Diagnostic and treatment considerations in depressed dialysis patients.
Depressive symptoms are common in a dialysis population. These symptoms are only infrequently part of a major depressive illness, however, and are more usually related to adjustment disorders associated with the onset of chronic dialysis treatment, or medical complications of end stage renal disease. A substantial proportion of depressive symptoms are also related to problems in living not directly associated with renal failure. Psychotherapeutic support helps the majority of patients with depressive symptomatology. Nurse-patient and physician-patient relationships are potentially powerful factors influencing patient adjustment to dialysis.
D000275:Adjustment Disorders / Q000628:therapy; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000175:diagnosis / Q000628:therapy*; D003937:Diagnosis, Differential; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D011602:Psychophysiologic Disorders / Q000628:therapy; D011613:Psychotherapy; D012017:Referral and Consultation; D006435:Renal Dialysis / Q000523:psychology*
D000929:Antidepressive Agents, Tricyclic