Document Detail

Posttraumatic stress disorder in hemodialysis patients.
MedLine Citation:
PMID:  17900459     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We aim to assess the prevalence and severity of posttraumatic stress disorder (PTSD) in patients who receive long-term hemodialysis (HD) and investigate its correlation with depression, anxiety, health-related quality of life, and service utilization.
STUDY DESIGN, SETTING & PARTICIPANTS: In a cross-sectional study, we recruited 144 HD patients (age, 63.1 +/- 14.2 years; 50.7% men) from 5 dialysis units.
FACTOR: PTSD, defined in accordance with criteria of the Impact of Event Scale-Revised and Posttraumatic Stress Diagnostic Scale.
OUTCOMES: Physical health, mental health, depression, anxiety, life satisfaction, service utilization.
MEASUREMENTS: Impact of Event Scale-Revised, Posttraumatic Stress Diagnostic Scale, Hospital Anxiety and Depression Scale, Short-Form Health Survey.
RESULTS: 77.8% of HD patients reported at least 1 traumatic event. The lifetime prevalence for PTSD, independent from trauma type, was 17%. PTSD prevalence only with regard to HD as a potential traumatic event was 10.4%. Women reported more helplessness and more intensive experiences of fear or horror than men with respect to the stressor A criterion. Patients with PTSD showed substantial decreases in mental health in comparison to patients without PTSD (P < 0.01). Additionally, greater depression, anxiety, less life satisfaction, and more service utilization were associated with greater posttraumatic symptoms. There was no correlation of physical health with posttraumatic symptoms. In partial correlation analyses adjusting for depression, associations between posttraumatic symptoms, mental health, and anxiety remained robust.
LIMITATIONS: Generalizability to other settings, absence of control group, study power.
CONCLUSIONS: PTSD is common in HD patients, but little work has been done to explore the variables associated with PTSD. Data suggest that PTSD is underdiagnosed and undertreated in HD patients. Interventions should target these patients with the goal to improve well-being and quality of life.
Sefik Tagay; Andreas Kribben; Alexander Hohenstein; Ricarda Mewes; Wolfgang Senf
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  50     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-28     Completed Date:  2007-10-15     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  594-601     Citation Subset:  IM    
Department of Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, Essen, Germany.
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MeSH Terms
Cross-Sectional Studies
Middle Aged
Psychiatric Status Rating Scales
Renal Dialysis / adverse effects,  psychology*
Stress Disorders, Post-Traumatic / epidemiology*,  etiology,  psychology*
Stress, Psychological / epidemiology,  etiology,  psychology

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