title: Depression and anxiety in patients on chronic hemodialysis in University Clinical Hospital Mostar.
abstract: Depression and anxiety are prevailing mental problem in patients on chronic hemodialysis and they have great influence on outcome of illness. Additionally, these disorders are rarely identified in that population of patients and they are insufficiently treated. The aim of this study was to assess the prevalence of depression and anxiety in patients on chronic hemodialysis in University Clinical Hospital Mostar and to examine the correlation between the demographic variables and the time spent on dialysis with depression and anxiety levels. The experimental group consisted of 56 patients on chronic hemodialysis in Mostar Clinical Hospital. The control group 1 consisted of 53 patients diagnosed with a chronic illness and treated for at least a year, while the control group 2 consisted of 51 persons who were not diagnosed with any chronic somatic or mental illness. Demographic data were collected using the constructed questionnaire. The Beck Depression Inventory-BDI was used to determine depression, while the Spielberger State-Trait Anxiety Inventory-STAI was used to determine anxiety. We recorded significantly higher prevalence of depression in patients on chronic dialysis (51.8%) than in patients with a chronic illness (41.5%) and persons without chronic illnesses (9.8%; p < 0.001). Trait anxiety level was significantly higher in hemodialysed patients compared to the other two groups (p = 0.006) but there were no significant differences in state anxiety level. The study has not shown any significant difference in the prevalence of depression and anxiety level regarding the differences in sex, gender and education level, apart from a higher level of state anxiety in patients with a lower education level (p = 0.032). These results indicate that patients on hemodialysis have a significantly higher level of depression and a higher level of trait anxiety compared to patients with chronic illnesses and especially compared to general population.
authors.affiliation: Psychiatric Clinic, School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina. klaricmiro@gmail.com
authors.forename: Miro
authors.initials: M
authors.lastname: Klarić
authors.forename: Ivona
authors.initials: I
authors.lastname: Letica
authors.forename: Bozo
authors.initials: B
authors.lastname: Petrov
authors.forename: Monika
authors.initials: M
authors.lastname: Tomić
authors.forename: Branka
authors.initials: B
authors.lastname: Klarić
authors.forename: Ludvig
authors.initials: L
authors.lastname: Letica
authors.forename: Tanja
authors.initials: T
authors.lastname: Francisković
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology* / Q000209:etiology; D017522:Bosnia and Herzegovina / Q000453:epidemiology; D016022:Case-Control Studies; D002908:Chronic Disease / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D006435:Renal Dialysis / Q000009:adverse effects*; D013997:Time Factors