“ASSOCIATION OF ANXIETY AND DEPRESSION ON CHRONIC KIDNEY DISEASE PATIENTS AFFECTING QUALITY OF LIFE”
Main Article Content
Keywords
Anxiety, Depression, Chronic Kidney disease, Quality of life, Psychological distress
Abstract
Introduction:
Chronic kidney disease (CKD) is a widespread, progressive disorder characterized by the gradual loss of kidney function over time. Affecting approximately 10% of the global population, CKD imposes a significant burden on individuals and healthcare systems alike. The condition is typically accompanied by a range of physical complications, including hypertension, anemia, bone disorders, and cardiovascular disease. However, beyond its physiological manifestations, CKD exerts a profound psychological and emotional toll on patients, profoundly influencing their quality of life (QoL).
Objective:
To examine the relationship between anxiety, depression, and quality of life in CKD patients
Material and Methods:
A cross-sectional study was conducted to examine the prevalence and impact of anxiety and depression on the quality of life among CKD patients. Data were collected from a representative sample of 250 individuals aged 18 years and above were recruited. Descriptive statistics, correlation analysis, and multivariate regression were used to determine the relationship between anxiety, depression, and QoL.
Results:
There were 250 participants who included in this research after inclusion and exclusion criteria in which 140 were male and 110 were females in which 55% exhibited clinically anxiety and 45% marked as depression. Patients with higher anxiety and depression scores had significantly lower QoL scores across all dimensions. The strongest negative correlations were observed in the emotional well-being (-0.72, p < 0.01) and physical health (-0.57, p < 0.01) domains. Regression analysis identified depression (p < 0.01), anxiety (p < 0.05), and lower socioeconomic status (p < 0.05) as significant predictors of poor QoL.
Conclusion:
The association between anxiety, depression and CKD underscores the importance of a holistic approach to patient care. Addressing mental health in CKD patients is not just about improving psychological well-being it is a critical component of enhancing overall QoL and clinical outcomes. By integrating mental health assessments and interventions into routine CKD management, healthcare providers can help patients navigate the challenges of their condition more effectively, ultimately improving their quality of life.
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Naeem Amjad1
Department of Psychiatry & Behavioural Sciences, Shahida Islam Medical College, Lodhran, Pakistan
Kanza Hamid
Senior Registrar, Department of Psychiatry, Rahbar Medical College, Lahore, Pakistan
Ammad Ahmad Siddiqui
Assistant Professor, Department of Urology, Sahara Medical College, Sughra Shafi Medical Complex, Narowal, Pakistan
Muhammad Aamir
Senior Registrar, Department of Urology, Sahara Medical College, Sughra Shafi Medical Complex, Narowal, Pakistan
Muhammad Haroon Ghous
Professor, Department of Urology, University College of Medicine & Dentistry, The University of Lahore, Pakistan
Syeda Sabeen Fatima
Post Graduate Resident, Department of Paediatrics Medicine, Central Park Teaching Hospital, Lahore, Pakistan