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Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education

This article aims to identify the reasons why patients with major depressive episode (MDE) do not seek treatment for their mental disorder. 89 out of 208 persons screened were diagnosed with major depressive episode using the Mini-International Neuropsychiatric Interview. 85 individuals with untreat...

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Autores principales: Orzechowski, Wojciech, Buczek, Wiktor, Szczerba, Joanna Emma, Gellert, Ryszard, Rydzewski, Andrzej, Fiderkiewicz, Bartosz, Żebrowski, Paweł, Daniewska, Dorota, Kokoszka, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465545/
https://www.ncbi.nlm.nih.gov/pubmed/34575220
http://dx.doi.org/10.3390/jcm10184109
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author Orzechowski, Wojciech
Buczek, Wiktor
Szczerba, Joanna Emma
Gellert, Ryszard
Rydzewski, Andrzej
Fiderkiewicz, Bartosz
Żebrowski, Paweł
Daniewska, Dorota
Kokoszka, Andrzej
author_facet Orzechowski, Wojciech
Buczek, Wiktor
Szczerba, Joanna Emma
Gellert, Ryszard
Rydzewski, Andrzej
Fiderkiewicz, Bartosz
Żebrowski, Paweł
Daniewska, Dorota
Kokoszka, Andrzej
author_sort Orzechowski, Wojciech
collection PubMed
description This article aims to identify the reasons why patients with major depressive episode (MDE) do not seek treatment for their mental disorder. 89 out of 208 persons screened were diagnosed with major depressive episode using the Mini-International Neuropsychiatric Interview. 85 individuals with untreated depression filled out the following questionnaires: Beck Depression Inventory, List of Explanations of Well-Being (LEWB), Brief Measure to Assess Perception of Self-Influence on the Course of the Disease, Coping Inventory for Stressful Situations, Brief Method of Evaluating Coping with Disease, and Metacognitions Questionnaire. There were 43 women (50.6%) and 42 men (49.4%), aged 24 to 93 years (Mean (M) = 68.26 years; Standard Deviation (SD) = 14.19 years), with dialysis vintage ranging from 1 month to 33 years (M = 70.63 months; SD = 75.26 months). Among study patients, 70.6% declared that depression was the cause of their poor well-being, 75.3% attributed their depressive symptoms to kidney failure, and 49.4%, more specifically, to hemodialysis. A total of 64.7% of patients had a low perception of self-influence on the course of their kidney disease, and 58.5% presented a coping style focused on emotions. The most frequent dysfunctional metacognitive beliefs were negative beliefs about not controlling one’s own thoughts. This attitude was related to the low perception of self-influence on the course of the disease, maladaptive coping styles, and dysfunctional metacognitive beliefs.
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spelling pubmed-84655452021-09-27 Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education Orzechowski, Wojciech Buczek, Wiktor Szczerba, Joanna Emma Gellert, Ryszard Rydzewski, Andrzej Fiderkiewicz, Bartosz Żebrowski, Paweł Daniewska, Dorota Kokoszka, Andrzej J Clin Med Article This article aims to identify the reasons why patients with major depressive episode (MDE) do not seek treatment for their mental disorder. 89 out of 208 persons screened were diagnosed with major depressive episode using the Mini-International Neuropsychiatric Interview. 85 individuals with untreated depression filled out the following questionnaires: Beck Depression Inventory, List of Explanations of Well-Being (LEWB), Brief Measure to Assess Perception of Self-Influence on the Course of the Disease, Coping Inventory for Stressful Situations, Brief Method of Evaluating Coping with Disease, and Metacognitions Questionnaire. There were 43 women (50.6%) and 42 men (49.4%), aged 24 to 93 years (Mean (M) = 68.26 years; Standard Deviation (SD) = 14.19 years), with dialysis vintage ranging from 1 month to 33 years (M = 70.63 months; SD = 75.26 months). Among study patients, 70.6% declared that depression was the cause of their poor well-being, 75.3% attributed their depressive symptoms to kidney failure, and 49.4%, more specifically, to hemodialysis. A total of 64.7% of patients had a low perception of self-influence on the course of their kidney disease, and 58.5% presented a coping style focused on emotions. The most frequent dysfunctional metacognitive beliefs were negative beliefs about not controlling one’s own thoughts. This attitude was related to the low perception of self-influence on the course of the disease, maladaptive coping styles, and dysfunctional metacognitive beliefs. MDPI 2021-09-11 /pmc/articles/PMC8465545/ /pubmed/34575220 http://dx.doi.org/10.3390/jcm10184109 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Orzechowski, Wojciech
Buczek, Wiktor
Szczerba, Joanna Emma
Gellert, Ryszard
Rydzewski, Andrzej
Fiderkiewicz, Bartosz
Żebrowski, Paweł
Daniewska, Dorota
Kokoszka, Andrzej
Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education
title Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education
title_full Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education
title_fullStr Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education
title_full_unstemmed Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education
title_short Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education
title_sort underdiagnosis of major depressive episodes in hemodialysis patients: the need for screening and patient education
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465545/
https://www.ncbi.nlm.nih.gov/pubmed/34575220
http://dx.doi.org/10.3390/jcm10184109
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