Background: Common symptoms of anxiety are palpitations, tremors, dyspepsia, numbness, tingling, nervousness, shortness of breath, sweating, and a feeling of dread. These symptoms, if they occur, can reduce a person's quality of life.
Objectives: The main objective was to study the incidence of anxiety in chronic kidney disease (CKD) patients undergoing hemodialysis (HD).
Materials and methods: Patients were recruited of either sex undergoing HD. Sociodemographic and anxiety-related details were collected.
Result and discussion: The study found that anxiety disorder is highly prevalent in patients undergoing HD and thus replicated the findings of previous studies. The study also adds to the existing literature by throwing light on patients’ age-segregated anxiety levels and various sociodemographic factors, and possible underlying reasons for the population. These patients should undergo a psychological evaluation in the early phase of illness so that timely and appropriate interventions can be done and their quality of life can be enhanced by reducing the disease burden.
Conclusion: Future studies should explore the other comorbidities in CKD patients and also biopsychosocial impact of these symptoms and their effect on disease progression.
Cukor D, Ver Halen N, Fruchter Y. Anxiety and quality of life in ESRD. Semin Dial 2013;26(3):265–268. DOI: 10.1111/sdi.12065
Stein MB, Sareen J. Clinical practice. Generalized anxiety disorder. N Engl J Med 2015;373(21):2059–2068. DOI: 10.1056/NEJMcp1502514
Cohen SD, Cukor D, Kimmel PL. Anxiety in patients treated with hemodialysis. Clin J Am Soc Nephrol 2016;11(12):2250–2255. DOI: 10.2215/CJN.02590316
Xing L, Chen R, Diao Y, et al. Do psychological interventions reduce depression in hemodialysis patients? A meta-analysis of randomized controlled trials following PRISMA. Medicine (Baltimore) 2016;95(34):e4675. DOI: 10.1097/MD.0000000000004675
Clarke AL, Yates T, Smith AC, et al. Patient's perceptions of chronic kidney disease and their association with psychosocial and clinical outcomes: a narrative review. Clin Kidney J 2016;9(3):494–502. DOI: 10.1093/ckj/sfw014
Rezaei J, Abdi A, Rezaei M, et al. Effect of regular exercise program on depression in hemodialysis patients. Int Sch Res Notices 2015;2015:182030. DOI: 10.1155/2015/182030
Anand S, Johansen KL, Grimes B, et al. Physical activity and self–reported symptoms of insomnia restless legs syndrome and depression: the comprehensive dialysis study. Hemodial Int 2013;17(1):50–58. DOI: 10.1111/j.1542-4758.2012.00726.x
Rajan EJE, Subramanian S. The effect of depression and anxiety on the performance status of end-stage renal disease patients undergoing hemodialysis. Saudi J Kidney Dis Transpl 2016;27(2):331–334. DOI: 10.4103/1319-2442.178555
Brito DCS, Machado EL, Reis IA, et al. Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study. Sao Paulo Med J 2019;137(2):137–147. DOI: 10.1590/1516-3180.2018.0272280119
Schouten RW, Haverkamp GL, Loosman WL, et al. Anxiety symptoms, mortality, and hospitalization in patients receiving maintenance dialysis: a cohort study. Am J Kidney Dis 2019;74(2):158–166. DOI: 10.1053/j.ajkd.2019.02.017