title: Analysis of depression in continuous ambulatory peritoneal dialysis patients.
abstract: It is well known that depression and sense of hopelessness worsen the quality of life in end-stage renal disease (ESRD) patients receiving dialysis. However, the characteristics of depression in continuous ambulatory peritoneal dialysis (CAPD) patients have not been analyzed in detail. We performed this study to investigate the severity of depression and the factors affecting depression in CAPD patients. With 96 CAPD patients, we evaluated each patient's depressive mood and hopelessness with CES-D (Center for Epidemiologic Studies Depression) scale and Beck Hopelessness Scale. We also evaluated the degree of stress of each patient with internal individual stress scale. Most CAPD patients experienced severe depression compared with the general population. Their depression was better explained by psychological factors, such as stress and sense of hopelessness, than by demographic or physical factors. On the basis of these findings, we suggest that the treatment of depression in CAPD patients might be possible by modulation of psychological factors.
authors.affiliation: Division of Nephrology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kimdjmed@dreamwiz.com
authors.forename: Jung Ah
authors.initials: JA
authors.lastname: Kim
authors.forename: Yung Kee
authors.initials: YK
authors.lastname: Lee
authors.forename: Woo Seong
authors.initials: WS
authors.lastname: Huh
authors.forename: Yoon-Goo
authors.initials: YG
authors.lastname: Kim
authors.forename: Dae Joong
authors.initials: DJ
authors.lastname: Kim
authors.forename: Ha-Young
authors.initials: HY
authors.lastname: Oh
authors.forename: Soon Ah
authors.initials: SA
authors.lastname: Kang
authors.forename: Yang Ha
authors.initials: YH
authors.lastname: Kim Moon
authors.forename: Han-Woo
authors.initials: HW
authors.lastname: Kim
authors.forename: Ji-Hae
authors.initials: JH
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D003863:Depression / Q000209:etiology*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D012737:Sex Factors; D013312:Stress, Physiological