Factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure

Hae Ok Jeon, Jiyoung Kim, Oksoo Kim

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Depressive symptoms are commonly experienced by hemodialysis patients, generally related to withdrawal from dialysis and compliance with dialysis prescription. This study aimed to identify the factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure. A cross-sectional, correlational study design was utilized, consisting of 71 patients with chronic renal failure receiving hemodialysis treatment, all employed. Depressive symptoms were assessed by the Center for Epidemiologic Studies Depression Scale (CES-D) and fatigue by the Chalder Fatigue Scale. Psychosocial adaptation was measured by the Korean version of the Social Profile. In this study, 32.4% of the participants were depressed. Female patients had a higher score for depressive symptoms than males (25.78 ± 10.15 vs. 16.42 ± 10.25, p = .013). Mental fatigue (β = .425, p < .001), psychosocial adaptation (β = −.275, p < .001), and subjective health (β = −.199, p < .05) were predictive variables of depressive symptoms in hemodialysis patients, with mental fatigue being the most important factor. Depressive symptoms can affect the self-management of hemodialysis patients; therefore, it is important that healthcare providers identify factors that affect depressive symptoms, particularly those associated with mental fatigue.

Original languageEnglish
Pages (from-to)940-949
Number of pages10
JournalPsychology, Health and Medicine
Volume25
Issue number8
DOIs
StatePublished - 13 Sep 2020

Keywords

  • Adaptation
  • depressive symptoms
  • fatigue
  • hemodialysis

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