Mental Health of the Refugee and Native Patients with End-Stage Renal Diseases Receiving Hemodialysis During COVID-19 in Istanbul: A Cross-Sectional Study from a Tertiary Center
- 1 November 2021
- journal article
- research article
- Published by Galenos Yayinevi in Medical Bulletin of Haseki
- Vol. 59 (5), 363-370
- https://doi.org/10.4274/haseki.galenos.2021.7646
Abstract
Aim: Patients receiving hemodialysis (HD) are at high risk for developing psychiatric symptoms. The aim of this study is to investigate the levels and correlates of depression, anxiety, somatization and post-traumatic stress disorder (PTSD) symptoms of refugee HD patients and compare to native HD patients. Methods: This is a descriptive study with a cross-sectional design. A total of 58 refugee (n=27) and native (n=31) end-stage renal disease patients receiving HD were included. The data were collected between 14th and 16th of July 2021. Patient health questionnairesomatic, anxiety, and depressive symptoms (PHQ-SADS) scales and posttraumatic-stress disorder checklist for DSM-5 (PCL-5) were used for the clinical assessment. Results: Refugee patients had similar sociodemographic, clinical and HD characteristics with native patients. Anxiety subscale and PCL5 scores were significantly higher in refugee patients (p=0.04 and p=0.03, respectively), while depression and somatization subscales levels did not differ among groups. The age was negatively correlated with depressive symptom levels in refugee patients while somatic symptom levels were positively correlated with depression, anxiety and PTSD symptom levels in both groups. Conclusion: The staff of HD centers should be trained in order to recognize psychiatric disorders and symptoms, and routine psychiatric assessment may contribute to improving the mental health and preventing adverse health outcomes in refugee HD patients.Keywords
This publication has 42 references indexed in Scilit:
- Anxiety and depressive symptoms and medical illness among adults with anxiety disordersJournal of Psychosomatic Research, 2014
- Post-traumatic stress disorder among Syrian refugees in Turkey: A cross-sectional studyInternational Journal of Psychiatry in Clinical Practice, 2014
- Association Between Depression and Mortality in Patients Receiving Long-term Dialysis: A Systematic Review and Meta-analysisAmerican Journal of Kidney Diseases, 2014
- Transcultural Aspects of Somatic Symptoms in the Context of Depressive DisordersPublished by S. Karger AG ,2013
- Psychometric properties of the Turkish version of the Patient Health Questionnaire–Somatic, Anxiety, and Depressive SymptomsComprehensive Psychiatry, 2012
- Depressive symptoms among immigrants and ethnic minorities: a population based study in 23 European countriesSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2010
- The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic reviewGeneral Hospital Psychiatry, 2010
- Somatic distress among Kosovar civilian war survivors: relationship to trauma exposure and the mediating role of experiential avoidanceSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2009
- Depression in end-stage renal disease hemodialysis patientsNature Clinical Practice Nephrology, 2006
- Depression in Patients with End-Stage Renal Disease Treated with DialysisClinical Journal of the American Society of Nephrology, 2006