Depression, anxiety and quality of life of hemodialysis patients before and during the COVID-19 pandemic

To investigate the impact of the coronavirus pandemic on mental health in hemodialysis patients, we assessed depression, anxiety and quality of life with valid mental health measures before and after the start of the pandemic. Data were used from 121 hemodialysis patients from the ongoing prospectiv...

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Bibliographic Details
Published in:Journal of psychosomatic research Vol. 158; p. 110917
Main Authors: Nadort, Els, Rijkers, Nadine, Schouten, Robbert W., Hoogeveen, Ellen K., Bos, Willem J.W., Vleming, Louis Jean, Westerman, Michiel, Schouten, Marcel, Dekker, Marijke J.E., Smets, Yves F.C., Shaw, Prataap Chandie, Farhat, Karima, Dekker, Friedo W., van Oppen, Patricia, Siegert, Carl E.H., Broekman, Birit F.P.
Format: Journal Article
Language:English
Published: England Elsevier Inc 01.07.2022
Elsevier Science Ltd
The Author(s). Published by Elsevier Inc
Subjects:
Anxiety
Anxiety - epidemiology
Anxiety - psychology
Coronaviruses
COVID-19
COVID-19 - epidemiology
Depression
Depression - epidemiology
Depression - psychology
Dialysis
Health problems
Hemodialysis
Humans
Measures
Mental depression
Mental disorders
Mental health
Pandemics
Patients
Perceived stress
Prospective Studies
Psychiatric/Mental Health
Quality of Life
Renal Dialysis
SARS-CoV-2
Stress
COVID-19
Depression
Anxiety
Perceived stress
Hemodialysis
ISSN:0022-3999, 1879-1360, 1879-1360
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Summary:To investigate the impact of the coronavirus pandemic on mental health in hemodialysis patients, we assessed depression, anxiety and quality of life with valid mental health measures before and after the start of the pandemic. Data were used from 121 hemodialysis patients from the ongoing prospective multicenter DIVERS-II study. COVID-19 related stress was measured with the Perceived Stress Scale – 10, depression with the Beck Depression Inventory – second edition (BDI-II)), anxiety with the Beck Anxiety Inventory (BAI) and quality of life with the Short Form – 12 (SF-12). Scores during the first and second COVID-19 wave in the Netherlands were compared to data prior to the pandemic with linear mixed models. No significant differences were found in BDI-II, BAI and SF-12 scores between before and during the pandemic. During the first wave, 33% of participants reported COVID-19 related stress and in the second wave 37%. These patients had higher stress levels (mean difference (MD) 4.7 (95%CI 1.5; 8.0), p = 0.005) and BDI-II scores (MD 4.9 (95%CI 0.7; 9.0), p = 0.021) and lower SF-12 mental component summary scores (MD -5.3 (95%CI -9.0, −1.6), p = 0.006) than patients who did not experienced COVID-19 stress. These differences were already present before the pandemic. The COVID-19 pandemic does not seem to influence mental health in hemodialysis patients. However, a substantial subgroup of patients with pre-existent mental health problems may be more susceptible to experience COVID-19 related stress. •Depression and anxiety are common reactions to COVID-19 in the general population.•No increase in symptom levels is seen in hemodialysis patients during the pandemic.•One third of hemodialysis patients reported to experience COVID-19 related stress.•These patients had pre-existent higher depression and lower quality of life.•Screening and treatment of mental health problems in hemodialysis is needed.
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ISSN:0022-3999
1879-1360
1879-1360
DOI:10.1016/j.jpsychores.2022.110917