Abstract
The prevalence of chronic kidney disease (CKD) has been rising over the past 2 decades and currently afflicts more than 20 million Americans over the age of 20 years [1]. In 2007, there were approximately 110,000 adults in the United States who began treatment for end-stage renal disease (ESRD), with more than 570,000 receiving treatment for ESRD in 2008 [2, 3]. Unfortunately, patients with CKD are 16–40 times more likely to die before they reach ESRD [1]. In addition to the obvious physical detriments associated with CKD, patients also experience psychosocial detriments that influence how they view the dietary restrictions of the renal diet and their personal motivation aimed at self-care efforts [4–6]. Complicating life further for people with CKD are the psychological and social burdens that ripple towards the patient’s expanded circle of family and friends, thereby creating a negative impact on an even greater number of individuals. These burdens undoubtedly influence the high prevalence of depression seen in patients with CKD, which is reported to be up to 30 % of CKD patients [7–9].
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Isoldi, K.K., Burrowes, J.D. (2014). Counseling Approaches. In: Byham-Gray, L., Burrowes, J., Chertow, G. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-685-6_26
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