Depression and Insomnia in Patients on Maintenance Hemodialysis

Authors

  • Obaidul Kadir Uzzal Assistant Registrar, Department of Medicine, Jessore Medical College Hospital, Jessore
  • Md Nazrul Islam Associate Professor, Department of Nephrology, Dhaka Medical College, Dhaka
  • Parvez Iftekhar Ahmed Assistant Professor, Department of Nephrology, Dhaka Medical College, Dhaka
  • Md Abdullah Al Mamun Medical officer, Department of Nephrology,Shaheed Sohrawardi Medical College Hospital, Dhaka
  • Mohammad Bellal Hossain Assistant Registrar,Department of Nephrology, Maymonsingh Medical College Hospital, Maymonsingh
  • Ferdous Kamal Bhuiyan Assistant Professor, Department of Nephrology, Dhaka Medical College, Dhaka
  • Md Firoz Khan Ex-Professor and Head, Department of Nephrology, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/jdmc.v24i1.29555

Keywords:

End-stage renal disease, depression, hemodialysis, insomnia, sleep apnea

Abstract

Depression and sleep disorders are more frequent in patients on maintenance hemodialysis (HD) than the general population, and are associated with reduced quality of life and increased mortality risk. The purpose of this study was to assess the prevalence of depression and insomnia in patients on HD and to correlate these with the demographic and biochemical profile. A cross sectional study was conducted among 316 patients on maintenance HD for more than 3 months. There was high prevalence of depression (92.7%) and insomnia (91.1%), Depression was significantly more in patients with urban population (P=0.007), unemployed patients (P=0.007), who had less income.(P=0.018) who got dialysis >12 months (P=0.009) and who got dialysis 2 session per week (P value=0.014). Insomnia was found significantly more in female (P=0.018) and among thosepatients of less income group (P=0.008) and in patients who got at least two sessions of hemodialysis per week (P=0.011).Low serum hemoglobin isassociated with both depression and insomnia (P<0.5), while low serum albumin concentration is found associated with depression (P<0.5).

J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 3-11

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Author Biography

Obaidul Kadir Uzzal, Assistant Registrar, Department of Medicine, Jessore Medical College Hospital, Jessore



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Published

2016-09-07

How to Cite

Uzzal, O. K., Islam, M. N., Ahmed, P. I., Mamun, M. A. A., Hossain, M. B., Bhuiyan, F. K., & Khan, M. F. (2016). Depression and Insomnia in Patients on Maintenance Hemodialysis. Journal of Dhaka Medical College, 24(1), 3–11. https://doi.org/10.3329/jdmc.v24i1.29555

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Original Articles