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Prospective study of depression among dialysis patients in Saudi Arabia.

Publication ,  Journal Article
Al Zaben, F; Sehlo, MG; Khalifa, DA; Al Shohaib, S; Shaheen, F; Alzaben, L; Ahmad, RG; Ashy, JA; Felemban, RG; Koenig, HG
Published in: Int Urol Nephrol
June 2015

OBJECTIVES: The purpose was to determine the short-term course of depression among dialysis patients in Saudi Arabia and identify baseline characteristics that may influence course. METHODS: Thirty-nine dialysis patients in Jeddah, SA, were identified with subthreshold, minor, or major depressive disorders using the Structured Clinical Interview for Depression (SCID) and followed up at 6 and 12 weeks using the Longitudinal Interview and Follow-up Evaluation (LIFE) schedule. Depressive symptoms were tracked using the Hamilton Depression Rating Scale (HDRS). Patient characteristics measured at baseline included demographic, psychosocial, physical health, and treatment factors. RESULTS: Of the 20 patients with major or minor depressive disorder, eight (40 %) fully remitted by 6 weeks and an additional three patients remitted over the next 6 weeks, leaving 45 % with significant depressive symptoms persisting beyond 12 weeks. Subthreshold disorders followed a similar course (42 % with persistent symptoms). Few patients received treatment for depression. Those with more education, severe health problems, poorer psychological function, more severe depressive symptoms, or a family psychiatric history were less likely to remit. Similar factors predicted change in depressive symptoms assessed by HDRS, especially high medical co-morbidity, severe illness, and overall poor psychological functioning. CONCLUSIONS: Nearly one-half of depressed dialysis patients in Saudi Arabia continue to have significant symptoms beyond 12 weeks of follow-up, few of whom were treated. Specific characteristics at baseline identify depressed dialysis patients at greater risk of persistent symptoms who need treatment.

Duke Scholars

Published In

Int Urol Nephrol

DOI

EISSN

1573-2584

Publication Date

June 2015

Volume

47

Issue

6

Start / End Page

1001 / 1010

Location

Netherlands

Related Subject Headings

  • Urology & Nephrology
  • Saudi Arabia
  • Renal Dialysis
  • Prospective Studies
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depressive Disorder
  • Depression
 

Citation

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ICMJE
MLA
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Al Zaben, F., Sehlo, M. G., Khalifa, D. A., Al Shohaib, S., Shaheen, F., Alzaben, L., … Koenig, H. G. (2015). Prospective study of depression among dialysis patients in Saudi Arabia. Int Urol Nephrol, 47(6), 1001–1010. https://doi.org/10.1007/s11255-015-0977-1
Al Zaben, Faten, Mohammad Gamal Sehlo, Doaa Ahmed Khalifa, Saad Al Shohaib, Faisul Shaheen, Linda Alzaben, Rami Ghazi Ahmad, Jafar Ayman Ashy, Reema Ghazi Felemban, and Harold G. Koenig. “Prospective study of depression among dialysis patients in Saudi Arabia.Int Urol Nephrol 47, no. 6 (June 2015): 1001–10. https://doi.org/10.1007/s11255-015-0977-1.
Al Zaben F, Sehlo MG, Khalifa DA, Al Shohaib S, Shaheen F, Alzaben L, et al. Prospective study of depression among dialysis patients in Saudi Arabia. Int Urol Nephrol. 2015 Jun;47(6):1001–10.
Al Zaben, Faten, et al. “Prospective study of depression among dialysis patients in Saudi Arabia.Int Urol Nephrol, vol. 47, no. 6, June 2015, pp. 1001–10. Pubmed, doi:10.1007/s11255-015-0977-1.
Al Zaben F, Sehlo MG, Khalifa DA, Al Shohaib S, Shaheen F, Alzaben L, Ahmad RG, Ashy JA, Felemban RG, Koenig HG. Prospective study of depression among dialysis patients in Saudi Arabia. Int Urol Nephrol. 2015 Jun;47(6):1001–1010.
Journal cover image

Published In

Int Urol Nephrol

DOI

EISSN

1573-2584

Publication Date

June 2015

Volume

47

Issue

6

Start / End Page

1001 / 1010

Location

Netherlands

Related Subject Headings

  • Urology & Nephrology
  • Saudi Arabia
  • Renal Dialysis
  • Prospective Studies
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depressive Disorder
  • Depression