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Psychosocial interventions for depression in dialysis patients

Psychosocial interventions for depression in dialysis patients
Psychosocial interventions for depression in dialysis patients
Background
Depression is the most common psychological problem in the dialysis population. The diagnosis of depression in dialysis patients is confounded by the fact that several symptoms of uraemia mimic the somatic components of depression. It affects the physical, psychological and social well being of the dialysis population in several ways.
Objectives
The aim of this systematic review was to assess the effectiveness of psychosocial interventions in the treatment of depression in patients who are dialysed for end-stage renal disease.
Search strategy
A comprehensive search strategy was employed to identify all randomised controlled trials (RCTs) relevant to the treatment of depression in dialysis patients. The following databases were searched - MEDLINE (1966 - October 2003), EMBASE (1980 - October 2003), PsycINFO (1872 - October 2003) and The Cochrane Library (issue 3, 2003). Authors of potential studies were contacted, reference lists of identified RCTs and relevant narrative reviews were screened.
Selection criteria
RCTs comparing any psychosocial intervention with control intervention or no intervention in depressed dialysis patients.
Data collection and analysis
Data were to be abstracted by two investigators independently onto a standard form and entered into Review Manager 4.2. Relative risk (RR) for dichotomous data and a (weighted) mean difference (MD) for continuous data were to be calculated with 95% confidence intervals (CI).
Main results
Despite extensive searching, no RCTs were identified.
Authors' conclusions
Data were not available to draw conclusions about the effectiveness of psychosocial interventions in the treatment of depression in the chronic dialysis population, as we did not find any RCTs of psychosocial interventions to treat depression in dialysis patients. This review highlights the need for commencing and completing adequately powered RCTs to address the issue of psychosocial interventions for depression in dialysis patients.
1469-493X
Rabindranath, K.S.
f78daf66-8dbb-4631-a4ca-87b1f804fe04
Daly, C.
035ecaae-e5a8-4561-8d8f-20483c085cfe
Butler, J.A.
2ae17543-2122-4649-a981-dfbadc5946f6
Roderick, P.J.
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Wallace, S.
32f7ae09-e959-4524-bc46-77a6373635b4
Macleod, A.M.
40ca3b20-df13-4c01-ad89-0ade9b4ae717
Rabindranath, K.S.
f78daf66-8dbb-4631-a4ca-87b1f804fe04
Daly, C.
035ecaae-e5a8-4561-8d8f-20483c085cfe
Butler, J.A.
2ae17543-2122-4649-a981-dfbadc5946f6
Roderick, P.J.
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Wallace, S.
32f7ae09-e959-4524-bc46-77a6373635b4
Macleod, A.M.
40ca3b20-df13-4c01-ad89-0ade9b4ae717

Rabindranath, K.S., Daly, C., Butler, J.A., Roderick, P.J., Wallace, S. and Macleod, A.M. (2005) Psychosocial interventions for depression in dialysis patients. Cochrane Database of Systematic Reviews, (3). (doi:10.1002/14651858.CD004542.pub2).

Record type: Article

Abstract

Background
Depression is the most common psychological problem in the dialysis population. The diagnosis of depression in dialysis patients is confounded by the fact that several symptoms of uraemia mimic the somatic components of depression. It affects the physical, psychological and social well being of the dialysis population in several ways.
Objectives
The aim of this systematic review was to assess the effectiveness of psychosocial interventions in the treatment of depression in patients who are dialysed for end-stage renal disease.
Search strategy
A comprehensive search strategy was employed to identify all randomised controlled trials (RCTs) relevant to the treatment of depression in dialysis patients. The following databases were searched - MEDLINE (1966 - October 2003), EMBASE (1980 - October 2003), PsycINFO (1872 - October 2003) and The Cochrane Library (issue 3, 2003). Authors of potential studies were contacted, reference lists of identified RCTs and relevant narrative reviews were screened.
Selection criteria
RCTs comparing any psychosocial intervention with control intervention or no intervention in depressed dialysis patients.
Data collection and analysis
Data were to be abstracted by two investigators independently onto a standard form and entered into Review Manager 4.2. Relative risk (RR) for dichotomous data and a (weighted) mean difference (MD) for continuous data were to be calculated with 95% confidence intervals (CI).
Main results
Despite extensive searching, no RCTs were identified.
Authors' conclusions
Data were not available to draw conclusions about the effectiveness of psychosocial interventions in the treatment of depression in the chronic dialysis population, as we did not find any RCTs of psychosocial interventions to treat depression in dialysis patients. This review highlights the need for commencing and completing adequately powered RCTs to address the issue of psychosocial interventions for depression in dialysis patients.

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More information

Published date: 2005

Identifiers

Local EPrints ID: 24472
URI: http://eprints.soton.ac.uk/id/eprint/24472
ISSN: 1469-493X
PURE UUID: 76372fb9-be03-43bb-888f-90a136a512b3
ORCID for P.J. Roderick: ORCID iD orcid.org/0000-0001-9475-6850

Catalogue record

Date deposited: 31 Mar 2006
Last modified: 09 Jan 2022 02:47

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Contributors

Author: K.S. Rabindranath
Author: C. Daly
Author: J.A. Butler
Author: P.J. Roderick ORCID iD
Author: S. Wallace
Author: A.M. Macleod

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