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Anxiety, Depression and Suicidal Ideation in Lebanese Patients Undergoing Hemodialysis

Community Mental Health Journal volume 50, pages 235–238 (2014)Cite this article

Abstract

Anxiety, depression and suicidal thoughts are highly prevalent comorbidities of end-stage-renal-disease (ESRD). There are no studies in Lebanon on the prevalence of these symptoms in Lebanese end-stage-renal-disease patients. Moreover, the association between ESRD on one hand, and anxiety, depression and suicidal ideation on the other has never been established in Lebanon. Groups of patients at a high-risk of development of these symptoms are not determined. The Hospital Anxiety and Depression Score and M.I.N.I (module C) were used to measure the prevalence of anxiety, depression and suicidal ideation in 51 patients from the dialysis center of Hotel-Dieu de France Hospital in Lebanon. In our sample, 45 % of included patients suffered from symptoms of anxiety and 50 % presented symptoms of depression.The prevalence of suicidal ideation as detected by the M.I.N.I. is at 37 %. No patients presented with a high risk of suicide. There was a statistically significant correlation between the existence of organic comorbidities and the presence of symptoms of depression and suicidal ideation. As for anxiety, the association was marginally significant. The results obtained by our study are consistent with those found in studies performed in other societies. The profile of depression- and suicidal ideation-prone patients has been determined. It consists of patients with at least one medical comorbidity to the ESRD. This, in turn, should lead to increased awareness and better treatment of these psychiatric ailments, considering their impact on morbidity and mortality in ESRD.

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Conflict of interest

This study was conducted with no financial support or third-party involvement and thus does not present any conflict of interest or any possible bias resulting from such association.

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Affiliations

  1. Department of Psychiatry, Faculty of Medicine, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon

    Gabrielle Macaron, Mario Fahed, Dany Matar, Rami Bou-Khalil, Francois Kazour & Sami Richa

  2. Department of Nephrology, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon

    Dania Nehme-Chlela

Authors
  1. Gabrielle Macaron
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  2. Mario Fahed
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  3. Dany Matar
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  4. Rami Bou-Khalil
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  5. Francois Kazour
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  6. Dania Nehme-Chlela
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  7. Sami Richa
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Correspondence to Sami Richa.

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Macaron, G., Fahed, M., Matar, D. et al. Anxiety, Depression and Suicidal Ideation in Lebanese Patients Undergoing Hemodialysis. Community Ment Health J 50, 235–238 (2014). https://doi.org/10.1007/s10597-013-9669-4

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  • DOI: https://doi.org/10.1007/s10597-013-9669-4

Keywords

  • Hemodialysis
  • Lebanon
  • Depression
  • Anxiety
  • Suicide