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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.64 (2018) >
Please use this identifier to cite or link to this item:
http://ir.fmu.ac.jp/dspace/handle/123456789/675
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| Title: | Emotional disturbance assessed by the Self-Rating Depression Scale test is associated with mortality among Japanese Hemodialysis patients |
| Authors: | Kazama, Sakumi
Kazama, Junichiro James
Wakasugi, Minako
Ito, Yumi
Narita, Ichiei
Tanaka, Motoko
Horiguchi, Fumi
Tanigawa, Koichi |
| Affiliation: | ふたば救急総合医療支援センター
腎臓高血圧内科学講座 |
| Source title: | Fukushima Journal of Medical Science |
| Volume: | 64 |
| Issue: | 1 |
| Start page: | 23 |
| End page: | 29 |
| Issue Date: | 2018 |
| Abstract: | Emotional disturbance including depression is associated with increased mortality among dialysis patients. The Self-Rating Depression Scale (SDS) is a simple tool for assessing emotional disturbance. This study investigated the relationship between emotional conditions as assessed with the SDS test and mortality among 491 hemodialysis patients. At baseline, 183 (37.3%), 180 (36.7%), 108 (22.0%), and 20 (4.1%) were classified as normal, borderline depression, depression, and severe depression, respectively. During the two years of observation period, 57 of 491 (11.6%) died. The SDS scores in the non-survivors were significantly higher than those in the survivors (p<0.0001). Logistic analyses showed that the diagnoses made by the SDS test were associated with significantly greater risks for all-cause mortality (99%CI: 1.905-3.698 for that without adjustment, 1.999-4.382 for that with full adjustment). When the SDS score = 50 was selected as the cut off value, the test screened two-year all cause death with sensitivity = 57.9% and the specificity = 78.1%. In conclusion, hemodialysis patients had high prevalence of emotional disturbance assessed by the SDS test, and high SDS score was significantly associated with all-cause mortality. These findings underscore the importance of screening for emotional conditions using the SDS test among hemodialysis patients. |
| Publisher: | The Fukushima Society of Medical Science |
| Publisher (Alternative foam): | 福島医学会 |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/675 |
| Full text URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/675/1/FksmJMedSci_64_p23.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2016-21 |
| PubMed ID: | 29398691 |
| Related Page: | https://doi.org/10.5387/fms.2016-21 |
| Rights: | © 2018 The Fukushima Society of Medical Science |
| Appears in Collections: | Vol.64 (2018)
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