Abstract
The objective of this study is to know the impact of factors associated with depressive symptoms on elderly health with hemodialysis. It is an integrative review held in June 2017 with articles selected by Virtual Health Library. It has been used two combinations of descriptors. The first was Association; Depression; Elderly and Renal dialysis. Next, It has used the second combination: Depression; Renal dialysis and Elderly, making use of the interrelation of Boolean operator and. Inclusion criteria were articles published in Portuguese and English between 2007 and 2017, articles freely available and electronically, be limited until elderly, have major depressive disorder and depression as main subjects, in addition to have relevant content to respond the objective of this study. After using of criteria, nine articles were selected, being eight (88,9%) indexed in MEDLINE and one (11,1%) in LILACS. Four factors were found: anorexia, restless legs syndrome, uremic pruritus and unemployment. The depressive symptoms are the most frequent comorbidities among elderly on hemodialysis. Furthermore, it can be associated with higher risks of dialytic and cardiovascular complications, the increased morbidity and mortality, non-adherence to therapeutic and decreased quality of life, making the incidence of suicide ten times higher than general population. It is concludes that there is continued need for greater vigilance of the professional team to be particularly attentive the psychiatric expressions with the main purpose of to make earlier diagnosis and to prevent higher impacts.
References
Rosa KR, Loures MC. Qualidade de vida de idosos em hemodiálise: Enfermagem e o lúdico. Estudos [Internet]. 2013; 40(4): 419-46.
Sesso RC, Lopes AA, Thomé FS, Lugon JR, Martins CT. Inquérito brasileiro de diálise crônica 2014. J Bras Nefrol. 2016; 38(1): 54-61. DOI: http://dx.doi.org/10.5935/0101-2800.20160009
Vieira Júnior JM, Suassuna JHR. O acometimento renal na hipertensão arterial e diabetes mellitus tipo 2: como identificar e prevenir. A visão do nefrologista. Revista HUPE. 2013; 12(Supl1): 53-60.
Dias DR, Shiozawa P, Miorin LA, Cordeiro Q. Prevalência de sintomas depressivos e ansiosos em pacientes com doença renal crônica em programa de hemodiálise: um estudo transversal. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo [Internet]. 2015; 60:65-71.
Costa FG, Coutinho MPL. Hemodiálise e depressão: representação social dos pacientes. Psicologia em Estudo. 2014; 19(4): 657-67. DOI: http://dx.doi.org/10.1590/1413-73722381608
Braga SFM. Avaliação da qualidade de vida de pacientes idosos em hemodiálise em Belo Horizonte [dissertação]. Belo Horizonte: Fundação Oswaldo Cruz; 2009.
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Text Cont Enf. 2008; 17(4): 758-64. DOI: http://dx.doi.org/10.1590/S0104-07072008000400018
Diefenthaeler EC, Wagner MB, Poli-de-Figueiredo CE, Zimmermann PR, Saitovitch D. Is depression a risk factor for mortality in chronic hemodialysis patients?. Rev Bras Psiquiatr. 2008;30(2):99-103. DOI: http://dx.doi.org/10.1590/S1516-44462008000200003
Schuster JT, Feldens VP, Iser BPM, Ghislandi GM. Avaliação de sintomas depressivos em pacientes com insuficiência renal crônica submetidos à hemodiálise em Tubarão – Santa Catarina – Brasil. Revista da AMRIGS [Internet]. 2015; 59(1):15-9.
