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A holistic approach to factors affecting depression in haemodialysis patients

  • Nephrology - Review
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Abstract

Depression in dialysis populations is affected by co-morbid diseases, such as cardiovascular disease, diabetes, and immune dysfunction, and it also includes high suicide risk and frequent hospitalizations. Depressive disorders have a close association with malnutrition and chronic inflammation, as well as with cognitive impairment. Impaired cognitive function may be manifested as low adherence to dialysis treatment, leading to malnutrition. Additionally, chronic pain and low quality of sleep lead to high rates of depressive symptoms in haemodialysis patients, while an untreated depression can cause sleep disturbances and increased mortality risk. Depression can also lead to sexual dysfunction and non-adherence, while unemployment can cause depressive disorders, due to patients’ feelings of being a financial burden on their family. The present review provides a holistic approach to the factors affecting depression in haemodialysis, offering significant knowledge to renal professionals.

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Authors and Affiliations

  1. Department of Nursing, University of West Attica, Athens, Greece

    Georgia Gerogianni

  2. First Department of Psychiatry, ‘Eginition’ Hospital, National and Kapodistrian University of Athens, Athens, Greece

    Anastasios Kouzoupis

  3. Department of Nephrology, ‘Aretaieio’ Hospital, National and Kapodistrian University of Athens, Athens, Greece

    Eirini Grapsa

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  1. Georgia Gerogianni
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  2. Anastasios Kouzoupis
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  3. Eirini Grapsa
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Correspondence to Georgia Gerogianni.

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Gerogianni, G., Kouzoupis, A. & Grapsa, E. A holistic approach to factors affecting depression in haemodialysis patients. Int Urol Nephrol 50, 1467–1476 (2018). https://doi.org/10.1007/s11255-018-1891-0

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