Key result
In a systematic review of four studies, disease severity and illness perceptions were found to be significantly associated with depression in patients with pre-dialysis chronic kidney disease.
Why the study?
Are illness perceptions associated with depression in patients with pre-dialysis CKD?
Systematic Review
Are illness perceptions associated with depression in patients with pre-dialysis CKD?
Illness perceptions and disease severity are associated with depression in pre-dialysis CKD patients, highlighting their role in disease adaptation.
Answers are grounded in this paper and cite their sources.
Supports screening illness perceptions to identify depression risk in pre-dialysis CKD; extends evidence on psychosocial factors in disease adaptation.
BACKGROUND: The prevalence of depression is found to increase from early stages to later stages of chronic kidney disease. Research on illness perceptions in patients undergoing dialysis has confirmed that patients' beliefs are associated with important outcomes; one of the most significant being depression. However, the association between illness perceptions and depression in patients in pre-dialysis care remains unclear. OBJECTIVE: The main objective of this systematic review was to explore the associative relationship between illness perceptions and depression in patients with CKD prior to the commencement of dialysis. METHODS: The inclusion criteria for papers in this review were studies investigating illness perceptions and depression in patients diagnosed with CKD. Eligible studies were identified by searching the following electronic databases; Medline, CENTRAL, Embase, Psych INFO, Web of Science and Scopus. Data on the participants and the severity of kidney disease, illness perceptions and depression were extracted. RESULTS: Sixty-four studies met the criteria for full text review and of these, only four studies met the inclusion criteria following data extraction and quality assessment. Consistent with the common sense model, disease severity was found to be significantly associated with illness perceptions, and both were found to be associated with depression CONCLUSIONS: The results from this review provide further evidence that the illness perceptions and disease severity play a crucial role in the adaption to CKD. This review highlights the lack of research in this area and concludes that more studies are needed to determine the nature and impact of illness perceptions in relation to depression in pre-dialysis CKD.
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Muscat et al. (2018) conducted a systematic review in Chronic kidney disease. Illness perceptions was evaluated on Association between illness perceptions and depression. In a systematic review of four studies, disease severity and illness perceptions were found to be significantly associated with depression in patients with pre-dialysis chronic kidney disease.
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