Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education.
Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education.
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DOI：
10.3390/jcm10184109
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发表时间：
2021-09-11
影响因子：
3.9
通讯作者：
Kokoszka A
中科院分区：
文献类型：
--
作者：
Orzechowski W;Buczek W;Szczerba JE;Gellert R;Rydzewski A;Fiderkiewicz B;Żebrowski P;Daniewska D;Kokoszka A
本文旨在找出重度抑郁发作（MDE）患者不寻求精神障碍治疗的原因。通过小型国际神经精神病学访谈，208 名接受筛查的人中有 89 人被诊断为重度抑郁发作。 85 名未经治疗的抑郁症患者填写了以下调查问卷：贝克抑郁量表、幸福感解释清单 (LEWB)、评估自我影响对疾病进程的感知的简要测量、压力情况应对量表、评估疾病应对的简要方法和元认知问卷。其中有 43 名女性（50.6%）和 42 名男性（49.4%），年龄 24 至 93 岁（平均（M）= 68.26 岁；标准差（SD）= 14.19 岁），透析年份范围为 1 个月至 33 年（M = 70.63 个月；SD = 75.26 个月）。在研究患者中，70.6％的人声称抑郁症是他们健康状况不佳的原因，75.3％的人将他们的抑郁症状归因于肾衰竭，更具体地说，49.4％的人将其归因于血液透析。共有64.7%的患者对自我影响对其肾病病程的影响认知度较低，58.5%的患者呈现出注重情绪的应对方式。最常见的功能失调的元认知信念是关于无法控制自己的想法的消极信念。这种态度与对疾病进程的自我影响认知低、适应不良的应对方式和功能失调的元认知信念有关。
This article aims to identify the reasons why patients with major depressive episode (MDE) do not seek treatment for their mental disorder. 89 out of 208 persons screened were diagnosed with major depressive episode using the Mini-International Neuropsychiatric Interview. 85 individuals with untreated depression filled out the following questionnaires: Beck Depression Inventory, List of Explanations of Well-Being (LEWB), Brief Measure to Assess Perception of Self-Influence on the Course of the Disease, Coping Inventory for Stressful Situations, Brief Method of Evaluating Coping with Disease, and Metacognitions Questionnaire. There were 43 women (50.6%) and 42 men (49.4%), aged 24 to 93 years (Mean (M) = 68.26 years; Standard Deviation (SD) = 14.19 years), with dialysis vintage ranging from 1 month to 33 years (M = 70.63 months; SD = 75.26 months). Among study patients, 70.6% declared that depression was the cause of their poor well-being, 75.3% attributed their depressive symptoms to kidney failure, and 49.4%, more specifically, to hemodialysis. A total of 64.7% of patients had a low perception of self-influence on the course of their kidney disease, and 58.5% presented a coping style focused on emotions. The most frequent dysfunctional metacognitive beliefs were negative beliefs about not controlling one’s own thoughts. This attitude was related to the low perception of self-influence on the course of the disease, maladaptive coping styles, and dysfunctional metacognitive beliefs.
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影响因子：
0.5
作者：
Kroenke, K;Spitzer, RL
通讯作者：
Spitzer, RL
DOI：
10.1053/j.ajkd.2009.03.017
发表时间：
2009-09
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Hedayati SS;Minhajuddin AT;Toto RD;Morris DW;Rush AJ
通讯作者：
Rush AJ
影响因子：
10.3
作者：
CartwrightHatton, S;Wells, A
通讯作者：
Wells, A
影响因子：
7.6
作者：
ENDLER, NS;PARKER, JDA
通讯作者：
PARKER, JDA
DOI：
10.1016/s0140-6736(18)32335-3
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2017 DALYs and HALE Collaborators
通讯作者：
GBD 2017 DALYs and HALE Collaborators