaire about general patient data and 9Q depression questionnairewere answered by 183 patients with chronic kidney disease at OPD of Bandan hospital from September 2021 to December 2021. 8Q suicide assessment questionnaire was done after 7 scores from 9Q. The prevalence was analyzed by descriptive data and the association among factors were assessed by Chi-square test and Fisher Exact test with p-value < 0.05.
Results: The prevalence of depression measured by using more than 7 scores from 9Q in chronic kidney patients is approximately 29%.The factors, including family status, occupation, income, and stage of chronic kidney disease, reveal a significant association with depression. On the other hand, gender, age, age at onset of chronic kidney disease, duration of chronic kidney disease, underlying disease, receiving renal replacement therapy, family history of depression, physical activity level, smoking and alcoholic use status were not associated with depression in chronic kidney disease patients.
Conclusion: About one third of patients with chronic kidney disease in the OPD setting have depressive disorder. Physicians should pay attention to some factors that can be associated with this psychiatric condition.