Depression, Anxiety, Body Image, Sexual Functioning, and Dyadic Adjustment Associated with Dialysis Type in Chronic Renal Failure

• Published in: International journal of psychiatry in medicine Vol. 43; no. 3; pp. 227 - 241
• Main Authors: Öyekçin, Demet Güleç, Gülpek, Demet, Sahin, Erkan Melih, Mete, Levent
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.01.2012; Baywood; Sage Publications Ltd
• Subjects: Adaptation, Psychological; Adjustment; Adult; Adult and adolescent clinical studies; Analysis of Variance; Anxiety; Anxiety Disorders - epidemiology; Anxiety Disorders - psychology; Biological and medical sciences; Body Image; Causality; Comorbidity; Depression; Depressive Disorder - epidemiology; Depressive Disorder - psychology; Female; Hemodialysis; Humans; Kidney diseases; Kidney Failure, Chronic - psychology; Kidney Failure, Chronic - therapy; Male; Medical sciences; Mental depression; Mood disorders; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Personal Satisfaction; Psychiatric Status Rating Scales - statistics & numerical data; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Quality of Life - psychology; Renal Dialysis - methods; Renal Dialysis - psychology; Renal Dialysis - statistics & numerical data; Renal failure; Self image; Sexual behavior; Sexual Behavior - psychology; Sexual Behavior - statistics & numerical data; Sexual Dysfunctions, Psychological - epidemiology; Sexual Dysfunctions, Psychological - psychology; Turkey - epidemiology; Turkey; dialysis; sexual functioning; anxiety; dyadic adjustment; body image; depression; Kidney disease; Mood disorder; Human; Affect affectivity; Urinary system disease; Chronic renal failure; Body image; Sexual behavior; Depression; Treatment; Social interaction; Dyadic relation; Anxiety; Dialysis
• ISSN: 0091-2174; 1541-3527
• DOI: 10.2190/PM.43.3.c

Objective: Depression is the most widely studied complication in dialysis patients. In patients with chronic renal failure, changes in body image are considered to be associated with invasive treatment interventions. In addition, sexual problems are common in dialysis patients. In this study, hemodialysis and peritoneal dialysis patients are investigated for depression, anxiety, body image, sexual satisfaction, and dyadic adjustment. Methods: Hemodialysis patients (n = 36), peritoneal dialysis patients (n = 54), and healthy controls (n = 30) were included in the study. All the subjects were assessed with Structured Clinical Interview for DSM-IV, Body Image Scale, Beck Depression Inventory, Beck Anxiety Scale, Golombok-Rust Inventory for Sexual Satisfaction, and Dyadic Adjustment Scale. Results: Depression (20.64 + 15.20) and anxiety levels (14.72 + 12.36) were significantly higher in hemodialysis group compared to peritoneal dialysis (13.54 + 12.51; 12.74 + 11.21) and control groups (7.17 + 5.58; 9.86 + 9.19). In peritoneal dialysis group, as depression and anxiety levels increased, body image was disturbed and sexual satisfaction decreased. In peritoneal dialysis group, body image (86.98 + 23.63) was better than hemodialysis group (101.58 + 26.51) and was not different from the control group (83.67 + 22.11). In hemodialysis group, as depression and anxiety levels increased, body image was disturbed. In both groups, long-term dialysis disturbed body image. Conclusion: Patients should be informed about the impacts of dialysis. Clinicians may wish to monitor dialysis-users for anxiety, depression, dyadic adjustment, and body image difficulties at follow-up appointments. Interventions that target intimate partner interventions, appearance-related beliefs, and anxiety depression may be of benefit to this population.