title: Depression and anxiety disorders in chronic hemodialysis patients and their quality of life: A cross-sectional study about 106 cases in the northeast of morocco.
abstract: Hemodialysis (HD) has a severe impact on the life of HD patients. The aim of this work was to assess the prevalence of depression and anxiety disorders, suicidal ideation, and the quality of life among HD patients. Associated factors were also studied. A cross-sectional study was carried out among 103 HD patients treated at the HD Center of Al Farabi Hospital of Oujda during a period of six months in 2015. The Mini-International Neuropsychiatric Interview and European Quality of Life-5 Dimensions (EQ-5D) were used for the assessment. Major depressive episode (MDE) was found in 34% of our patients, whereas anxiety disorder was observed in 25.2%. Suicidal ideation was found in 16.5% and 1.9% of our patients planned their suicide. The EQ-5D index was 0.41 ± 0.36 and the EQ-Visual Analog Scale score was 45.73 ± 14. Multivariate analysis showed that MDEs were associated with three factors: marital status, pain, and anxiety disorder. There was also an association between anxiety disorder and age and EQ-Visual Analog Scale score. Suicidal ideation was associated with marital status and anxiety disorders. Together, these results underline the importance of the collaboration between nephrologists and psychiatrists for a better care of HD patients.
authors.affiliation: Department of Psychiatry, Faculty of Medicine, CHU Mohammed VI, University Mohammed I, Oujda, Morocco.
authors.forename: Abdelilah
authors.initials: A
authors.lastname: El Filali
authors.affiliation: Department of Nephrology, Faculty of Medicine, CHU Mohammed VI, University Mohammed I, Oujda, Morocco.
authors.forename: Yassamine
authors.initials: Y
authors.lastname: Bentata
authors.affiliation: Department of Community Health and Epidemiology, Faculty of Medicine, CHU Mohammed VI, University Mohammed I, Oujda, Morocco.
authors.forename: Naima
authors.initials: N
authors.lastname: Ada
authors.affiliation: Department of Psychiatry, Faculty of Medicine, CHU Mohammed VI, University Mohammed I, Oujda, Morocco.
authors.forename: Bouchra
authors.initials: B
authors.lastname: Oneib
mesh_terms: D000328:Adult; D000339:Affect; D000367:Age Factors; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008297:Male; D017533:Marital Status; D008603:Mental Health; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D015995:Prevalence; D011788:Quality of Life; D006435:Renal Dialysis / Q000009:adverse effects / Q000523:psychology; D012307:Risk Factors; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome