title: Findings of multidimensional instruments for determining psychopathology in diabetic and non-diabetic hemodialysis patients.
abstract: OBJECTIVE
  The aim of this study was to expand the research on psychiatric complications of end-stage renal disease (ESRD), as well as to examine the prevalence of a broad range of psychopathology in diabetic and non-diabetic hemodialysis (HD) patients.
  
  
  METHODS
  One hundred nineteen HD patients were invited to enter the cross-sectional study. To assess quality of life, quality of sleep, mental status and depression and anxiety symptoms, the 36-item Short Form, Pittsburgh Sleep Quality Index (PSQI), Mini-Mental State Examination and Hospital Anxiety and Depression Scale, respectively, were used.
  
  
  RESULTS
  The mean age of all patients was 56.9±16.1 years; 54 (45.4%) were female. In the diabetic patients group, 84.8% of the patients had low MCS scores, and 89.2% patients had low PCS scores; 73.9% were poor sleepers; 63.0% had cognitive decline; 62.0% patients were depressive symptoms; and 28.3%had symptoms of anxiety. When comparing the diabetic and non-diabetic patients, the diabetic patients had lower role-emotional, sleep duration, and sleep efficiency scores.
  
  
  CONCLUSIONS
  Incorporating a standard assessment and, eventually, treatment of psychopathologic symptoms into the care provided to diabetic and hemodialysis patients might improve quality of life and sleep, depressive symptoms and, reduce mortality risk.
authors.affiliation: Department Of Internal Medicine, Division of Nephrology, Faculty of Medicine, Selçuk University Konya, Turkey.
authors.forename: Gülperi
authors.initials: G
authors.lastname: Celik
authors.forename: Bilge Burçak
authors.initials: BB
authors.lastname: Annagür
authors.forename: Mümtaz
authors.initials: M
authors.lastname: Yılmaz
authors.forename: Fatih
authors.initials: F
authors.lastname: Kara