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Anxiety and depression are correlated with higher morbidity after kidney transplantation.
Transplant Proc. 2007 May; 39(4):1074-8.TP

Abstract

BACKGROUND

Psychiatric comorbidities have been reported to be associated with low quality of life, but less attention has been paid to their impact on other morbidity measures. The aim of this study was to investigate the correlation of anxiety and depression with marital relation, sexual function, and sleep quality in kidney transplant recipients.

METHODS

In a cross-sectional study between 2005 and 2006, 88 kidney transplant recipients were divided into four groups according to their scores of anxiety and depression using Hospital Anxiety Depression Scale (HADS): group I(anx) (anxiety score <11; n=64); group II(anx) (anxiety score >or= 11; n=24); group I(dep) (depression score <11; n=68); and group II(dep) (depression score >or= 11; n=20). Morbidity measures including quality of life (Short Form-36), marital adjustment (Revised Dyadic Adjustment Scale), sexual relationship (Relationship and Sexuality Scale), and quality of sleep (Pittsburgh Sleep Quality Index) were separately compared between groups of anxious versus nonanxious and depressed versus nondepressed.

RESULTS

Group I(anx), compared with group II(anx), displayed a better state of mental health (48.80 +/- 7.14 vs. 44.45 +/- 7.80; P=.01), general health (49.36 +/- 12.77 vs. 42.91 +/- 16.67; P=.05), marital adjustment (55.13 +/- 8.01 vs. 48.35 +/- 16.62; P=.04), and lower sleep disturbance (1.36 +/- 0.62 vs. 1.66 +/- 0.63; P=.05). Group I(dep), compared with group II(dep), showed lower fatigue score (39.79 +/- 8.30 vs. 46.84 +/- 8.85; P=.002) and better sexual relationships (15.28 +/- 5.50 vs. 19.00 +/- 5.92; P=.03).

CONCLUSIONS

Screening for anxiety and depression in kidney transplant recipients is essential. Appropriate treatment of these prevalent psychiatric comorbidities may improve various aspects of patient well-being, including quality of life, sleep, marital relations, and sexual relationship.

Authors+Show Affiliations

Nephrology/Urology Research Center (NURC), Baqiyatallah Medical Sciences University, Tehran, Iran. sima.noohi@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17524895

Citation

Noohi, S, et al. "Anxiety and Depression Are Correlated With Higher Morbidity After Kidney Transplantation." Transplantation Proceedings, vol. 39, no. 4, 2007, pp. 1074-8.
Noohi S, Khaghani-Zadeh M, Javadipour M, et al. Anxiety and depression are correlated with higher morbidity after kidney transplantation. Transplant Proc. 2007;39(4):1074-8.
Noohi, S., Khaghani-Zadeh, M., Javadipour, M., Assari, S., Najafi, M., Ebrahiminia, M., & Pourfarziani, V. (2007). Anxiety and depression are correlated with higher morbidity after kidney transplantation. Transplantation Proceedings, 39(4), 1074-8.
Noohi S, et al. Anxiety and Depression Are Correlated With Higher Morbidity After Kidney Transplantation. Transplant Proc. 2007;39(4):1074-8. PubMed PMID: 17524895.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anxiety and depression are correlated with higher morbidity after kidney transplantation. AU - Noohi,S, AU - Khaghani-Zadeh,M, AU - Javadipour,M, AU - Assari,S, AU - Najafi,M, AU - Ebrahiminia,M, AU - Pourfarziani,V, PY - 2007/5/26/pubmed PY - 2007/10/30/medline PY - 2007/5/26/entrez SP - 1074 EP - 8 JF - Transplantation proceedings JO - Transplant Proc VL - 39 IS - 4 N2 - BACKGROUND: Psychiatric comorbidities have been reported to be associated with low quality of life, but less attention has been paid to their impact on other morbidity measures. The aim of this study was to investigate the correlation of anxiety and depression with marital relation, sexual function, and sleep quality in kidney transplant recipients. METHODS: In a cross-sectional study between 2005 and 2006, 88 kidney transplant recipients were divided into four groups according to their scores of anxiety and depression using Hospital Anxiety Depression Scale (HADS): group I(anx) (anxiety score <11; n=64); group II(anx) (anxiety score >or= 11; n=24); group I(dep) (depression score <11; n=68); and group II(dep) (depression score >or= 11; n=20). Morbidity measures including quality of life (Short Form-36), marital adjustment (Revised Dyadic Adjustment Scale), sexual relationship (Relationship and Sexuality Scale), and quality of sleep (Pittsburgh Sleep Quality Index) were separately compared between groups of anxious versus nonanxious and depressed versus nondepressed. RESULTS: Group I(anx), compared with group II(anx), displayed a better state of mental health (48.80 +/- 7.14 vs. 44.45 +/- 7.80; P=.01), general health (49.36 +/- 12.77 vs. 42.91 +/- 16.67; P=.05), marital adjustment (55.13 +/- 8.01 vs. 48.35 +/- 16.62; P=.04), and lower sleep disturbance (1.36 +/- 0.62 vs. 1.66 +/- 0.63; P=.05). Group I(dep), compared with group II(dep), showed lower fatigue score (39.79 +/- 8.30 vs. 46.84 +/- 8.85; P=.002) and better sexual relationships (15.28 +/- 5.50 vs. 19.00 +/- 5.92; P=.03). CONCLUSIONS: Screening for anxiety and depression in kidney transplant recipients is essential. Appropriate treatment of these prevalent psychiatric comorbidities may improve various aspects of patient well-being, including quality of life, sleep, marital relations, and sexual relationship. SN - 0041-1345 UR - https://www.unboundmedicine.com/medline/citation/17524895/Anxiety_and_depression_are_correlated_with_higher_morbidity_after_kidney_transplantation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0041-1345(07)00498-8 DB - PRIME DP - Unbound Medicine ER -