Literature DB >> 23700174

Depression and its associated factors in pediatric chronic kidney disease.

Amy J Kogon1, Ann Vander Stoep, Noel S Weiss, Jodi Smith, Joseph T Flynn, Elizabeth McCauley.   

Abstract

BACKGROUND: Few studies on the occurrence of depression in pediatric patients with chronic kidney disease (CKD) have been conducted and none have identified associated clinical and demographic factors.
METHODS: This was a cross-sectional study in which we administered the Child Depression Inventory-2 (CDI-2) to 44 patients aged 9-18 years with CKD stages III-V. Criteria for depression were CDI-2 scores of ≥65 or an established diagnosis of depression recorded in the medical chart. Relative risks (RR) and 95 % confidence intervals (CI) were calculated to determine associations between patient characteristics and depression status.
RESULTS: Of the 44 patients enrolled in the study, 13 (30 %) met our criteria for depression, representing 18 % of patients aged <13 years and 34 % of those aged ≥13 years. Although not reaching statistical significance, the adjusted risk of depression was lower for patients with CKD duration of ≤3 years than for those with longer CKD duration (RR 0.19, 95 % CI 0.02, 1.53), and for those with CKD stage IV (RR 0.23, 95 % CI 0.05, 1.09) and CKD stage V (RR 0.13, 95 % CI 0.01, 1.07) compared to those with CKD stage III.
CONCLUSIONS: Our results indicate that depression is common in children with CKD, particularly for those with longstanding renal disease and at CKD stage III.

Entities:  

Mesh:

Year:  2013        PMID: 23700174      PMCID: PMC3897296          DOI: 10.1007/s00467-013-2497-5

Source DB:  PubMed          Journal:  Pediatr Nephrol        ISSN: 0931-041X            Impact factor:   3.714


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