Nefrites familiares e doença renal policística: avaliação de ansiedade, depressão e Qualidade de Vida / Familial nephritis and polycystic kidney disease: evaluation of anxiety, depression and quality of life.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

Psychiatric disorders, psychological aspects and quality of life are frequently studied in renal replacement therapy (RRT) patients, but we do not know studies that evaluate anxiety, depression and quality of life in patients with familial chronic kidney disease. To evaluate anxiety, depression, quality of life, clinical and demographic data of patients with familial nephritis (FN) or polycystic kidney disease (PKD). A descriptive study was carried out, involving 90 subjects (52 FN and 38 PKD) evaluated according to their clinical and demographic status. State Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI) and Short-Form SF-36 Healthy Survey Questionnaire (SF-36) were evaluated for screening anxiety, depression and quality of life, respectively. It was performed a brief interview with the patients. Moderate anxiety was detected in both groups. Depression was found in 34.6% of FN and 60.5% of PKD. Patients of both groups were at risk considering aspects related to quality of life, for 2 unfavorable dimensions: role-emotional and general health perception. Depression was worse in women (p=0.038) with a lower educational level (p=0.017) and PKD group (0.011). Also in PKD, patients with poorer educational level had worse physical functioning (0.001), body pain (p=0.017) and mental healthy than those with higher levels (p=0.058). Married patients had better scores at mental healthy then unmarried (p=0,028). Trait (p=0.011) and state anxiety (p=0.021), depression (p=0.013), physical functioning (p=0.035), vitality (p=0.008) and mental healthy (p=0.003) were worse in women with FN. Non-Caucasian patients had better scores of physical functioning in FN (p=0.001) than Caucasians. xvii We observed that anxiety and depression were correlated to the female gender in FN. Additionally, it was also seen a correlation between poorer educational level and PKD. The SF-36 showed that quality of life is worse in female, Caucasian, unmarried patients with poorer educational level. General health perception and role-emotional were the two dimensions more deficient in both groups. Although the association between some of the evaluated conditions have been statistically significant, it is necessary to realize that anxiety, depression and abnormalities in quality of life should be considered in the whole context of patients life (this was here studied by individual interviews) and that sometimes such abnormalities are linked to other aspects beyond the conscience of the hereditary nature of the disease. xviii

ASSUNTO(S)

doença renal policística nefrite familiar depressão ansiedade nefrologia qualidade de vida

ACESSO AO ARTIGO

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