Depression and cognitive distortions in hemodialysis patients with end stage renal disease: A case-control study

• Özgecan Tuna ^[3] ; Özlem Devrim Balaban ^[4] ; Caner Mutlu ^[5] ; Özge Şahmelikoğlu ^[4] ; Musa Bali ^[1] ; Cagatay Ermis ^[2]
  1. [1] Gazi University

     Gazi University

     Turquía

     
  2. [2] Dokuz Eylül University

     Dokuz Eylül University

     Turquía

     
  3. [3] Kanuni Sultan Süleyman Training and Research Hospital, Department of Psychiatry, Turkey
  4. [4] Bakirkoy Mental and Nervous Diseases Training and Research Hospital, Department of Psychiatry, Turkey
  5. [5] İstanbul Çam ve Sakura City Hospital, Department of Child and Adolescent Psychiatry, Turkey

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• Localización: European journal of psychiatry, ISSN 0213-6163, Vol. 35, Nº 4, 2021, págs. 242-250
• Idioma: inglés
• DOI: 10.1016/j.ejpsy.2021.01.001
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  • Background and objectives Identifying cognitive distortions is essential for Cognitive Behavioral Therapy (CBT) that plays a key role in the treatment of depression. Depression seen in patients with End-Stage Renal Disease (ESRD) has not been sufficiently diagnosed and treated. This study aimed to examine the cognitive distortions and schemas of patients diagnosed with ESRD.

    Methods Fifty-six patients undergoing hemodialysis and forty-seven controls were enrolled in the study. A sociodemographic and clinic data form, Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Hospital Anxiety and Depression Scale (HADS), Dysfunctional Attitudes Scale (DAS), Automatic Thoughts Questionnaire (ATQ) were applied to all participants.

    Results The prevalence of the psychiatric disorder in the case group was significantly higher than the prevalence of the psychiatric disorder in the control group. Compared with the control group, the HADS depression subscale was significantly high in the patient group. There was a positive correlation between the duration of hemodialysis and total scores of DAS as well as the “dependency attitudes” factor among the case group. The “helplessness” subscale scores of the ATQ were significantly higher in the case group compared to the control group.

    Conclusions The duration of hemodialysis was related to dependency attitudes of cognitive distortions among patients with ESRD. Studies investigating cognitive modalities are needed to treat depression more successfully in this population. It will contribute to the Cognitive Behaviour Therapy of ESRD patients when these factors are taken into consideration.