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Influence Of Depression, Anxiety And Stress On The Quality Of Life Of Dialysis Patients

Influence Of Depression, Anxiety And Stress On The Quality Of Life Of Dialysis Patients. Assoc Prof Dr Ramli Musa International Islamic University Malaysia. Background: Renal failure patients. Prevalence of Psychiatric Disorders? QOL and its relationships?

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Influence Of Depression, Anxiety And Stress On The Quality Of Life Of Dialysis Patients

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  1. Influence Of Depression, Anxiety And Stress On The Quality Of Life Of Dialysis Patients Assoc Prof Dr RamliMusa International Islamic UniversityMalaysia

  2. Background: Renal failure patients • Prevalence of Psychiatric Disorders? • QOL and its relationships? • How good of the psychological tools?

  3. Psychiatric morbidities • Depression; The most common psychiatric complication (33.4% - Chen et al.Nephrology (Carlton). 2003 Jun;8(3):121-6. • Suicidal Behavior • Delirium; uremia, anemia, hyperparathyroidism, dialysis disequilibrium syndrome. • Anxiety and Panic Symptoms

  4. Why psychiatric morbidities are high? • Nature of the illness; chronic • cost of dialysis therapy • many other medical conditions

  5. Method of the study: • Fund; MOSTI Malaysia • DASS-21- Depression Anxiety and Stress Scale • WHOQOL-BREF- World Health Organization Quality of Life -- validated, Malay, Chinese and English versions. • Stratified random sampling • The Malaysian National Renal Registry • 25, 763 haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) • 1569 subjects ---- > 1,333 patients

  6. 23 government, NGO and private hospitals. • Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM).

  7. Results:

  8. (inclusive of mild, moderate, severeor extremely severe)

  9. Anxiety Depression Stress Psychosocial Distress Quality of Life Psychological Environment Physical Health Health

  10. e1 e2 e3 e4 e5 .57 .56 .56 .37 .40 d21 d17 d10 d5 d3 .40 .75 .75 .75 d18 e6 e13 d4 .61 .63 .34 .63 .58 Depression .59 e27 1.00 d11 e7 e12 d7 .96 .33 .82 .77 Stress .57 Anxiety .37 .91 d8 e8 e11 d9 .46 .61 .68 1.00 .98 Psychological e28 e29 .71 .65 Distress .42 d6 e9 e10 d20 .51 .00 e34 Chi-square = 4.604 df = 292 -.51 P = .000 CFI = .918 GFI = .912 e33 .26 RMR = .037 RMSEA = .055 QOL .27 qol23 e19 e26 qol5 .96 .92 e30 .54 e31 .73 .52 .92 .84 .39 qol13 e20 .76 e25 qol6 .57 Psychological .62 Environment .75 .58 Health .33 qol12 e21 e24 qol7 Physical .57 .70 .49 e32 Health .60 .69 .75 .48 .84 qol8 e22 e23 qol9 .66 .70 .58 .37 qol18 qol17 qol16 qol15 qol10 .57 .71 .34 .49 .43 e18 e17 e16 e15 e14

  11. Conclusion: • Psychiatric morbidities are high • QOL is related to level of depression • DASS 21 and WHOQOlBREF are good tools

  12. Thank youramlidr@yahoo.com

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