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Chinese Journal of Blood Purification ›› 2005, Vol. 4 ›› Issue (10) : 539-541.

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Abstract

Objective To investigate the prevalence of anxiety and depression in patients with chronic renal disease and risk factors for affective disorder. Methods It is a cross-section survey. Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale(SDS)were administered to hospitalized patients. Results The prevalence of anxiety and depression in patients with chronic renal disease were 54.3% and 60.9% respectively. Patients with chronic renal failure suffered more anxiety and depression than patients without renal failure, the prevalence were 72.9% vs. 23.9% and 74.3% vs. 39.5% respectiving. The prevalence of anxiety and severity of depression were different according to the different replacement treatments in uremia. Kidney transplant recipients suffered less anxiety. That the way of payment of medical expenditure such as at their own expenses (OR=3.528, 95%CI: 1.242～10.018), decreased Ccr (OR =0.911, 0.831～0.999) and low family income (OR=3.493,95%CI:1.252～9.474) were risk factors for depression; decreased Ccr（OR=0.973, 0.959-0.981）and low family income (OR=2.571, 95% CI: 1.108～5.969) were risk factors for anxiety. Conclusions The prevalence of anxiety and depression are significantly higher in patients with chronic renal disease and chronic renal failure than normal controls. Ccr, family income and way of payment of medical expenditure are inversely associated with affective disorders.