ASSESSMENT OF ANXIETY DISORDER USING THE DASS-21 AND RELATED FACTORS IN MAINTENANCE HEMODIALYSIS PATIENTS

Pham Ngoc Thao1, Pham Quoc Toan2,
1 Department of Functional Diagnosis, Military Hospital 103, Vietnam Military Medical University
2 Department of Nephrology, Military Hospital 103, Vietnam Military Medical University

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Tóm tắt

Objectives: To describe the characteristics of anxiety disorders using the  DASS-21 (depression - anxiety - stress scale-21) and some related factors in patients with maintenance hemodialysis at Military Hospital 103. Methods: A cross-sectional descriptive study was conducted on 60 patients with maintenance hemodialysis treated at the Department of Nephrology - Hemodialysis, Military Hospital 103, from August 2023 to May 2024. Patients' anxiety disorders were evaluated using the DASS-21. The Spearman correlation analysis and Mann-Whitney U test were used to analyze the data. Results: The rate of patients with anxiety disorders was 35.0%. The anxiety disorder score was negatively and significantly correlated with age. The group with the hemodialysis duration of more than 24 months showed significantly higher anxiety scores than the group with the hemodialysis duration of less than 12 months. Conclusion: The rate of anxiety disorders was high among end-stage renal disease patients with maintenance hemodialysis. Age and hemodialysis duration were factors related to anxiety symptoms in patients with maintenance hemodialysis.

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Tài liệu tham khảo

1. Murtagh FE, Addington-Hall J, Higginson IJ. The prevalence of symptoms in end-stage renal disease: a systematic review. Adv Chronic Kidney Dis. 2007; 14(1):82-99.
2. Huang CW, Wee PH, Low LL, Koong YLA, Htay H, Fan Q, et al. Prevalence and risk factors for elevated anxiety symptoms and anxiety disorders in chronic kidney disease: A systematic review and meta-analysis. Gen Hosp Psychiatry. 2021; 69:27-40.
3. Nguyen Thi Thuy Van. Anxiety and depression of patients with maintenance hemodialysis at the artificial kidney department of Bach Mai Hospital and some related factors. Vietnam Medical Journal. 2015; 452:40-41 (in Vietnamese).
4. Cong Minh L, Thanh Binh N, Duc Chien V, Duy Phong N. Prevalence of anxiety disorders and related factors in hemodialysis patients at Nguyen Tri Phuong Hospital in 2021. Vietnam Medical Journal. 2022; 515(2) (in Vietnamese).
5. Lovibond, SH and Lovibond, PF. Manual for the Depression Anxiety Stress Scales (2nd. Ed.). Sydney: Psychology Foundation. 1995.
6. Lee YJ, Kim MS, Cho S, Kim SR. Association of depression and anxiety with reduced quality of life in patients with predialysis chronic kidney disease. Int J Clin Pract. 2013; 67(4):363-368.
7. Baxter AJ, Scott KM, Vos T, Whiteford HA. Global prevalence of anxiety disorders: a systematic review and meta-regression. Psychol Med. 2013; 43(5):897-910.
8. Simões E, Silva AC, Miranda AS, Rocha NP, Teixeira AL. Neuropsychiatric disorders in chronic kidney disease. Front Pharmacol. 2019; 10:932.
9. American Psychological Association. Stress in America™ Survey. American Psychological Association; Washington, DC: 2014. Stress in America: Are teens adopting adults' stress habits?
10. Qawaqzeh DTA, Masa'deh R, Hamaideh SH, Alkhawaldeh A, ALBashtawy M. Factors affecting the levels of anxiety and depression among patients with end-stage renal disease undergoing hemodialysis. Int Urol Nephrol. 2023; 55(11):2887-2896.