|Basic InformationMore InformationTestsLatest News|Depression Inversely Linked to Body Composition in TeensReview: Depression Screening As Inpatient Important, FeasibleDepression Can Slow Hospital Patients' Recovery: StudyAntidepressants During Pregnancy Safe for Baby: StudyWhat You Need to Know About AntidepressantsAPA: Internet-Based CBT Can Be Helpful in DepressionCan Online Treatment Replace Your Therapist?Depression Often a Precursor to Falls in Elderly PeopleObesity, Sex Predict Remission for Antidepressant MedicationsGender Differences in Depression Tend to Appear About Age 12Depression's Gender Gap Shows Up in Pre-Teen YearsStudies Question Link Between Mom's Antidepressant Use, Autism in KidsTrauma as a Teen May Boost Depression Risk Around MenopauseBlood Test Promising for ID of Early Depression, SchizophreniaBlood Test Might Someday Distinguish Early Depression, SchizophreniaHold That Pose: Yoga May Ease Tough DepressionDepression May Hasten Death in Years After Heart DiagnosisAntidepressant Efficacy Varies for Depressive Symptom ClustersDepressed Psoriasis Patients at Higher Risk of Psoriatic ArthritisCan Depression Up Odds for Arthritis Linked to Psoriasis?Postpartum Depressive Symptoms Fell in 2004 to 2012Depression Often Untreated in Dialysis PatientsPostpartum Depression Affects New Dads, TooPanic Disorder May Up Odds of Depression Rx Side EffectsSometimes the Holidays Aren't Always JollyPilots Suffer Depression, Suicidal Thoughts at Fairly High RatesMore Than 1 in 10 Pilots Suffer From Depression, Survey FindsSelf-Care Tools Cut Depression in AMD, Diabetic RetinopathyDepression, Suicide Ideation Prevalent in Medical StudentsDepression on the Rise Among U.S. Teens, Especially GirlsDepressive Symptoms Linked to Functional Status in CADHigh Rate of Antidepressant Use After CancerResearchers Find Antidepressant Bupropion Crosses PlacentaMom-to-Be's Antidepressant Use May Be Tied to Speech Issues in ChildDepression Can Fuel Heart Disease in Midlife Women: StudyDepression Common in Patients With Chronic AnginaFacebook Bullying Can Cause DepressionMany Cases of Depression in Adults Not Being TreatedMany Depressed Adults Not Getting Treatment: StudyMajor Depressive Disorder Ups Acute MI Risk in HIV-InfectedPostpartum Depression Can Be ID'd During Infant HospitalizationDepression Common After Time Spent in ICUDepression Can Stalk Families Through GenerationsScientists Spot 15 Regions of Human DNA Linked to DepressionBehavioral Activation Therapy Viable Option in DepressionCould New 'Talk Therapy' Cut Cost of Treating Depression?Baseline Depression Symptoms Tied to Low Med AdherenceDepression Linked to CKD in Patients With DiabetesDiabetic Retinopathy Independently Tied to DepressionDepression Strikes Nearly 3 Million U.S. Teens a YearQuestions and AnswersVideosLinksBook Reviews
Depression Often Untreated in Dialysis Patients
by -- Robert Preidt
Updated: Jan 26th 2017
THURSDAY, Jan. 26, 2017 (HealthDay News) -- Depression is common among kidney failure patients undergoing dialysis. But efforts to get them on antidepressants often fail, a new study finds.
Many patients refuse to start or modify depression treatment. And in some cases kidney specialists don't want their patients taking antidepressant medication, researchers reported.
"Our study demonstrated that many patients on chronic hemodialysis have depressive symptoms but do not wish to receive aggressive treatment to alleviate these symptoms," said study co-leader Dr. Steven Weisbord.
"We also noted that when patients are willing to accept treatment, renal [kidney care] providers commonly do not prescribe treatment," said Weisbord, who's with the VA Pittsburgh Healthcare System.
When kidneys fail, dialysis treatment is needed to remove wastes and salt from the blood. It's often done at a hospital, dialysis center or at home with a special machine.
The study included 101 dialysis patients who completed monthly questionnaires about depression symptoms. They were followed for at least one year.
Thirty-nine patients were diagnosed with depression, based on assessments from a total of 147 sessions with health care staff.
But not all got treated with an antidepressant -- only 70 percent of sessions showed evidence that the patient was getting antidepressant treatment. And in 70 percent of cases where a nurse recommended that the patient intensify treatment, the patient refused to do so.
In 11 of 18 cases where patients agreed they needed depression medication, kidney specialists were unwilling to provide it, the study found.
The main reason patients refused to take antidepressants was because they felt their depression was attributable to an acute event, chronic illness or dialysis.
The study was published Jan. 26 in the Clinical Journal of the American Society of Nephrology.
A U.S. government improvement program for end-stage renal disease recently mandated that all dialysis facilities report individual patient screening and treatment plans for depression, Weisbord said.
"However, there is a paucity of evidence documenting the effectiveness of antidepressant treatment in this patient population and it remains unknown whether patients on dialysis want treatment for depression," he explained in a journal news release.
The prognosis for depressed dialysis patients can be bleak, said the authors of an accompanying commentary.
"Depression in people receiving dialysis treatment is associated with lower quality of life, increased hospitalizations and, in all likelihood, shortened survival," wrote Maree Hackett and Meg Jardine of the University of Sydney, Australia.
The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more on kidney failure.
This article: Copyright © 2017 HealthDay. All rights reserved.