Hedayati SS, Minhajuddin AT, Afshar M, Toto RD, Trivedi MH, Rush AJ. Association between major depressive episodes in patients with chronic kidney disease and initiation of dialysis, hospitalization, or death. JAMA. 2010; 303(19): 1946–53. DOI: http://dx.doi.org/10.1001/jama.2010.619
Saeed Z, Ahmad AM, Shakoor A, Ghafoor F, Kanwal S. Depression in patients on hemodialysis and their caregivers. Saudi J Kidney Dis Transpl. 2012; 23(5):946-52. DOI: http://dx.doi.org/10.4103/1319-2442.100869
Pruchno RA, Wilson-Genderson M, Cartwright FP. Depressive symptoms and marital satisfaction in the context of chronic disease: a longitudinal dyadic analysis. Fam Psychol, 2009; 23(4): 573–84. DOI: http://dx.doi.org/10.1037/a0015878
Loosman WL, Rottier MA, Honig A, Siegert CEH. Association of depressive and anxiety symptoms with adverse events in Dutch chronic kidney disease patients: a prospective cohort study. BMC Nephrology. 2015; 16(1):155. DOI: http://dx.doi.org/10.1186/s12882-015-0149-7
Susel J, Batycka-Baran A, Reich A, Szepietowski C. Uraemic pruritus markedly affects the quality of life and depressive symptoms in haemodialysis patients with end-stage renal disease. Acta Derm Venereol. 2014; 94(3): 276–81. DOI: http://dx.doi.org/10.2340/00015555-1749
Bussola M, Ciciarelli C, Di Stasio E, Panocchia N, Conte GL, Rosa F et al. Relationship between appetite and symptoms of depression and anxiety in patients on chronic hemodialysis. J Ren Nutr. 2012; 22(1):27-33. DOI: http://dx.doi.org/10.1053/j.jrn.2011.02.005
Szentkiralyi A, Molnar MZ, Czira ME, Deak G, Lindner AV, Szeifert L et al. Association between restless legs syndrome and depression in patients with chronic kidney disease. J Psychosom Res. 2009; 67(2): 173–80. DOI: http://dx.doi.org/10.1016/j.jpsychores.2009.05.004
Nardi HB, Melere C. O papel da terapia cognivo-comportamental na anorexia nervosa. Rev Bras Ter Comport Cogn [Internet]. 2014; 16(1): 55-66.
Mansur HN, Damasceno VO, Bastos MG. Prevalência da fragilidade entre os pacientes com doença renal crônica em tratamento conservador e em diálise. J Bras Nefrol. 2012; 34(2): 153-60. DOI: http://dx.doi.org/10.1590/S0101-28002012000200008
Breitsameter G, Figueiredo AE, Kochhann DS. Cálculo de Kt/V em hemodiálise: comparação entre fórmulas. J Bras Nefrol. 2012; 34(1):22-6. DOI: http://dx.doi.org/10.1590/S0101-28002012000100004
Bomfim RF. Prevalência de sedentarismo e fadiga entre os portadores de doença renal crônica em hemodiálise e efeito do exercício intradialítico sobre a eficácia da hemodiálise [dissertação]. Brasília: Universidade de Brasília; 2009.
Cristóvão AFAJ. Eficácia das restrições hídrica e dietética em pacientes renais crônicos em hemodiálise. Rev Bras Enferm. 2015; 68(6): 1154-62. DOI: http://dx.doi.org/10.1590/0034-7167.2015680622i
Zambra B. Huth A. Terapia nutricional em pacientes portadores de insuficiência renal crônica em hemodiálise. Rev Contex Saúde. 2010; 10(19): 67-72. DOI: http://dx.doi.org/10.21527/2176-7114.2010.19.67-72
Assumpção CL, Cabral MD. Complicações clínicas da anorexia complicações clínicas da anorexia nervosa e bulimia nervosa. Rev Bras Psiquiatr [Internet]. 2002; 24(Supl III):29-33.
Associação Brasileira de Psiquiatria. Anorexia nervosa associada à depressão [internet]. 2007.
Cucchi A, Ryan D, Konstantakopoulos G, Stroumpa S, Kaçar AS, Renshaw S et al. Lifetime prevalence of non-suicidal self-injury in patients with eating disorders: a systematic review and meta-analysis. Psychol Med. 2016; 46(7): 1345-58. DOI: https://doi.org/10.1017/S0033291716000027
Yao S, Kuja-Halkola R, Thornton LM, Runfola CD, D'Onofrio BM, Almqvist C et al. Familial Liability for Eating Disorders and Suicide Attempts. JAMA Psychiatry. 2016; 73(3): 284-91. DOI: http://dx.doi.org/10.1001/jamapsychiatry.2015.2737
Zerwas S, Larsen JT, Petersen L, Thornton LM, Mortensen PB, Bulik CM. The incidence of eating disorders in a Danish register study: Associations with suicide risk and mortality. J Psychiatr Res. 2015; 65: 16-22. DOI: http://dx.doi.org/10.1016/j.jpsychires.2015.03.003
Portzky G, Heeringen KV, Vervaet M. Attempted suicide in patients with eating disorders. Crisis. 2014; 35(6): 378-87. DOI: https://doi.org/10.1027/0227-5910/a000275
Martínez Baquero LC, Pinzón MAV, Prada MPP, Prieto BLA. Association between symptoms of anorexia and bulimia nervosa and suicidal behavior in school children of Boyacá, Colombia. Act Colom Psicol. 2017; 20(2): 189-99. DOI: http://dx.doi.org/10.14718/ACP.2017.20.2.9
Guerreiro TM, Nishikawa DR, Ferreira LC, Melo HA, Prado RC. Restless legs syndrome in Parkinson's disease: clinical characteristics and biochemical correlations. Arq Neuro-Psiquiatr. 2010; 68(6): 869-72. DOI: http://dx.doi.org/10.1590/S0004-282X2010000600007
Ribeiro RAS, Novaes LF, Faleiros MCM, Chagas MHN. Prevalência de síndrome das pernas inquietas em pacientes com demência: uma atualização. J Bras Psiquiatr. 2016; 65(1):89-93. DOI: http://dx.doi.org/10.1590/0047-2085000000108
Menezes AF. Síndrome das pernas inquietas: doença comum e atormentante em pacientes dialíticos [dissertação]. Aracajú: Universidade Federal de Sergipe; 2012.
