OBJECTIVES: To identify the prevalence and correlates of depression among Chinese peritoneal dialysis patients. METHODS: In this cross-sectional study, from October 2007 to June 2008, 141 peritoneal dialysis patients were recruited from a local renal clinic. All participants were interviewed by the first author using the Chinese bilingual version of the Structured Clinical Interview for DSM-IV (Axis I) to identify patients suffering from major depressive disorders and psychiatric illnesses associated with elevated depressive symptoms. Socio-demographic and clinical data were collected. Co-morbid medical illnesses and perceived social support were assessed by standardised questionnaires, namely: the Cumulative Illness Rating Scale, and the Chinese version of Multidimensional Scale of Perceived Social Support (MSPSSC). RESULTS: The point prevalence of a current major depressive episode was 16%; another 21% had had at least 1 past episode of major depression. Low MSPSS-C score, muscle cramps, chronic back pain, joint stiffness, and receipt of Social Security Allowance were independent correlates of elevated depressive symptoms. CONCLUSIONS: The prevalence of depression was higher in Chinese patients receiving peritoneal dialysis. Independent correlates are useful to help physicians identify patients suffering from depressive disorders in busy renal clinics.
OBJECTIVES: To identify the prevalence and correlates of depression among Chinese peritoneal dialysis patients. METHODS: In this cross-sectional study, from October 2007 to June 2008, 141 peritoneal dialysis patients were recruited from a local renal clinic. All participants were interviewed by the first author using the Chinese bilingual version of the Structured Clinical Interview for DSM-IV (Axis I) to identify patients suffering from major depressive disorders and psychiatric illnesses associated with elevated depressive symptoms. Socio-demographic and clinical data were collected. Co-morbid medical illnesses and perceived social support were assessed by standardised questionnaires, namely: the Cumulative Illness Rating Scale, and the Chinese version of Multidimensional Scale of Perceived Social Support (MSPSSC). RESULTS: The point prevalence of a current major depressive episode was 16%; another 21% had had at least 1 past episode of major depression. Low MSPSS-C score, muscle cramps, chronic back pain, joint stiffness, and receipt of Social Security Allowance were independent correlates of elevated depressive symptoms. CONCLUSIONS: The prevalence of depression was higher in Chinese patients receiving peritoneal dialysis. Independent correlates are useful to help physicians identify patients suffering from depressive disorders in busy renal clinics.
Authors: Jermaine M Dambi; Lieselotte Corten; Matthew Chiwaridzo; Helen Jack; Tecla Mlambo; Jennifer Jelsma Journal: Health Qual Life Outcomes Date: 2018-05-02 Impact factor: 3.186