title: Psychosocial factors and adherence to drug treatment in patients on chronic haemodialysis.
abstract: BACKGROUND
  The daily pill burden in hemodialysis patients is one of the highest reported to date in any chronic disease. The adherence to prescribed treatment has implications on the quality of life, the survival of patients, and the economic cost of their treatment, this being a priority public health issue.
  
  
  OBJECTIVE
  To evaluate the adherence to pharmacological treatment examining, among the possible causes of non-adherence, psychosocial factors such as depression, anxiety, cognitive impairment and social support.
  
  
  METHODS
  Transversal-observational study of thirty five patients that suffer from chronic renal disease and who are on manteinance hemodialysis, evaluated by self-reported measures.
  
  
  RESULTS
  Non-adherent patients have significant higher depression index than adherent patients. Anxiety, cognitive impairment and social support do not show a significant relation with the degree of adherence or compliance with farmacological treatment.
  
  
  CONCLUSIONS
  These results suggest that psychological intervention in chronic haemodialysis patients with a severe depression index could increase the degree of fulfillment and general well-being of renal patients.
authors.forename: María P
authors.initials: MP
authors.lastname: Huertas-Vieco
authors.forename: Rafael
authors.initials: R
authors.lastname: Pérez-García
authors.forename: Marta
authors.initials: M
authors.lastname: Albalate
authors.forename: Patricia
authors.initials: P
authors.lastname: de Sequera
authors.forename: Mayra
authors.initials: M
authors.lastname: Ortega
authors.forename: Marta
authors.initials: M
authors.lastname: Puerta
authors.forename: Elena
authors.initials: E
authors.lastname: Corchete
authors.forename: Roberto
authors.initials: R
authors.lastname: Alcázar
mesh_terms: D001007:Anxiety / Q000209:etiology; D003072:Cognition Disorders / Q000209:etiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D003928:Diabetic Nephropathies / Q000188:drug therapy / Q000523:psychology / Q000628:therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000188:drug therapy / Q000523:psychology* / Q000628:therapy; D055118:Medication Adherence; D019338:Polypharmacy; D011584:Psychology; D011788:Quality of Life; D006435:Renal Dialysis / Q000523:psychology*; D057566:Self Report; D012720:Severity of Illness Index; D012944:Social Support; D013030:Spain