Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer score
Abstract Introduction Haemodialysis patients self-report increased levels of anxiety and depression. We wished to determine the prevalence of distress in a multi-ethnic dialysis population and patient factors associated with distress. Methods We reviewed self-reported distress thermometer (DT) score...
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BMC
2024-11-01
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| Series: | Renal Replacement Therapy |
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| Online Access: | https://doi.org/10.1186/s41100-024-00586-4 |
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| author | Suree Yoowannakul Surachet Vongsanim Kamonwan Tangvoraphonkchai Andrew Davenport |
| author_facet | Suree Yoowannakul Surachet Vongsanim Kamonwan Tangvoraphonkchai Andrew Davenport |
| author_sort | Suree Yoowannakul |
| collection | DOAJ |
| description | Abstract Introduction Haemodialysis patients self-report increased levels of anxiety and depression. We wished to determine the prevalence of distress in a multi-ethnic dialysis population and patient factors associated with distress. Methods We reviewed self-reported distress thermometer (DT) scores from 971 haemodialysis patients with corresponding laboratory investigations, bioimpedance body composition and hand grip strength (HGS). Results The median age was 66.0 (55–75) years, 62.9% were male, 46.5% were of white ethnicity and 45.4% were diabetic. The results showed that 57.4% were classified as having no/minimal, 34% moderate, and 8.7% severe distress. Frailty increased from 31.5% to 47.9% and 56%, in the none/minimal, mild to moderate and severe distress groups (χ 2 17.6, p = 0.001), as did smoking (12.9% versus 16.7% versus 25%, χ 2 12.5, p = 0.001), and more patients reporting severe distress had suffered a previous myocardial infarction (MI) (17.4% versus 16.7% versus 27.4%, χ 2 7.1, p = 0.029). Haemoglobin decreased (109.6 ± 14.6 versus 107.6 ± 14.2 versus 103.5 ± 14.4 g/L, p < 0.001) as did HGS (18.9 (12.8–26.5) versus 17.1 (11.8–23.9) versus 15.4 (11.1–22.6) kg, p < 0.05). On ordinal multivariable analysis, increasing distress was associated with smoking (β 0.55, 95% confidence interval (CI) (0.17–0.92), p = 0.004), previous MI (β 0.47 (0.09–0.83), p = 0.015), serum calcium (β 1.11, (0.3–1.9), p = 0.007), lower age (β −0.016, (−0.03 to −0.005), p = 0.003), haemoglobin (β −0.014 (−0.02 to −0.004), p = 0.008) and HGS (β −0.12 (−0.04 to −0.005), p = 0.013). Conclusion Younger age, higher calcium, lower haemoglobin and muscle strength, previous MI and smoking were associated with increasing levels of distress in this multi-ethnic dialysis population. Thus, both psychological and physical treatments are required to reduce stress levels for haemodialysis patients. |
| format | Article |
| id | doaj-art-78bbbe5077dd4609a604a5f77c5c38bc |
| institution | OA Journals |
| issn | 2059-1381 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
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| series | Renal Replacement Therapy |
| spelling | doaj-art-78bbbe5077dd4609a604a5f77c5c38bc2025-08-20T02:33:05ZengBMCRenal Replacement Therapy2059-13812024-11-011011810.1186/s41100-024-00586-4Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer scoreSuree Yoowannakul0Surachet Vongsanim1Kamonwan Tangvoraphonkchai2Andrew Davenport3Division of Nephrology, Department of Medicine, Bhumibol Adulyadej HospitalRenal Division, Department of Internal Medicine, Chiang Mai UniversityFaculty of Medicine, Mahasarakham UniversityUCL Centre for Kidney and Bladder Health, Royal Free Hospital, University College LondonAbstract Introduction Haemodialysis patients self-report increased levels of anxiety and depression. We wished to determine the prevalence of distress in a multi-ethnic dialysis population and patient factors associated with distress. Methods We reviewed self-reported distress thermometer (DT) scores from 971 haemodialysis patients with corresponding laboratory investigations, bioimpedance body composition and hand grip strength (HGS). Results The median age was 66.0 (55–75) years, 62.9% were male, 46.5% were of white ethnicity and 45.4% were diabetic. The results showed that 57.4% were classified as having no/minimal, 34% moderate, and 8.7% severe distress. Frailty increased from 31.5% to 47.9% and 56%, in the none/minimal, mild to moderate and severe distress groups (χ 2 17.6, p = 0.001), as did smoking (12.9% versus 16.7% versus 25%, χ 2 12.5, p = 0.001), and more patients reporting severe distress had suffered a previous myocardial infarction (MI) (17.4% versus 16.7% versus 27.4%, χ 2 7.1, p = 0.029). Haemoglobin decreased (109.6 ± 14.6 versus 107.6 ± 14.2 versus 103.5 ± 14.4 g/L, p < 0.001) as did HGS (18.9 (12.8–26.5) versus 17.1 (11.8–23.9) versus 15.4 (11.1–22.6) kg, p < 0.05). On ordinal multivariable analysis, increasing distress was associated with smoking (β 0.55, 95% confidence interval (CI) (0.17–0.92), p = 0.004), previous MI (β 0.47 (0.09–0.83), p = 0.015), serum calcium (β 1.11, (0.3–1.9), p = 0.007), lower age (β −0.016, (−0.03 to −0.005), p = 0.003), haemoglobin (β −0.014 (−0.02 to −0.004), p = 0.008) and HGS (β −0.12 (−0.04 to −0.005), p = 0.013). Conclusion Younger age, higher calcium, lower haemoglobin and muscle strength, previous MI and smoking were associated with increasing levels of distress in this multi-ethnic dialysis population. Thus, both psychological and physical treatments are required to reduce stress levels for haemodialysis patients.https://doi.org/10.1186/s41100-024-00586-4DialysisEnd-stage kidney diseaseDistress thermometerSarcopeniaFrailtyCo-morbidity |
| spellingShingle | Suree Yoowannakul Surachet Vongsanim Kamonwan Tangvoraphonkchai Andrew Davenport Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer score Renal Replacement Therapy Dialysis End-stage kidney disease Distress thermometer Sarcopenia Frailty Co-morbidity |
| title | Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer score |
| title_full | Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer score |
| title_fullStr | Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer score |
| title_full_unstemmed | Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer score |
| title_short | Correlates of self-reported distress in end-stage kidney dialysis patients using the distress thermometer score |
| title_sort | correlates of self reported distress in end stage kidney dialysis patients using the distress thermometer score |
| topic | Dialysis End-stage kidney disease Distress thermometer Sarcopenia Frailty Co-morbidity |
| url | https://doi.org/10.1186/s41100-024-00586-4 |
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