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Nephrol Dial Transplant (2000) 15: 1911-1913
© 2000 European Renal Association-European Dialysis and Transplant Association


Editorial Comments

Depression in chronic dialysis patients: assessment and treatment

Fredric O. Finkelstein and Susan H. Finkelstein

New Haven CAPD, Renal Research Institute and Departments of Medicine and Psychiatry, Yale University, New Haven, CT, USA

Keywords: depression; chronic peritoneal dialysis; treatment

Introduction

The impact of psychosocial factors on the outcome of patients with end-stage renal disease (ESRD) has been receiving more attention recently [1–4]. The progressive increase in both the incidence and prevalence of patients with ESRD throughout the world, the high mortality rate and rising costs of providing care for patients with ESRD [1] have focused research interest on those aspects of ESRD care which affect patient outcomes and are potentially amenable to modification to improve these outcomes.

Psychological factors—important predictions of patient outcome

Although the psychological and social difficulties experienced by patients maintained on dialysis have been noted and commented on for some time, it has been only recently that researchers have begun to demonstrate that psychosocial factors are important predictors of patient outcome [2–5]. For example, as the SF-36 Quality of Life and the Kidney Disease Quality of Life (KdQofL) questionnaires have become widely used, . . . [Full Text of this Article]

Characteristics of depression and its prevalence in dialysis patients

Depression scores (BDI) predict survival in dialysed patients

Treatment of depression

Conclusions

Notes

References


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