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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
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
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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FksmJMedSci_64_p23.pdf290.84 kBAdobe PDFDownload

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