title: Caregiver Burden, Anxiety, Depression, and Sleep Quality Differences in Caregivers of Hemodialysis Patients Compared With Renal Transplant Patients.
abstract: BACKGROUND
  We compared the caregivers of hemodialysis (HD) patients and caregivers of patients with renal transplantation (Tx) in terms of anxiety, depression, sleep quality, and caregiver burden. We believe that caregivers of HD have more difficult conditions than caregivers of the patients with Tx.
  
  
  METHODS
  This cross-sectional study analyzed the psychological status of caregivers of Tx patients compared with those of HD patients with using the Hospital Anxiety and Depression Scale, Zarit Burden Interview, and Pittsburg Sleep Quality Indexes. We recruited 133 caregivers-65 caregivers in the Tx group and 68 in the HD group.
  
  
  RESULTS
  Mean age was 43.1 ± 8.5 years. The age, sex, income level, and education level were similar between the 2 groups. Caregivers in the HD group had significantly higher rates of anxiety and depression compared with the Tx group (P = .007 and P < .001, respectively). Good sleep quality rates for caregivers in the Tx group and caregivers in the HD group were 92% (n = 60) and 63% (n = 43), respectively. Poor sleep quality was significantly higher in caregivers in the HD group compared with caregivers in the Tx group (P < .001). Caregiver burden scores were significantly higher for caregivers in the HD group compared with caregivers in the Tx group (P < .001).
  
  
  CONCLUSIONS
  We suggest that Tx is the more appropriate renal replacement therapy for caregivers who undertake the care of patients with end-stage renal disease and chronic kidney disease.
authors.affiliation: Department of Family Medicine, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: U
authors.initials: U
authors.lastname: Avşar
authors.affiliation: Department of Medical Education, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: U Z
authors.initials: UZ
authors.lastname: Avşar
authors.affiliation: Department of Medical Education, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: Z
authors.initials: Z
authors.lastname: Cansever
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Ataturk University, Erzurum, Turkey. Electronic address: dr_atakanyucel@hotmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Yucel
authors.affiliation: Department of Nephrology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Cankaya
authors.affiliation: Department of Nephrology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Certez
authors.affiliation: Department of Nephrology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Keles
authors.affiliation: Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Aydınlı
authors.affiliation: Department of Child and Adolescent Psychiatry, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
authors.forename: N
authors.initials: N
authors.lastname: Yucelf
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D005260:Female; D006801:Humans; D015994:Incidence; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D011569:Psychiatric Status Rating Scales; D006435:Renal Dialysis / Q000379:methods*; D012890:Sleep / Q000502:physiology*; D014421:Turkey / Q000453:epidemiology