title: Anxiety, depression and suicidal ideation in Lebanese patients undergoing hemodialysis.
abstract: Anxiety, depression and suicidal thoughts are highly prevalent comorbidities of end-stage-renal-disease (ESRD). There are no studies in Lebanon on the prevalence of these symptoms in Lebanese end-stage-renal-disease patients. Moreover, the association between ESRD on one hand, and anxiety, depression and suicidal ideation on the other has never been established in Lebanon. Groups of patients at a high-risk of development of these symptoms are not determined. The Hospital Anxiety and Depression Score and M.I.N.I (module C) were used to measure the prevalence of anxiety, depression and suicidal ideation in 51 patients from the dialysis center of Hotel-Dieu de France Hospital in Lebanon. In our sample, 45% of included patients suffered from symptoms of anxiety and 50% presented symptoms of depression.The prevalence of suicidal ideation as detected by the M.I.N.I. is at 37%. No patients presented with a high risk of suicide. There was a statistically significant correlation between the existence of organic comorbidities and the presence of symptoms of depression and suicidal ideation. As for anxiety, the association was marginally significant. The results obtained by our study are consistent with those found in studies performed in other societies. The profile of depression- and suicidal ideation-prone patients has been determined. It consists of patients with at least one medical comorbidity to the ESRD. This, in turn, should lead to increased awareness and better treatment of these psychiatric ailments, considering their impact on morbidity and mortality in ESRD.
authors: Department of Psychiatry, Faculty of Medicine, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon.
authors: Gabrielle
authors: G
authors: Macaron
authors: Mario
authors: M
authors: Fahed
authors: Dany
authors: D
authors: Matar
authors: Rami
authors: R
authors: Bou-Khalil
authors: Francois
authors: F
authors: Kazour
authors: Dania
authors: D
authors: Nehme-Chlela
authors: Sami
authors: S
authors: Richa
mesh_terms: D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D015897:Comorbidity; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D007861:Lebanon; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D006435:Renal Dialysis / Q000523:psychology* / Q000706:statistics & numerical data*; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires