PSYCH  Vol.6 No.4 , March 2015
Factors Related to Depression in Patients Undergoing Hemodialysis Due to Renal Failure in Senegal
ABSTRACT
Depression is often encountered with chronic diseases such as renal failure, for which the prognosis has been improved by hemodialysis. The occurrence of depression with these chronic ailments is related to several factors. The aim of this work was to identify risk factors for depression in a population of patients undergoing hemodialysis due to renal failure. We conducted a cross-sectional descriptive study from 1st January 2012 to 31st May 2014 in the setting of the hemodialysis unit of the Nephrology Department of the Aristide Le Dantec Hospital in Dakar, Senegal. The study population was comprised of chronic hemodialysis patients who had freely and unequivocally provided their informed consent. The self-reporting Beck Depression Inventory (BDI) short-form for depression was used. This short-form version of the BDI was a tool designed to allow the practitioner to perform a rapid assessment of depression. It consisted of 13 items. After administering this assessment, we also collected all the epidemiological and clinical data for this patient population using a pre-established form. Eight-three patients were recruited during the course of the study. These comprised 39 males (47%) and 44 females (53%), i.e. a sex ratio of 0.88. The mean age was 44.73 years, ranging from 18 to 79. The incidence of depression, according to the shortform BDI, for this population was 57.8%. The duration of the dialysis treatment and a diabetic background constituted the principal factors that correlated significantly with depression. Depression correlated neither with age, gender, nor marital status. Professional engagement, level of education, socioeconomic status and prior incidences of depression also did not correlate with the occurrence of depression. In this study, depression affected more than half of the individuals with renal failure. The principal risk factors were the duration of the dialysis treatment and a diabetic background.

Cite this paper
Dialé, N. , Mamadou, S. , Aida, S. , Habib, T. & Boucar, D. (2015). Factors Related to Depression in Patients Undergoing Hemodialysis Due to Renal Failure in Senegal. Psychology, 6, 409-414. doi: 10.4236/psych.2015.64038.
References
[1]   Anderson, R. J., Freedland, K. E. et al. (2001). The Prevalence of Comorbid Depression in Adults with Diabetes: A Meta-Analysis. Diabetes Care, 24, 1069-1078.
http://dx.doi.org/10.2337/diacare.24.6.1069

[2]   Beard, B. H. (1969). Fear of Death and Fear of Life: The Dilemma in Chronic Renal Failure, Hemodialysis and Kidney Transplantation. Archives of General Psychiatric, 21, 372-380.
http://dx.doi.org/10.1001/archpsyc.1969.01740210117018

[3]   Brour, S., Rabhi, N., & Boussetta, A. (1991). Handicap professionnel et psychiatrie. Tunisie Medicale, 69, 45-49.

[4]   Buhl, C., & Hardy, P. (2007). Interactions medico-psychiatriques. In J. D. Guelfi, & F. Rouillon (Eds.), Manuel de psychiatrie (pp. 314-322). Paris: Elsevier Masson.

[5]   Dogan, E., Erkoc, R., Eryonucu, B., Sayarlioglu, H., & Agargun, M. Y. (2005). Relation between Depression, Some Laboratory Parameters, and Quality of Life in Hemodialysis Patients. Renal Failure, 27, 695-699.
http://dx.doi.org/10.1080/08860220500242728

[6]   Judith, B. (2010). L’anemie chez l’insuffisant renal chronique terminal hemodialyse a Dakar. Memoire DES Nephrologie Dakar, 265.

[7]   Khalil, A. A., & Frazier, S. K. (2010). Depressive Symptoms and Dietary Nonadherence in Patients with End-Stage Renal Disease Receiving Hemodialysis: A Review of Quantitative Evidence. Issues in Mental Health Nursing, 31, 24-330.
http://dx.doi.org/10.3109/01612840903384008

[8]   Kimmer, P. L., & Peterson, R. A. (2005). Depression in End-Stage Renal Disease Patients Treated with Hemodialysis: Tools, Correlates, Outcomes, and Needs. Seminars in Dialysis, 18, 91-97.
http://dx.doi.org/10.1111/j.1525-139X.2005.18209.x

[9]   Kovess, V. (1996). Epidemiologie et sante mentale. Editions Medecine-Sciences, Flammarion.

[10]   Kutneri, N. G., Zhangi, R. et al. (2005). Health Status and Quality of Live Reported Buy Incident Patients after 1 Year on Hemodialysis or Peritoneal Dialysis. Nephrology Dialysis Transplantation, 20, 2156-2167.

[11]   Lengani, A., Kabore, J., & Ouedraogo, C. (1994). L’insuffisance renale chronique au Burkina Faso. Medecine d’Afrique noire, 41, 294-298.

[12]   Mouhamed, N., Mouhamed, H. A., Khammouma, S., Dhia, N. B., & Ghachem, A. (2008). L’hemodialyse et son impact sur la qualite de vie. Nephrologie & Therapeutique, 41, 21-27.

[13]   Ouattara, F. (2008). Qualite de vie des hemodialyses a Dakar. These de Medecine, Dakar: Universite de Dakar.

[14]   Page, D. G. (1992). Dental Management of Patients Receiving Hemodialysis. Virginia Dental Journal, 69, 37-39.

[15]   Sadiki, S. (2012). Anemie chez les hemodialyses chroniques: Aspects cliniques et Prise en charge therapeutique a Dakar. These de Medecine, Dakar: Universite de Dakar.

[16]   Sakho, B. (2013). Contribution a l’etude du deficit en Vitamine D chez les patients en hemodialyse periodique a Dakar a propos de 37 cas. These de Medecine, Dakar: Universite de Dakar.

[17]   Sqalli, H. T., Ramouz, I., Fahi, Z., Tahirib, A., Sekkatb, F. Z., Ouzeddoun, N. et al. (2005). Troubles anxio-depressifs et qualite de l’hemodialyse. Nephrologie & Therapeutique, 1, 31-37.
http://dx.doi.org/10.1016/j.nephro.2005.01.007

[18]   Sylla, S. N. (2001). Femmes et politique au Senegal: Contribution a la reflexion sur la participation des femmes senegalaises a la vie politique de 1945 a 2001. Memoire de D.E.A. Etudes Africaines: Option Anthropologie juridique et politique. Paris: Universite de Paris I.

[19]   Untas, A., Aguirrezabal, M., Chauveaub, P., Leguen, E., Combe, C., & Rascle, N. (2009). Anxiete et depression en hemodialyse: Validation de l’Hospital Anxiety and Depression Scale (HADS). Nephrologie & Therapeutique, 5, 193-200.
http://dx.doi.org/10.1016/j.nephro.2009.01.007

[20]   Untas, A., & Chauveau, P. (2008). Vers une meilleure evaluation des aspects psychosociaux en nephrologie. Nephrologie & Therapeutique, 4, 228-230.
http://dx.doi.org/10.1016/j.nephro.2008.03.002

[21]   Zouari, L., Elleuch, M., Feki, I., Allouch, C., Yaich, S., Thabet, J. B. et al. (2011). La depression chez les malades hemodialyses chroniques: A propos de 106 cas. La Tunisie Medicale, 89, 157-162.

 
 
Top