Factors Predicting Depression in Continuous Ambulatory Peritoneal Dialysis Patients

Main Article Content

อาทิตยา อติวิชญานนท์
สายฝน ม่วงคุ้ม
วชิราภรณ์ สุมนวงศ์



          This research aimed to examine predictors of depression based on factors including nutritional status, health literacy and family support  among patients undergoing continuous ambulatory peritoneal dialysis. One hundred and nineteen participants were attending outpatient department, CAPD clinic at Chonburi hospital and Burapha university hospital. The instruments consisted of 1) personal data record form, 2) Mini Nutrition Assessment scale, 3) health literacy scale, 4) social support scale and 5) patient health questionnaire-9. Data were analyzed using descriptive statistics and stepwise multiple regression. The results showed 50.42% of participant had depression. Nutritional status and family support could explain 24.1% variability in depression (p < .05). These findings suggest that health care providers should screening depression among CAPD patients periodically to help clients correctly and rapidly and encourage family support appropriately. Moreover, they should advise to promote nutritional status.


Download data is not yet available.

Article Details




Artiwitchayanon, A., Keeratiyutawong, P., & Duangpaeng, S. (2015). Predictors of Self Management in Patients with Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis. Ramathibodi Nursing Journal, 21(2), 172-185. [in Thai]

Atalay, H., Solak, Y., Biyik, M., Biyik, Z., Yeksan, M., Uguz, F., Guney, I., Tonbul, H. Z., & Turk, S. (2010). Sertraline treatment is associated with an improvement in depression and health-related quality of life in chronic peritoneal dialysis patients. International urology and nephrology, 42(2), 527-536.

Baykan, H., & Yargic, I. (2012). Depression, anxiety disorders, quality of life and stress coping strategies in hemodialysis and continuous ambulatory peritoneal dialysis patients. Klinik Psikofarmakoloji Bulteni-Bulletin of Clinical Psychopharmacology, 22(2), 167-176.

Bilgic, A., Akman, B., Sezer, S., Ozisik, L., Arat, Z., Ozdemir, F. N., & Haberal, M. (2008). Predictors for quality of life in continuous ambulatory peritoneal dialysis patients. Nephrology, 13(7), 587-592.

Bleda, M. J., Bolibar, I., Pares, R., & Salva, A. (2002).Reliability of the mini nutritional assessment (MNA) in institutionalized elderly people. The Journal of Nutrition, Health & Aging, 6(2), 134-137.

Dodson, S., Osicka, T., Huang, L., McMahon, L. P., & Roberts, M. A. (2016).Multifaceted assessment of health literacy in people receiving dialysis: Associations with psychological stress and quality of life. Journal of Health Communication, 21(sup2), 91-98.

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods, 41(4), 1149-116.

Griva, K., Kang, A. W., Yu, Z. L., Mooppil, N. K., Foo, M., Chan, C. M., & Newman, S. P. (2014). Quality of life and emotional distress between patients on peritoneal dialysis versus community-based hemodialysis. Quality of Life Research, 23(1), 57-66.

Griva, K., Kang, A. W., Yu, Z. L., Lee, V. Y., Zarogianis, S., Chan, M. C., & Foo, M. (2016). Predicting technique and patient survival over 12 months in peritoneal dialysis: the role of anxiety and depression. International urology and nephrology, 48(5), 791-796.

Hachuk, W., & Wattanakitkrileat, D. (2013). The influence of uncertainty in illness, health literacy, and social support on quality of life of patients with heart failure. Journal of Nursing Science Chulalongkorn University, 25(1), 79-92.

Ko, G. J., Kim, M. G., Yu, Y. M., Jo, S. K., Cho, W. Y., & Kim, H. K. (2010). Association between depression symptoms with inflammation and cardiovascular risk factors in patients undergoing peritoneal dialysis. Nephron Clinical Practice, 116(1), c29-c35.

Li, Z. J., An, X., Mao, H. P., Wei, X., Chen, J. H., Yang, X., Zhou, S.F., Li, Z.B., & Yu, X. Q. (2011). Association between depression and malnutrition–inflammation complex syndrome in patients with continuous ambulatory peritoneal dialysis. International Urology and Nephrology, 43(3), 875-882.

Lin, J., Guo, Q., Ye, X., Li, J., Yi, C., Zhang, X., Wu, X., Cao, P., Yu, X., Zhu, L., Lin, X., Yang, X., & Yu, X. (2013).The effect of social support and coping style on depression in patients with continuous ambulatory peritoneal dialysis in southern China. International Urology and Nephrology, 45(2), 527-535.

Lin, Y. H., Yang, Y., Chen, S. Y., Chang, C. C., Chiu, P. F., & Huang, C. Y. (2011).The depression status of patients with end‐stage renal disease in different renal replacement therapies. International Journal of Urological Nursing, 5(1), 14-20.

Lotrakul, M., Sumrithe, S., & Saipanish, R. (2008).Reliability and validity of the Thai version of the PHQ-9.BMC Psychiatry.Retrieved from http://www. biomedcentral.com/1471-144x/8/46.

Meleis, A. I., Sawyer, L. M., Im, E. O., Messias, D. K. H., & Schumacher, K. (2000). Experiencing transitions: an emerging middle-range theory. Advances in Nursing Science, 23(1), 12-28.

Nabolsi, M. M., Wardam, L., & Al‐Halabi, J. O. (2015). Quality of life, depression, adherence to treatment and illness perception of patients on hemodialysis. International Journal of Nursing Practice, 21(1), 1-10.

Pangsri, S., Panpakdee, O., & Phinitkhajorndech, N. (2015). Factors Predicting Health-related Quality of Life in Chronic Kidney Disease Patients Receiving Dialysis in Chanthaburi Province. Journal of Nursing and Education, 8(3), 66-80. [in Thai]

Parker, R. M., Baker, D. W., Williams, M. V., & Nurss, J. R. (1995). The test of functional health literacy in adults. Journal of general internal medicine, 10(10), 537-541.

Sindhu, S., Varitsakul, R., & Sriyuktasuth, A. (2011). Factors associated with depression in elderly peritoneal dialysis patients. Journal of Nursing Science, 29(2), 85-92. [in Thai]

Supicha, A., Linchong, P., & Daungruedee L. (2013). Self – Management Behaviors and Predicting Factors in Elders with End Stage Renal Disease Undergoing Continuous Ambulatory Peritoneal Dialysis. Nursing Journal, 40, 22-32. [in Thai]

Turkmen, K., Guney, I., Yazici, R., Arslan, S., Altintepe, L., & Yeksan, M. (2014). Health-related quality of life, depression and mortality in peritoneal dialysis patients in Turkey: Seven-year experience of a center. Renal failure, 36(6), 859-864.

Vellas, B., Guigoz, Y., Garry, P. J., Nourhashemi, F., Bennahum, D., Lauque, S., & Albarede, J. L. (1999).The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition, 15(2), 116-122.

Wright, L. S., & Wilson, L. (2015). Quality of life and self-efficacy in three dialysis modalities: incenter hemodialysis, home hemodialysis, and home peritoneal dialysis. Nephrology Nursing Journal, 42(5), 463-477.

Zou, H., Chen, Y., Fang, W., Zhang, Y., & Fan, X. (2016). The mediation effect of health literacy between subjective social status and depressive symptoms in patients with heart failure. Journal of Psychosomatic Research, 91, 33-39.