Amadou Yaya Diallo¹*, Mamadou Saliou Balde¹, Kadiatou Mamadou Bobo Barry¹, Soriba Bangoura¹, Aly Traore¹, Mamadou Malal Diallo¹, Mamady Mory Keita² and Mohamed Lamine Kaba¹

¹Department of Nephrology-Hemodialysis CHU Donka, Guinea
²Department of Psychiatry CHU Donka, Guinea

*Corresponding Author: Amadou Yaya Diallo, Department of Nephrology- Hemodialysis CHU Donka, Guinea.

Received: May 02, 2023; Published: June 07, 2023

Abstract

Introduction: The objective of our work was to determine the prevalence of anxiety-depressive disorders as well as associated somatic comorbidities in chronic hemodialysis patients at the Donka National Hemodialysis Center.

Methodology: This was a descriptive and analytical cross-sectional study over a period of two (2) months from August 1 to September 30, 2020. We included all patients with chronic hemodialysis for more than 3 months in whom the diagnosis of anxiety-depressive disorder was retained after the interview with the psychiatrist. The diagnosis of anxiety-depressive disorder was made using the Anxiety and Depression Scale (HADS). Associated factors were identified by bi- and multivariate analysis.

Results: Out of a total number of 158 chronic hemodialysis patients, we found 142 (90%) cases of anxiety disorders, of which 69.7% were depressive and 20.3% anxiety. The mean age was 43.48 ± 15.44 years and the sex ratio was 1.6 in favor of men. Vascular and glomerular nephropathies were the most frequent (41.1% and 38.6%). Associated somatic comorbidities were dominated by hypertension and heart disease 93.7% and 36.4%. After multivariate analysis, remote residence, professional activity and psychiatric history were significantly associated with the occurrence of depression (p < 0.05).

Conclusion: anxiety-depressive disorders are very frequent in chronic hemodialysis patients in our center. Considering the seriousness of their complications, a systematic screening by the nephrologist, especially in patients with a professional activity and those living far from the center, would allow an early management.

Keywords: Anxiety and Depression Disorders ; Chronic Renal Failure ; Hemodialysis ; Donka

References

1. Ramilitiana B., et al. “A retrospective study on chronic renal failure in the internal medicine and nephrology department of the university hospital of Antananarivo”. Pan African Medical Journal (2016).
2. Press release. World Kidney Day”. Google Scholar (2015).
3. Brito Daniela Cristina Sampaio de., et al. “Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study”. Sao Paulo Medical Journal 2 (2019): 137-147.
4. Coulibaly G., et al. “Anxiety and depression during pre-terminal chronic renal failure at the Yalgado Ouédraogo University Hospital of Ouagadougou (Burkina Faso)”. Nephrology and Therapeutics (2019): 5.
5. Ouédraogo S., et al. “Anxiety-depressive disorders in chronic hemodialysis patients in the public hemodialysis centers of Abidjan (Ivory Coast)”. Revue International des Sciences Médicales3 (2018): 213-217.
6. Lefebvre G. “Psychological and social aspects of patients with renal failure, dialysis and transplantation”. Echanges L'AFIDTN 24 (2005): 3-6.
7. , et al. “The role of sociodemographic factors in depression and anxiety in hemodialysis patients:a cross-sectional observational study”. Urology and Nephrology 50.1 (2018): 143-154.
8. Kaba ML., et al. “Psychosocial impact of chronic kidney disease and hemodialysis patients”. Journal of Neurology-Neurosurgery-Psychiatry 14 (2016).
9. Zigmond AS and Snaith RP. “The hospital anxiety and depression scale”. Acta Psychiatrica Scandinavica 6 (1983): 361-370.
10. Coulibaly N1., et al. “Depression in chronic haemodialysis patients at the Point G University Hospital (Bamako-Mali)”. MALI MEDICAL4 (2017).
11. Barrah S., et al. “Anxiety and depression in hemodialysis patients”. NephrolThér5 (2017): 317.
12. Zouari L., et al. “Depression in chronic hemodialysis patients: about 106 cases”. LA Tunisie Médicale (2011): 157-162.
13. Djibo Douma Maiga., et al. “Depression and anxiety in chronic hemodialysis patients at Lamordé National Hospital (Niger) Prevalence and timing of occurrence during hemodialysis In Perspectives Psy52 (2013): 366-370.
14. Boulenger JP. “Anxiety syndromes: clinical characteristics and classification”. La Revue Du Praticien 60 (2010): 777-781.
15. El Alaoui Ismaili F., et al. “What is the real impact”.

Citation

Citation: Amadou Yaya Diallo., et al. “Anxiety and Depression Disorders in Chronic Haemodialysis Patients at the Donka National Haemodialysis Centre". Acta Scientific Neurology 6.7 (2023): 16-21.

Copyright

Copyright: © 2023 Amadou Yaya Diallo., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.