2960 Chartres St. | LaSalle, IL 61301
info@ncbhs.org

Depression: Depression & Related Conditions
Resources
Basic Information
Introduction and Types of Depressive DisordersRelated Disorders / ConditionsHistorical and Current UnderstandingsBiology, Psychology and SociologyTreatment - Medication and PsychotherapyAlternative Medicine and Self-Help ResourcesSpecial IssuesReferences
More InformationTestsLatest News
Hey Fellas, Depression Can Strike New Dads, TooDepression Often Untreated in Dialysis PatientsGDM Found to Increase Risk for Postpartum DepressionPostpartum Depression Affects New Dads, TooPanic Disorder May Up Odds of Depression Rx Side EffectsSometimes the Holidays Aren't Always JollyPilots Suffer Depression, Suicidal Thoughts at Fairly High RatesMore Than 1 in 10 Pilots Suffer From Depression, Survey FindsSelf-Care Tools Cut Depression in AMD, Diabetic RetinopathyClinical Antecedents of Adolescent-Onset MDD IdentifiedAge-Related Cataract Linked to Depressive SymptomsDepression, Suicide Ideation Prevalent in Medical Students2 Out of 3 Depressed Teens Gain Lasting Benefits From TherapyAntidepressants + Exercise Beneficial in Late-Life DepressionDepressed Women Less Likely to Get Best Breast Cancer Care: StudyDepression on the Rise Among U.S. Teens, Especially GirlsMemantine + Sertraline Effective for Major Depressive DisorderDepressive Symptoms Linked to Functional Status in CADHigh Rate of Antidepressant Use After CancerResearchers Find Antidepressant Bupropion Crosses PlacentaSome Antihypertensives Linked to Depression, Bipolar RiskMom-to-Be's Antidepressant Use May Be Tied to Speech Issues in ChildDepression Can Fuel Heart Disease in Midlife Women: StudyDepression Common in Patients With Chronic Angina'The Pill' May Raise Depression RiskFacebook Bullying Can Cause DepressionStroke Survivors Often Struggle With DepressionMany Cases of Depression in Adults Not Being TreatedMany Depressed Adults Not Getting Treatment: StudyMajor Depressive Disorder Ups Acute MI Risk in HIV-InfectedPostpartum Depression Can Be ID'd During Infant HospitalizationDepression Common After Time Spent in ICUStudy Finds Links Between Chronic Pain, Depression in CouplesDepression Can Stalk Families Through GenerationsScientists Spot 15 Regions of Human DNA Linked to DepressionBehavioral Activation Therapy Viable Option in DepressionCould New 'Talk Therapy' Cut Cost of Treating Depression?Baseline Depression Symptoms Tied to Low Med AdherenceDepression Linked to CKD in Patients With DiabetesDiabetic Retinopathy Independently Tied to DepressionDepression Strikes Nearly 3 Million U.S. Teens a YearDepression Plagues Many With COPDPersistent Depression Linked to Increased CAC Scores in WomenReview Finds Antidepressants Ineffective in Children, TeensStudy Questions Use of Antidepressants for Children, TeensDepressive Symptoms Linked to Reduced FecundabilityScans Spot Brain Region That Misfires in Depressed PeopleScientists Test 'Magic Mushroom' Chemical for Tough-to-Treat DepressionWhole-Body Hyperthermia May Help Ease Depression SymptomsCould Inducing Brief, Mild 'Fever' Help Ease Depression?
Questions and AnswersVideosLinksBook Reviews
Related Topics

Anxiety Disorders
Bipolar Disorder
Suicide
Addictions: Alcohol and Substance Abuse
Pain Management

Depression Often Untreated in Dialysis Patients

HealthDay News
by -- Robert Preidt
Updated: Jan 26th 2017

new article illustration

THURSDAY, Jan. 26, 2017 (HealthDay News) -- Depression is common among kidney failure patients undergoing dialysis. But efforts to get them on antidepressants often fail, a new study finds.

Many patients refuse to start or modify depression treatment. And in some cases kidney specialists don't want their patients taking antidepressant medication, researchers reported.

"Our study demonstrated that many patients on chronic hemodialysis have depressive symptoms but do not wish to receive aggressive treatment to alleviate these symptoms," said study co-leader Dr. Steven Weisbord.

"We also noted that when patients are willing to accept treatment, renal [kidney care] providers commonly do not prescribe treatment," said Weisbord, who's with the VA Pittsburgh Healthcare System.

When kidneys fail, dialysis treatment is needed to remove wastes and salt from the blood. It's often done at a hospital, dialysis center or at home with a special machine.

The study included 101 dialysis patients who completed monthly questionnaires about depression symptoms. They were followed for at least one year.

Thirty-nine patients were diagnosed with depression, based on assessments from a total of 147 sessions with health care staff.

But not all got treated with an antidepressant -- only 70 percent of sessions showed evidence that the patient was getting antidepressant treatment. And in 70 percent of cases where a nurse recommended that the patient intensify treatment, the patient refused to do so.

In 11 of 18 cases where patients agreed they needed depression medication, kidney specialists were unwilling to provide it, the study found.

The main reason patients refused to take antidepressants was because they felt their depression was attributable to an acute event, chronic illness or dialysis.

The study was published Jan. 26 in the Clinical Journal of the American Society of Nephrology.

A U.S. government improvement program for end-stage renal disease recently mandated that all dialysis facilities report individual patient screening and treatment plans for depression, Weisbord said.

"However, there is a paucity of evidence documenting the effectiveness of antidepressant treatment in this patient population and it remains unknown whether patients on dialysis want treatment for depression," he explained in a journal news release.

The prognosis for depressed dialysis patients can be bleak, said the authors of an accompanying commentary.

"Depression in people receiving dialysis treatment is associated with lower quality of life, increased hospitalizations and, in all likelihood, shortened survival," wrote Maree Hackett and Meg Jardine of the University of Sydney, Australia.

More information

The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more on kidney failure.