Assessment of emotional distress in chronic kidney disease patients and kidney transplant recipients

Rev Invest Clin. 2011 Nov-Dec;63(6):558-63.

Abstract

Objective: To assess the presence of emotional distress in patients with chronic kidney disease (CKD), and the effect of kidney transplant on these symptoms.

Material and methods: This was a two-part study. Part one was cross-sectional, observational, and descriptive, where 75 patients with CKD were evaluated for emotional distress with the Hospital Anxiety and Depression Scale (HAD) and the Symptom Checklist 90 (SCL-90). In part two, we longitudinally followed 19% of the study cohort to examine symptomatological changes after their kidney transplantation.

Results: The results of the HAD indicated that 30.7% of the study cohort with End-Stage Renal Disease (ESRD) showed anxious symptoms, and 25.3% showed depressive symptoms. The change in the HAD total score before and after kidney transplant was not significant. However, a significant decrease in total score on the SCL-90 was observed before and after transplantation.

Conclusion: Improvement on emotional distress was found after kidney transplantation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anemia / complications
  • Anemia / psychology
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / etiology
  • Anxiety Disorders / psychology
  • Checklist
  • Cross-Sectional Studies
  • Depressive Disorder / diagnosis
  • Depressive Disorder / etiology
  • Depressive Disorder / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Hypertension / complications
  • Hypertension / psychology
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / psychology*
  • Kidney Failure, Chronic / surgery
  • Kidney Failure, Chronic / therapy
  • Kidney Transplantation / psychology*
  • Male
  • Mexico
  • Middle Aged
  • Peritoneal Dialysis / psychology
  • Prospective Studies
  • Renal Dialysis / psychology
  • Severity of Illness Index
  • Stress, Psychological / diagnosis*
  • Stress, Psychological / etiology
  • Stress, Psychological / psychology
  • Symptom Assessment
  • Young Adult