Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Prevalence of Depression Among Dialysis Patients in Iran: A Systematic Review and Meta-Analysis of Observational Studies Publisher



Isfahani P1 ; Afshin M1 ; Alirezaei S2 ; Shahraki H1 ; Arefi M1 ; Bahador RC3 ; Afshari M2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Health Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran
  2. 2. School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran
  3. 3. Isfahan University of Medical Sciences, Isfahan, Iran

Source: Jundishapur Journal of Chronic Disease Care Published:2022


Abstract

Context: Depression is a common issue among patients with chronic kidney disease, particularly those undergoing hemodialysis, and it can significantly impact their quality of life, treatment adherence, and disease progression. Objectives: The purpose of this study was to determine the prevalence of depression among dialysis patients in Iran using the Beck Depression Inventory (BDI) questionnaire. Data Sources: This study was a systematic review and meta-analysis. Six databases and Google Scholar were searched to identify all publications on the prevalence of depression among Iranian dialysis patients up until April 19, 2024. The quality of the identified articles was assessed, and the heterogeneity of the studies was evaluated using the I² Index. Publication bias was assessed using Egger's regression test and Sensitivity Analysis. Additionally, a meta-regression model was employed to evaluate variables suspected of contributing to heterogeneity at the 0.05 significance level. In the end, 17 articles were analyzed using Comprehensive Meta-Analysis software (ver. 2.2.064). Results: The prevalence of depression among dialysis patients, after sensitivity analysis using the random-effects model, was estimated at 0.564 (95% Confidence Interval [CI]: 0.524-0.603). The highest prevalence rate was reported in the eastern region of Iran, at 0.705 (95% CI: 0.051-0.991). Sample size, year, and mean age were significantly associated with the prevalence of depression among dialysis patients (P < 0.05). Conclusions: Depression is highly prevalent among dialysis patients in Iran, with approximately half of them having experienced it. Therefore, policymakers and health system managers must take serious measures to address this significant issue. © 2024, Isfahani et al.
Related Docs
View other Related Docs
1. Evaluation of Factors Related to Depression in Peritoneal Dialysis Patients: A Multicenter Cross-Sectional Study, Renal Replacement Therapy (2023)
2. The Prevalence of Depression, Anxiety and Psychosis Among Hemodialysis Patients in Nour and Ali Asghar Hospitals in Isfahan, Journal of Isfahan Medical School (2012)
3. Investigating Psychological Variables As Predictors of Treatment Adherence and Quality of Life in Hemodialysis Patients, Journal of Mazandaran University of Medical Sciences (2012)
4. The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis, Iranian Red Crescent Medical Journal (2018)
5. Perceived Social Support and Depression Factors in Hemodialysis Patients, World Applied Sciences Journal (2013)
6. Assessment of Hemodialysis Adequacy and Its Relationship With Individual and Personal Factors, Iranian Journal of Nursing and Midwifery Research (2016)
7. A Comparison of the Quality of Life of the Patients Undergoing Hemodialysis Versus Peritoneal Dialysis and Its Correlation to the Quality of Dialysis, Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia (2016)
8. The Validity and Reliability of the Persian Version of Kidney Disease Quality of Life Questionnaire-Short Form (Kdqol-Sf) in Iranian Patients, Journal of Isfahan Medical School (2012)
Experts (# of related papers)
View all Related Experts
Mojgan Mortazavi (14)
Peyman Adibi (12)
Other Related Docs
9. Chronic Kidney Disease in Iran: First Report of the National Registry in Children and Adolescences, Urology Journal (2021)
10. Caring Burden and Quality of Life of Family Caregivers in Patients Undergoing Hemodialysis: A Descriptive-Analytic Study, International Journal of Community Based Nursing and Midwifery (2019)
11. Assessment of Diabetic Distress and Disease Related Factors in Patients With Type 2 Diabetes in Isfahan: A Way to Tailor an Effective Intervention Planning in Isfahan-Iran, Journal of Diabetes and Metabolic Disorders (2012)
12. Adherence to Alternative Healthy Eating Index in Relation to Depression and Anxiety in Iranian Adults, British Journal of Nutrition (2016)
13. Comparison of Gastrointestinal Symptoms Between Patients Undergoing Hemodialysis and Healthy Population, Middle East Journal of Digestive Diseases (2022)
14. The Prevalence of Malnutrition Based on the Anthropometric Variables in Patients Undergoing Hemodialysis in Isfahan, Iran, Journal of Health System Research (2023)
15. The Association of Dietary Macronutrient Quality Indices With Depression and Anxiety Symptoms and Quality of Life in Iranian Adults: The Lipokap Study, Journal of Affective Disorders (2022)
16. Association Between Nutritional, Inflammatory and Oxidative Status (Nios) and Risk of Adverse Outcomes in Patients on Haemodialysis (Hd): The Nios-Hd Prospective Cohort Study Protocol, BMJ Open (2022)
17. Combined Healthy Lifestyle Is Inversely Associated With Psychological Disorders Among Adults, PLoS ONE (2016)
18. Glycemic Index, Glycemic Load, and Depression: A Systematic Review and Meta-Analysis, European Journal of Clinical Nutrition (2019)
