| Título: | Emotional distress and health-related quality of life in patients on hemodialysis: the clinical value of COOP-WONCA charts |
| Autores: |
Arenas Jiménez, María Dolores Álvarez-Ude Cotera, Fernando Reig Ferrer, Abilio Zito, Juan Pablo Gil González, María Teresa Carretón, María Antonia Albiach, Begoña Moledous, Analía |
| Fecha: |
2008-02-13 2008-02-13 2007-06 |
| Publicador: | RUA Docencia |
| Fuente: |
 |
| Tipo: | info:eu-repo/semantics/article |
| Tema: |
Anxiety Depression Hemodialysis Health-related quality of life COOP-WOCA charts Personalidad, Evaluación y Tratamiento Psicológico |
| Descripción: | Background: A significant percentage of patients on hemodialysis (HD) present with affective disorders such as anxiety and/or depression. The purpose of this study was to explore adaptive mixed affective disorders of patients on HD and to analyze the clinical value of a brief health-related quality-of-life (HRQoL) instrument, the COOP-WONCA charts, in our population of HD patient. Methods: Seventy-five patients (mean age 49.2 years; range 20.1-64.9), who had been on HD for a mean 110 months (range 6.1-364.5 months) were studied. The Beck Depression Inventory (BDI), Hamilton Scale of Depression (HDRS) and Hamilton Scale of Anxiety (HARS) were used. To evaluate patient HRQoL, we used the validated Spanish version of the COOPWONCA charts. Results: Of the 75 patients studied, 44.0% (BDI) and 53.4% (HDRS) had some depressive symptoms which were moderatesevere in 14.7% (BDI) and in 22.7% (HDRS). Anxiety symptoms were observed in 46.6% of the patients (13.3% were of moderate- severe degree). There was a high level of association between both depression scales (BDI and HDRS) (r=0.70; p<0.001), as well as between both scales and the HARS (HDRS, r=0.82; p<0.001; BDI, r=0.53; p<0.001). The most affected dimensions of the COOP-WONCA charts were “Physical fitness” and “Overall health,” whereas the least affected were “Social activities” and “Daily activities.” The global score of the COOP-WONCA charts was associated with the presence of depressive (BDI, r=0.64, and HDRS, r=0.75; p<0.001) and anxiety symptoms (HARS, r=0.52; p<0.001). A score of ≥3 corresponding to the dimension “Feelings” on the COOP-WONCA charts allowed the detection of 81.8% of the patients with clinically significant depressive symptoms (BDI >18), with a sensitivity of 96.8% and a specificity of 75% for this cutoff point. Conclusions: A high percentage of patients on HD present with mixed emotional disorders (anxiety and/or depression); a good correlation is observed between HRQoL and the levels of anxiety and depression in these patients; and measuring HRQoL with the COOP-WONCA charts may help diagnose such problems. |
| Idioma: | Inglés |
1 Choosing the correct paradigm for unknown words in rule-based machine translation systems por Sánchez Cartagena, Víctor Manuel,Esplà Gomis, Miquel,Sánchez Martínez, Felipe,Pérez Ortiz, Juan Antonio | 6 Análisis Real de Varias Variables II. Problemas (27-3-2013) por Conde Calero, Juan Manuel |
2 Using external sources of bilingual information for on-the-fly word alignment por Esplà Gomis, Miquel,Sánchez Martínez, Felipe,Forcada Zubizarreta, Mikel L. | 7 Introducción a mirada/s trans/identitarias,Introduction to trans-identitary look(s) por Amaro Quintas, Ángel Manuel |
3 | 8 |
4 | 9 |
5 Los espacios periurbanos en el área ibérica contestana: las novedades y algunas reflexiones históricas por Sala Sellés, Feliciana | 10 Matrimonio igualitario y parentesco: discursos, hegemonías y acontecimiento,Egalitarian marriage and kinship: discourses, hegemony and event por Buzaglo, Analía,Morandi, Mariela,Culla, Mónica |