Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic
Abstract Introduction: Chronic Kidney Disease is associated, due to several factors linked to the disease, with a high rate of psychiatric disorders. With the COVID-19 pandemic, evidence suggests an increase in the already high prevalence of these disorders in chronic kidney patients. It is assumed...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Nefrologia
2025-06-01
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| Series: | Brazilian Journal of Nephrology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002025000300306&lng=en&tlng=en |
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| author | Daniela de Queiroz Moura Landim Melina Pinheiro Gomes de Souza Lianna Gabriella Dantas Ana Flávia Moura José A. Moura-Neto José Andrade Moura Júnior Constança Margarida Sampaio Cruz |
| author_facet | Daniela de Queiroz Moura Landim Melina Pinheiro Gomes de Souza Lianna Gabriella Dantas Ana Flávia Moura José A. Moura-Neto José Andrade Moura Júnior Constança Margarida Sampaio Cruz |
| author_sort | Daniela de Queiroz Moura Landim |
| collection | DOAJ |
| description | Abstract Introduction: Chronic Kidney Disease is associated, due to several factors linked to the disease, with a high rate of psychiatric disorders. With the COVID-19 pandemic, evidence suggests an increase in the already high prevalence of these disorders in chronic kidney patients. It is assumed that early diagnosis of psychiatric disorders can contribute to the development of treatment strategies, reducing the morbidity and mortality caused by the disorders. Objective: To determine the prevalence of psychiatric disorders in hemodialysis patients, evaluating the association of COVID-19 and some variables with the occurrence of these disorders. Methodology: Cross-sectional study carried out in a nephrology clinic in Bahia, in 2023. The sample consisted of 119 patients chosen by simple randomization. Patients were evaluated by the Mini International Neuropsychiatric Interview, an internationally validated interview. Results: Sixty-two patients (52.1%) had at least one psychiatric disorder. The most common were Generalized Anxiety Disorder (GAD) (42%) and Major Depressive Episode (MDE) (18.5%). There was no association between COVID-19 diagnosis and any psychiatric disorder. Among the 58 patients who had COVID-19, men had a lower chance of developing some disorder (OR = 0.30; 95% CI [0.10–0.91]), as did patients with >5 years of treatment (OR = 0.17; 95% CI [0.05–0.61]). Conclusions: The prevalence of psychiatric disorders is high. Among patients who had COVID-19, women had more psychiatric disorders, as well as, specifically, more GAD, and patients who had more than 5 years of treatment had a significantly lower chance of developing some psychiatric disorder. |
| format | Article |
| id | doaj-art-a96b829ff6eb40d09a1cc064003555b5 |
| institution | OA Journals |
| issn | 2175-8239 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Sociedade Brasileira de Nefrologia |
| record_format | Article |
| series | Brazilian Journal of Nephrology |
| spelling | doaj-art-a96b829ff6eb40d09a1cc064003555b52025-08-20T02:07:23ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392025-06-0147310.1590/2175-8239-jbn-2024-0147enPsychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemicDaniela de Queiroz Moura Landimhttps://orcid.org/0000-0002-0381-7580Melina Pinheiro Gomes de Souzahttps://orcid.org/0000-0003-2254-9443Lianna Gabriella Dantashttps://orcid.org/0000-0002-5640-208XAna Flávia Mourahttps://orcid.org/0000-0001-7368-4704José A. Moura-Netohttps://orcid.org/0000-0003-1339-3731José Andrade Moura Júniorhttps://orcid.org/0000-0001-6118-3873Constança Margarida Sampaio Cruzhttps://orcid.org/0000-0002-3885-4314Abstract Introduction: Chronic Kidney Disease is associated, due to several factors linked to the disease, with a high rate of psychiatric disorders. With the COVID-19 pandemic, evidence suggests an increase in the already high prevalence of these disorders in chronic kidney patients. It is assumed that early diagnosis of psychiatric disorders can contribute to the development of treatment strategies, reducing the morbidity and mortality caused by the disorders. Objective: To determine the prevalence of psychiatric disorders in hemodialysis patients, evaluating the association of COVID-19 and some variables with the occurrence of these disorders. Methodology: Cross-sectional study carried out in a nephrology clinic in Bahia, in 2023. The sample consisted of 119 patients chosen by simple randomization. Patients were evaluated by the Mini International Neuropsychiatric Interview, an internationally validated interview. Results: Sixty-two patients (52.1%) had at least one psychiatric disorder. The most common were Generalized Anxiety Disorder (GAD) (42%) and Major Depressive Episode (MDE) (18.5%). There was no association between COVID-19 diagnosis and any psychiatric disorder. Among the 58 patients who had COVID-19, men had a lower chance of developing some disorder (OR = 0.30; 95% CI [0.10–0.91]), as did patients with >5 years of treatment (OR = 0.17; 95% CI [0.05–0.61]). Conclusions: The prevalence of psychiatric disorders is high. Among patients who had COVID-19, women had more psychiatric disorders, as well as, specifically, more GAD, and patients who had more than 5 years of treatment had a significantly lower chance of developing some psychiatric disorder.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002025000300306&lng=en&tlng=enMental DisordersRenal InsufficiencyChronicRenal DialysisCOVID-19 |
| spellingShingle | Daniela de Queiroz Moura Landim Melina Pinheiro Gomes de Souza Lianna Gabriella Dantas Ana Flávia Moura José A. Moura-Neto José Andrade Moura Júnior Constança Margarida Sampaio Cruz Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic Brazilian Journal of Nephrology Mental Disorders Renal Insufficiency Chronic Renal Dialysis COVID-19 |
| title | Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic |
| title_full | Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic |
| title_fullStr | Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic |
| title_full_unstemmed | Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic |
| title_short | Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic |
| title_sort | psychiatric disorders in chronic hemodialysis patients in a clinic in bahia the influence of the covid 19 pandemic |
| topic | Mental Disorders Renal Insufficiency Chronic Renal Dialysis COVID-19 |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002025000300306&lng=en&tlng=en |
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