2007 issue 1


Volume 16, issue 1

Review article

Prevalence of depressive symptoms in patients with end-stage renal disease (ESRD) - a review

Marta Makara-Studzińska1, Piotr Książek2, Wojciech Załuska3, Renata Kaim3, Andrzej Książek3, Justyna Morylowska1
1. Katedra i Klinika Psychiatrii Akademii Medycznej w Lublinie
2. Zakład Medycyny Rodzinnej Akademii Medycznej w Lublinie
3. Katedra i Klinika Nefrologii Akademii Medycznej w Lublinie
Postępy Psychiatrii i Neurologii 2007; 16 (1): 57-61
Keywords: depression, end-stage renal disease, dialysis


Aim. An attempt was made in the paper to review the literature on the prevalence of depressive disorders in patients with end-stage renal disease (ESRD).
Review. Depression is a severe problem markedly impairing ESRD patients' quality of life. The depressive syndrome prevalence in ESRD patients is unknown, but it ranges probably from 5 to10%. The most recent data confirm that the presence of depressive symptomatology is associated with morbidity, as well as with subjectively perceived quality of life perception and mortality in dialysed ESRD patients. An important and unresolved question is a lack of a specific diagnostic instrument for an early diagnosis of depression in ESRD that would enable these patients to receive an appropriate treatment possibly soon.
Conclusions. Dialysis patients should be screened for depression. All medical staff members should cooperate to identify problems related to dialysed patients' quality of life. A correct and early diagnosis followed by an appropriate anidepressive and anxiolytic treatment may considerably reduce the risk of interrupting dialysis therapy.

Address for correspondence:
Dr Marta Makara-Studzińska
Klinika Psychiatrii Akademii Medycznej
ul. Głuska 1, 20-433 Lublin
e-mail: mmakara@go2.pl