19. The Comparative Evaluation of Patients' Body Dry Weight Under Hemodialysis Using Two Methods: Bioelectrical Impedance Analysis and Conventional Method, Journal of Research in Medical Sciences (2012)
20. The Role of Depression, Anxiety, and Stress in Medication Adherence in Patients With Hypertension, Journal of Isfahan Medical School (2017)
21. Dietary Acid Load and Markers of Malnutrition, Inflammation, and Oxidative Stress in Hemodialysis Patients, Frontiers in Nutrition (2024)
22. Self-Rated Health and Its Determinants in Patients With Hypertension in Isfahan in 2019, BMC Public Health (2024)
23. Association Between Dietary Insulin Index and Load and Psychological Disorders, British Journal of Nutrition (2020)
24. The Relationship Between Coronavirus Anxiety, Resilience, and Islamic Beliefs in Hemodialysis Patients During the Pandemic: A Survey in Iran, Islamic Guidance and Counseling Journal (2023)
25. Trends of National and Sub-National Burden Attributed to Kidney Dysfunction Risk Factor in Iran: 1990-2019, Frontiers in Endocrinology (2023)
26. The Association Between Plant and Animal Protein Intake and Quality of Life in Patients Undergoing Hemodialysis, Frontiers in Nutrition (2023)
27. Dietary Acid Load and Its Association With Psychological Disorders and the Odds of Disease in Diarrhea-Predominant Irritable Bowel Syndrome: A Case-Control Study; [ار اسیدی رژیم غذایی و ارتباط آن با اختالالت روان شناختی و شانس ابتال به بیماری در یماران مبتال به سندرم روده تحریک پذیر با اسهال غالب: یک مطالعه ی مورد - شاهدی], Govaresh (2022)
28. The Prevalence of Depression and Its Impact on Health Workers’ Performance in Isfahan University of Medical Sciences, Iran, 2013, Journal of Isfahan Medical School (2016)
29. The Prevalence of Comorbid Depression in Patients With Type 2 Diabetes: An Updated Systematic Review and Meta-Analysis on Huge Number of Observational Studies, Acta Diabetologica (2019)
30. The Association Between Hyperuricemia and the Risk of Acute Kidney Injury; a Systematic Review and Meta-Analysis, Journal of Nephropharmacology (2023)
31. The Lived Experiences of Patients Undergoing Hemodialysis With the Concept of Care: A Phenomenological Study, BMC Nephrology (2018)
32. The Effect of a Family-Based Training Program on the Care Burden of Family Caregivers of Patients Undergoing Hemodialysis, Iranian Journal of Nursing and Midwifery Research (2019)
33. Association Between Adherence to the Mediterranean Diet and Renal Function Biomarkers and Cardiovascular Risk Factors Among Diabetic Patients With Nephropathy, Clinical Nutrition ESPEN (2020)
34. The Association of the Prime Diet Quality Score (Pdqs) With Depression and Anxiety Symptoms: The Isfahan Functional Disorders (Isfun) Cohort Study, Nutritional Neuroscience (2025)
35. Depression Literacy and the Related Factors Among a Group of Hospitals’ Staff in Iran, International Journal of Social Psychiatry (2021)
36. The Effect of Matrix Model on Depression, Anxiety, and Quality of Life in Methamphetamine Users and Their Caregivers, Addictive Disorders and their Treatment (2018)
37. The Relationship of Drug Compliance With Depression, Anxiety and Coping Strategies in Patients With Kidney Transplantation, Journal of Isfahan Medical School (2017)
38. Psychological Status and Quality of Life in Relation to the Metabolic Syndrome: Isfahan Cohort Study, International Journal of Endocrinology (2012)
39. A Systematic Review of Oral Health Status in Substance Abusers, Medical Journal of Tabriz University of Medical Sciences (2022)
40. Mortality and Disability-Adjusted Life Years in North Africa and Middle East Attributed to Kidney Dysfunction: A Systematic Analysis for the Global Burden of Disease Study 2019, Clinical Kidney Journal (2024)
41. Marital Relationship and Its Correlates in Kidney Recipients, Psychology, Health and Medicine (2009)
42. The Prevalence of Depression and Its Association With Self-Management Behaviors in Chronic Disease Patients, Iranian Journal of Psychiatry and Behavioral Sciences (2019)
43. Prevalence and Cause of Self-Medication in Iran: A Systematic Review and Meta-Analysis Article, Iranian Journal of Public Health (2015)
44. An Epidemiological Survey on Kidney Stones and Related Risk Factors in the Iranian Community, Acta Medica Iranica (2022)
45. Factors Associated With Adherence to Treatment in Iranian Patients With Inflammatory Bowel Disease, Journal of Research in Medical Sciences (2021)
46. Effect of Fordyce's Happiness Program on Stress, Anxiety, and Depression Among the Patients Undergoing Hemodialysis, Iranian Journal of Nursing and Midwifery Research (2017)
47. Dietary Acid Load, Kidney Function and Risk of Chronic Kidney Disease: A Systematic Review and Meta-Analysis of Observational Studies, International Journal for Vitamin and Nutrition Research (2021)
48. Relationship Between Depression and Constipation: Results From a Large Cross-Sectional Study in Adults, The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi (2022)
49. 8-Year Survival Analysis of Kidney Transplantation and Determining the Factors Affecting It in Kidney-Transplanted Patients in Noor Hospital in Isfahan, Iran, Journal of Isfahan Medical School (2017)
50. The Relationship Between the Severity of Asthma and the Severity of Symptoms of Anxiety and Depression: A Cross-Sectional Study, Journal of Isfahan Medical School (2019)