Sociedade Brasileira de Nefrologia. Síndrome das pernas inquietas em pacientes com hiperparatireoidismo em hemodiálise antes e depois de paratireoidectomia [internet]. 2016.
Merlino G, Fratticci L, Valente M, Del Giudice A, Noacco C, Dolso P et al. Association of restless legs syndrome in type 2 diabetes: a case-control study. Sleep [Internet]. 2007; 30 (7): 866-71.
Portaluppi F, Cortelli P, Buonaura GC, Smolensky MH, Fabbian F. Do restless legs syndrome (RLS) and periodic limb movements of sleep (PLMS) play a role in nocturnal hypertension and increased cardiovascular risk of renally impaired patients?. Chronobiol Int. 2009; 6(6): 1206-21. DOI: http://dx.doi.org/10.3109/07420520903245276
Welter EQ, Bonfá R, Petry V, Moreira LL, Weber MB. Relação entre grau de prurido e qualidade de vida de pacientes em hemodiálise. An Bras Dermatol. 2008; 83:137-40. DOI: http://dx.doi.org/10.1590/S0365-05962008000200006
Lupi O, Rezende L, Zangrando M, Sessim M, Silveira CB, Sepulcri MAS et al. Manifestações cutâneas na doença renal terminal. An Bras Dermatol [Internet]. 2011; 86(2):319-26.
Pisoni RL, Wikström B, Elder SJ, Akizawa T, Asano Y, Keen ML, et al. Pruritus in hemodialysis patients: International results from the Dialysis Outcomes and Practice Patterns Study(DOPPS). Nephrol Dial Transplant. 2006; 21: 3495–3505. DOI: http://dx.doi.org/10.1093/ndt/gfl461
Ring T, Merkus MP, Krediet RT. Physical symptoms and quality of life in patients on chronic dialysis: results of The Netherlands cooperative study on adequacy of dialysis (NECOSAD). Nephrol Dial Transplant [Internet]. 2000; 15: 280–81.
Achenbach RE. Fenómeno de Koebner. Rev argent dermatol [Internet]. 2011; 92(3): 0-0.
Calil GAC. Capacidade para o trabalho e expectativa sobre o trabalho de pacientes em hemodiálise [dissertação]. Ribeirão Preto: Universidade de Brasília; 2016.
Mossakowski KN. The influence of past unemployment duration on symptoms of depression among young women and men in the United States. Am J Public Health. 2009; 99(10):1826-32. DOI: http://dx.doi.org/10.2105/AJPH.2008.152561
Molarius A, Berglund K, Eriksson C, Eriksson HD, Lindén-Boström M, Nordström E et al. Mental health symptoms in relation to socioeconomic conditions and lifestyle factors-a population-based study in Sweden. BMC Public Health. 2009; 9:302. DOI: http://dx.doi.org/10.1186/1471-2458-9-302
Valle LS, Souza VF, Ribeiro AM. Estresse e ansiedade em pacientes renais crônicos submetidos à hemodiálise. Estudos de Psicologia. 2013; 30(1):131-38. DOI: http://dx.doi.org/10.1590/S0103-166X2013000100014
Bautovich A, Katz I, Smith M, Loo CK, Harvey SB. Depression and chronic kidney disease: A review for clinicians. Aust N Z J Psychiatry. 2014; 48(6): 530-41. DOI: http://dx.doi.org/10.1177/0004867414528589