Depressive and Anxiety Symptoms in Dutch Immigrant and Native Dialysis Patients

  • Wim L. Loosman
  • Gertrud L. G. Haverkamp
  • Tessa O. van den Beukel
  • Tiny Hoekstra
  • Friedo W. Dekker
  • Prataap K. Chandie Shaw
  • Yves F. C. Smets
  • Louis-Jean Vleming
  • Pieter M. Ter Wee
  • Carl E. H. Siegert
  • Adriaan Honig
Original Paper
  • 25 Downloads

Abstract

Due to continuing migration there is more interest in the mental health status of immigrants. The aim of this study is to determine the prevalence of depressive/anxiety symptoms in immigrant and native dialysis patients, and to explore if patient characteristics can explain differences. The Beck depression inventory and the beck anxiety inventory were used. Differences between native and immigrant patients were explored using logistic regression models adjusted for patient characteristics. The prevalence of depressive symptoms was 35% for 245 native patients and 50% for 249 immigrant patients. The prevalence of anxiety symptoms was 35% for native patients and 50% for immigrant patients. In addition, the prevalence for co-morbid depressive and anxiety symptoms was 20% for native patients and 32% for immigrant patients. Crude ORs for depressive/anxiety symptoms for immigrant patients versus native patients were 1.8 (1.2–2.5) and 1.7 (1.2–2.5), respectively. After adjustment for patient characteristics ORs remained the same. Clinicians should be aware that immigrant dialysis patients are more prone to develop depressive and anxiety symptoms. Cultural factors might play a role and should therefore be assessed in future research.

Keywords

Anxiety Depression Dialysis Immigrant Ethnicity 

Notes

Acknowledgements

This study was funded by the Dutch Kidney Foundation (SB 174). The Kidney Foundation had no influence in study design whatsoever. We thank the nurses and participating dialysis centres of the DIVERS study for collection and management of the data. We gratefully thank all patients who participated in the DIVERS study.

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.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

10903_2018_722_MOESM1_ESM.pdf (95 kb)
Supplementary material 1 (PDF 94 KB)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Wim L. Loosman
    • 1
    • 2
  • Gertrud L. G. Haverkamp
    • 1
    • 2
  • Tessa O. van den Beukel
    • 3
  • Tiny Hoekstra
    • 4
  • Friedo W. Dekker
    • 4
  • Prataap K. Chandie Shaw
    • 5
  • Yves F. C. Smets
    • 1
  • Louis-Jean Vleming
    • 6
  • Pieter M. Ter Wee
    • 7
  • Carl E. H. Siegert
    • 1
  • Adriaan Honig
    • 2
    • 8
  1. 1.Department of NephrologyOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  2. 2.Department of PsychiatryOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  3. 3.Department of Internal MedicineVU University medical centerAmsterdamThe Netherlands
  4. 4.Department of Clinical EpidemiologyLeiden University Medical CenterLeidenThe Netherlands
  5. 5.Department of NephrologyMedical Center HaaglandenThe HagueThe Netherlands
  6. 6.Department of NephrologyHaga HospitalThe HagueThe Netherlands
  7. 7.Department of NephrologyVU University medical centerAmsterdamThe Netherlands
  8. 8.Department of PsychiatryVU University medical centerAmsterdamThe Netherlands

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