title: Assessment of emotional distress in chronic kidney disease patients and kidney transplant recipients.
abstract: OBJECTIVE
  To assess the presence of emotional distress in patients with chronic kidney disease (CKD), and the effect of kidney transplant on these symptoms.
  
  
  METHODS
  This was a two-part study. Part one was cross-sectional, observational, and descriptive, where 75 patients with CKD were evaluated for emotional distress with the Hospital Anxiety and Depression Scale (HAD) and the Symptom Checklist 90 (SCL-90). In part two, we longitudinally followed 19% of the study cohort to examine symptomatological changes after their kidney transplantation.
  
  
  RESULTS
  The results of the HAD indicated that 30.7% of the study cohort with End-Stage Renal Disease (ESRD) showed anxious symptoms, and 25.3% showed depressive symptoms. The change in the HAD total score before and after kidney transplant was not significant. However, a significant decrease in total score on the SCL-90 was observed before and after transplantation.
  
  
  CONCLUSIONS
  Improvement on emotional distress was found after kidney transplantation.
authors: Departamento de Neurología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México.
authors: Lorena N
authors: LN
authors: González-De-Jesús
authors: Sofía
authors: S
authors: Sánchez-Román
authors: Luis E
authors: LE
authors: Morales-Buenrostro
authors: Feggy
authors: F
authors: Ostrosky-Solís
authors: Josefina
authors: J
authors: Alberú
authors: Guillermo
authors: G
authors: García-Ramos
authors: Lluvia A
authors: LA
authors: Marino-Vázquez
authors: Shawn M
authors: SM
authors: McClintock
mesh_terms: D000328:Adult; D000740:Anemia / Q000150:complications / Q000523:psychology; D001008:Anxiety Disorders / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D057189:Checklist; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000523:psychology; D007676:Kidney Failure, Chronic / Q000150:complications / Q000523:psychology* / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation / Q000523:psychology*; D008297:Male; D008800:Mexico; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000523:psychology; D011446:Prospective Studies; D006435:Renal Dialysis / Q000523:psychology; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D063189:Symptom Assessment; D055815:Young Adult