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ORIGINAL ARTICLE
Year : 2017  |  Volume : 18  |  Issue : 1  |  Page : 41-47

Psychiatry morbidity in hemodialysis patients: A cross-sectional study at a South Indian centre


1 Associate professor of Psychiatry, Department of psychiatry, SRM Medical College Hospital and Research Centre, Kattankulathur, Kancheepuram district, Tamil Nadu, India
2 Senior Resident in Psychiatry, Department of psychiatry, SRM Medical College Hospital and Research Centre, Kattankulathur, Kancheepuram district, Tamil Nadu, India
3 Professor of psychiatry, Department of psychiatry, SRM Medical College Hospital and Research Centre, Kattankulathur, Kancheepuram district, Tamil Nadu, India
4 Professor and Head of the department, Department of psychiatry, SRM Medical College Hospital and Research Centre, Kattankulathur, Kancheepuram district, Tamil Nadu, India

Correspondence Address:
Arul R Saravanan
Associate professor of psychiatry, Department of Psychiatry, SRM Medical College Hospital and Research Centre, Kancheepuram district, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


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Background: In India, an estimated 100-220 per million populations reach Chronic Kidney Disease (CKD) stage 5, but only 10% of them can afford to renal replacement therapy. Recent research has shown that there is increased mental health morbidity with attendant poor quality of life in this patient population. Very few studies have been done in this aspect in the Indian population. Aims: We aimed to study the psychiatric morbidity in hemodialysis patients, who were undergoing regular hemodialysis for CKD. The study was carried out at the Hemodialysis Unit of the Department of Nephrology, SRM Medical College Hospital, one of the largest centers in South India. Methodology: Study patients (n=100) were administered Mini Mental Status Examination, MINI - English version 5.0.0 for DSM IV, Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale, Beck's Scale For Suicidal Ideation, Perceived social support scale and The Kidney Disease Quality Of Life (KD-QOL)SF 36 and the results were analyzed. Results: Seventy eight percent (78%) of patients suffer more than one psychiatric morbidity. Depression (74%) was the most common psychiatric morbidity followed by anxiety (59%). Elderly male patients living in nuclear family, undergoing hemodialysis had significant depression, anxiety and cognitive impairment. 83% reported poor quality of life while coping with regular hemodialysis. Conclusion: Our results show that psychiatric disorders are highly prevalent in hemodialysis patients, with attendant poor quality of life. An integrated approach between medical and mental health professionals will help improve the quality of life.


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