Independent risk factors for depression in older adult patients receiving peritoneal dialysis for chronic kidney disease

作     者：Yu-Ping Sheng Xiao-Ying Ma Ye Liu Xing-Meng Yang Fu-Yun Sun 

作者机构：Department of Nephrology Cangzhou Central HospitalCangzhou 061000Hebei ProvinceChina 

出 版 物：《World Journal of Psychiatry》 (世界精神病学杂志)

年 卷 期：2023年第13卷第11期

页      面：884-892页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100205[医学-精神病与精神卫生学] 10[医学] 

主　　题：Depression Chronic kidney disease Peritoneal dialysis Older adults Risk factors for depression Beck Depression Inventory Score-II 

摘      要：BACKGROUND According to the trend of global population aging,the proportion of elderly patients with chronic kidney disease(CKD)is expected to ***,there are more than 20 million people in China with decompensated kidney function,of which 19.25%are elderly ***,special attention should be paid to the education years,sleep quality,anxiety status,comorbidities with diabetes,cardiovascular disease(CVD),and anemia as independent risk factors for depression in elderly CKD *** study explores the clinical management of elderly CKD patients that should address these risk factors to prevent depression and improve their *** To investigate depression risk factors in older patients receiving peritoneal dialysis,aiding future prevention of depression in these *** This retrospective study included a primary study population of 170 patients with CKD who received peritoneal dialysis from January 2020 to December *** assessed the patients’mental status using the Beck Depression Inventory Score-II(BDI-II),Self-Rating Anxiety Scale(SAS),Anxiety Inventory Score,and the Pittsburgh Sleep Quality Index(PSQI).Logistic regression was employed to identify depression independent risk factors among these *** The non-depressed group had a significantly longer education period than the depressed group(P0.05).The depressed group exhibited significantly higher mental status scores than the non-depressed group(P0.001).Patients with diabetes mellitus(DM)or CVD had a higher probability of developing *** with depression had significantly lower hemoglobin and albumin levels than patients without depression(P0.05).Spearman correlation analysis of BDI-II scale scores,measuring depression,indicated positive correlations with BDI-II and SAS scores as risk factors for depression in patients with *** contrast,years of education,hemoglobin levels,and peritoneal Kt/V were negatively correlated,serving as protective