International Urology and Nephrology

, Volume 51, Issue 1, pp 113–118 | Cite as

Management of anxiety and depression in haemodialysis patients: the role of non-pharmacological methods

  • G. GerogianniEmail author
  • F. Babatsikou
  • M. Polikandrioti
  • E. Grapsa
Nephrology - Review


Anxiety and depression in patients undergoing haemodialysis can be reduced by a variety of treatment methods, including pharmacological therapy, cognitive-behavioural therapy, regular exercise and relaxation techniques, such as Benson’s relaxation method and acupressure treatment. Additionally, intradialytic exercise training programmes have a positive effect on patients’ physical and psychological functioning. Moreover, social support from family and social environment, spirituality and religiosity, tele- nursing programmes and participation in network support groups frequently lead to a reduction of anxiety and depressive symptoms in these people. Finally, the provision of education and information to dialysis patients by renal professionals and a systematic psychiatric evaluation of these individuals can lead to early diagnosis and treatment of depressive symptoms.


Anxiety Depression Haemodialysis Cognitive-behavioural therapy Exercise Relaxation techniques Social support Education 



This review did not receive any specific grant from funding agencies in the public commercial or not-for- profit sectors.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/ or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer Nature B.V. 2018

Authors and Affiliations

  1. 1.Department of NursingUniversity of West AtticaAthensGreece
  2. 2.Department of Nephrology, ‘Aretaieio’ HospitalNational and Kapodistrian University of AthensAthensGreece

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