Prevalence of depressive symptoms in patients with chronic kidney disease undergoing hemodialysis treatment at a satellite clinic in João Pessoa – Paraíba

Abstract

Depression is a clinical condition frequently found in patients with chronic kidney disease (CKD) on hemodialysis (HD), with a prevalence approximately twice that of the general population. The objective of the study is to evaluate the prevalence of depressive symptoms in patients with CKD undergoing HD in a satellite clinic in Paraíba. This is a cross-sectional study, with 48 patients HD program at João Pessoa – Paraíba. Questionnaires covering sociodemographic, socioeconomic, clinical-pathological history and Beck Depression Inventory (BDI) were applied. Descriptive analyzes were carried out and Pearson's chi-square and Spearman's correlation tests were applied, significance level was 0.05. The prevalence of depressive symptoms (BDI ≥ 16) in the sample was 28.9% (14), of these 57.1% (8) were female, mean age 62.4 years (SD 17.1).A relationship was observed between the presence of depressive symptoms and diabetes mellitus (DM) (p = 0.009), chronic pain (p = 0.002), HD access infection (p = 0.039) and physical activity (p = 0.004). The correlation with the absolute number of the BDI was considered positive among HD session absences (r = 0.402; p = 0.005), and negative among the frequency of physical activities (r = -0.416; p = 0.004).

Keywords: Depression; Hemodialysis; Prevalence; Chronic Kidney Disease;