Gertrud L G Haverkamp1, Wim L Loosman2, Tessa O van den Beukel3, Tiny Hoekstra4, Friedo W Dekker4, Prataap K Chandie Shaw5, Yves F C Smets6, Louis-Jean Vleming7, Pieter M Ter Wee8, Adriaan Honig9, Carl E H Siegert10. 1. Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands; Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands. Electronic address: G.haverkamp@slaz.nl. 2. Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands; Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands. 3. Department of Internal Medicine, Amstelland Hospital, Amstelveen, The Netherlands. 4. Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, The Netherlands. 5. Department of Nephrology, Medical Center Haaglanden, The Hague, The Netherlands. 6. Department of Nephrology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands. 7. Department of Nephrology, Haga Hospital, The Hague, The Netherlands. 8. Department of Nephrology, VU University Medical Center, Amsterdam, The Netherlands. 9. Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands. 10. Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands.
Abstract
OBJECTIVE: Among immigrant chronic dialysis patients, depressive and anxiety symptoms are common. We aimed to examine the association of acculturation, i.e. the adaptation of immigrants to a new cultural context, and depressive and anxiety symptoms in immigrant chronic dialysis patients. METHODS: The DIVERS study is a prospective cohort study in five urban dialysis centers in the Netherlands. The association of five aspects of acculturation ("Skills", "Social integration", "Traditions", "Values and norms" and "Loss") and the presence of depressive and anxiety symptoms was determined using linear regression analyses, both univariate and multivariate. RESULTS: A total of 249 immigrant chronic dialysis patients were included in the study. The overall prevalence of depressive and anxiety symptoms was 51% and 47%, respectively. "Skills" and "Loss" were significantly associated with the presence of depressive and anxiety symptoms, respectively ("Skills" β=0.34, CI: 0.11-0.58, and "Loss" β=0.19, CI: 0.01-0.37; "Skills" β=0.49, CI: 0.25-0.73, and "Loss" β=0.33, CI: 0.13-0.53). The associations were comparable after adjustment. No significant associations were found between the other subscales and depressive and anxiety symptoms. CONCLUSION: This study demonstrates that less skills for living in the Dutch society and more feelings of loss are associated with the presence of both depressive and anxiety symptoms in immigrant chronic dialysis patients.
OBJECTIVE: Among immigrant chronic dialysis patients, depressive and anxiety symptoms are common. We aimed to examine the association of acculturation, i.e. the adaptation of immigrants to a new cultural context, and depressive and anxiety symptoms in immigrant chronic dialysis patients. METHODS: The DIVERS study is a prospective cohort study in five urban dialysis centers in the Netherlands. The association of five aspects of acculturation ("Skills", "Social integration", "Traditions", "Values and norms" and "Loss") and the presence of depressive and anxiety symptoms was determined using linear regression analyses, both univariate and multivariate. RESULTS: A total of 249 immigrant chronic dialysis patients were included in the study. The overall prevalence of depressive and anxiety symptoms was 51% and 47%, respectively. "Skills" and "Loss" were significantly associated with the presence of depressive and anxiety symptoms, respectively ("Skills" β=0.34, CI: 0.11-0.58, and "Loss" β=0.19, CI: 0.01-0.37; "Skills" β=0.49, CI: 0.25-0.73, and "Loss" β=0.33, CI: 0.13-0.53). The associations were comparable after adjustment. No significant associations were found between the other subscales and depressive and anxiety symptoms. CONCLUSION: This study demonstrates that less skills for living in the Dutch society and more feelings of loss are associated with the presence of both depressive and anxiety symptoms in immigrant chronic dialysis patients.
Authors: Wim L Loosman; Gertrud L G Haverkamp; Tessa O van den Beukel; Tiny Hoekstra; Friedo W Dekker; Prataap K Chandie Shaw; Yves F C Smets; Louis-Jean Vleming; Pieter M Ter Wee; Carl E H Siegert; Adriaan Honig Journal: J Immigr Minor Health Date: 2018-12
Authors: Robbert W Schouten; Gerlinde L Haverkamp; Wim L Loosman; Prataap K Chandie Shaw; Frans J van Ittersum; Yves F C Smets; Louis-Jean Vleming; Friedo W Dekker; Adriaan Honig; Carl E H Siegert Journal: J Racial Ethn Health Disparities Date: 2019-06-18