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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Veröffentlicht in:	Journal of psychosomatic research Jg. 158; S. 110917
Hauptverfasser:	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
Sprache:	Englisch
Veröffentlicht:	England Elsevier Inc 01.07.2022 Elsevier Science Ltd The Author(s). Published by Elsevier Inc
Schlagworte:	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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Abstract	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.
AbstractList	Objective 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. Methods 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. Results 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. Conclusion 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. 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. 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.OBJECTIVETo 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.METHODSData 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.RESULTSNo 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.CONCLUSIONThe 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. 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. AbstractObjectiveTo 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. MethodsData 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. ResultsNo 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. ConclusionThe 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.
ArticleNumber	110917
Author	Siegert, Carl E.H. Smets, Yves F.C. Schouten, Robbert W. Westerman, Michiel Nadort, Els Bos, Willem J.W. Hoogeveen, Ellen K. Schouten, Marcel Dekker, Marijke J.E. Dekker, Friedo W. van Oppen, Patricia Shaw, Prataap Chandie Broekman, Birit F.P. Rijkers, Nadine Vleming, Louis Jean Farhat, Karima
Author_xml	– sequence: 1 givenname: Els surname: Nadort fullname: Nadort, Els email: e.nadort@olvg.nl organization: Department of Psychiatry, OLVG, Amsterdam, the Netherlands – sequence: 2 givenname: Nadine surname: Rijkers fullname: Rijkers, Nadine email: n.rijkers@student.vu.nl organization: Department of Psychiatry, OLVG, Amsterdam, the Netherlands – sequence: 3 givenname: Robbert W. surname: Schouten fullname: Schouten, Robbert W. email: r.schouten@olvg.nl organization: Department of Nephrology, OLVG, Amsterdam, the Netherlands – sequence: 4 givenname: Ellen K. surname: Hoogeveen fullname: Hoogeveen, Ellen K. email: E.Hoogeveen@jbz.nl organization: Department of Nephrology, Jeroen Bosch Ziekenhuis, Den Bosch, the Netherlands – sequence: 5 givenname: Willem J.W. surname: Bos fullname: Bos, Willem J.W. email: w.bos@antoniusziekenhuis.nl organization: Department of Internal Medicine, St. Antonius Ziekenhuis, Nieuwegein, the Netherlands – sequence: 6 givenname: Louis Jean surname: Vleming fullname: Vleming, Louis Jean email: l.vleming@hagaziekenhuis.nl organization: Department of Nephrology, HagaZiekenhuis, The Hague, the Netherlands – sequence: 7 givenname: Michiel surname: Westerman fullname: Westerman, Michiel email: M.Westerman@Franciscus.nl organization: Department of Nephrology, Franciscus Gasthuis & Vlietland Ziekenhuis, Rotterdam, the Netherlands – sequence: 8 givenname: Marcel surname: Schouten fullname: Schouten, Marcel email: maschouten@tergooi.nl organization: Department of Nephrology, Tergooi Ziekenhuis, Hilversum, the Netherlands – sequence: 9 givenname: Marijke J.E. surname: Dekker fullname: Dekker, Marijke J.E. email: DekkerM2@maasstadziekenhuis.nl organization: Department of Nephrology, Maasstad Ziekenhuis, Rotterdam, the Netherlands – sequence: 10 givenname: Yves F.C. surname: Smets fullname: Smets, Yves F.C. email: Y.F.C.Smets@olvg.nl organization: Department of Nephrology, OLVG, Amsterdam, the Netherlands – sequence: 11 givenname: Prataap Chandie surname: Shaw fullname: Shaw, Prataap Chandie email: p.chandieshaw@haaglandenmc.nl organization: Department of Nephrology, Haaglanden Medisch Centrum, The Hague, the Netherlands – sequence: 12 givenname: Karima surname: Farhat fullname: Farhat, Karima email: KFarhat@spaarnegasthuis.nl organization: Department of Nephrology, Spaarne Gasthuis, Haarlem, the Netherlands – sequence: 13 givenname: Friedo W. surname: Dekker fullname: Dekker, Friedo W. email: F.W.Dekker@lumc.nl organization: Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands – sequence: 14 givenname: Patricia surname: van Oppen fullname: van Oppen, Patricia email: p.vanoppen@ggzingeest.nl organization: Department of Psychiatry, Amsterdam University Medical Centre and GGZ inGeest, Amsterdam, the Netherlands – sequence: 15 givenname: Carl E.H. surname: Siegert fullname: Siegert, Carl E.H. email: c.siegert@olvg.nl organization: Department of Nephrology, OLVG, Amsterdam, the Netherlands – sequence: 16 givenname: Birit F.P. surname: Broekman fullname: Broekman, Birit F.P. email: B.F.P.Broekman@olvg.nl organization: Department of Psychiatry, OLVG, Amsterdam, the Netherlands
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Keywords	COVID-19 Depression Anxiety Perceived stress Hemodialysis
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Snippet	To investigate the impact of the coronavirus pandemic on mental health in hemodialysis patients, we assessed depression, anxiety and quality of life with valid... AbstractObjectiveTo investigate the impact of the coronavirus pandemic on mental health in hemodialysis patients, we assessed depression, anxiety and quality... Objective To investigate the impact of the coronavirus pandemic on mental health in hemodialysis patients, we assessed depression, anxiety and quality of life...
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StartPage	110917
SubjectTerms	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
Title	Depression, anxiety and quality of life of hemodialysis patients before and during the COVID-19 pandemic
URI	https://www.clinicalkey.com/#!/content/1-s2.0-S0022399922002021 https://www.clinicalkey.es/playcontent/1-s2.0-S0022399922002021 https://dx.doi.org/10.1016/j.jpsychores.2022.110917 https://www.ncbi.nlm.nih.gov/pubmed/35462121 https://www.proquest.com/docview/2678513698 https://www.proquest.com/docview/2655103838 https://pubmed.ncbi.nlm.nih.gov/PMC9008976
Volume	158
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