Psychiatric Co-morbidities and Their Association in Patients on Dialysis

Background: Multi morbidity is a growing concern for healthcare systems, with many countries experiencing demographic transition to older population profiles. Hemodialysis has been shown to have an adverse impact on the emotional status of patients with end-stage renal disease (ESRD). Common associated psychological problems include depression, anxiety, fatigue, decreased quality of life, and an increased risk for suicide. Chronic kidney disease (CKD) is common but often considered in isolation. The extent and prognostic significance of its co-morbidities is not well understood. This cross-sectional study aims to psychiatric assessment of ESRD patients on dialysis.
Results: Two hundred fifty people were included, Cases were selected during the study period from April 2021 till July 2022. A semi-structured interview, clinical psychiatric assessment is done to measure psychiatric disorders.
Conclusions: Incidence of psychiatric illness among end-stage renal disease patients on hemodialysis is high. The most prevalent psychiatric disorders among these patients are depression and anxiety disorders.

Key words: Hemodialysis, Psychiatric comorbidity, Quality of life