Key result
Dialysis duration is linked to shifting risk factors for depressive symptoms in hemodialysis patients.
Why the study?
Depression causes significant physical and emotional problems in patients undergoing haemodialysis, motivating the identification of factors affecting depressive symptoms according to haemodialysis duration.
Cross-Sectional (n=470)
Factors influencing depressive symptoms in haemodialysis patients differ based on the duration of dialysis, suggesting the need for tailored interventions.
Answers are grounded in this paper and cite their sources.
Duration-specific models may guide depressive symptom screening in hemodialysis; leaves open causal mechanisms for prospective trials.
Background Depression in patients undergoing haemodialysis (HD) can cause significant physical and emotional problems. Aim This study aimed to identify the factors affecting depressive symptoms in HD patients according to HD duration (i.e., time since first starting HD). Design A descriptive cross‐sectional study. Methods In total, 470 HD patients in South Korea completed a questionnaire including validated measures of social support, self‐efficacy, symptoms, self‐management, quality of life and adaptation. The data were analysed using stepwise multiple regression to identify factors that influenced depressive symptoms in the participants according to HD duration. Results The analysis of factors influencing depressive symptoms, segmented by haemodialysis duration into periods of less than 6 months, 6–11 months and more than 12 months, yielded models with explanatory powers of 56.8% (dialysis symptom index [DSI], quality of life, self‐management, age, spouse), 62.8% (DSI, quality of life, social support), and 46.5% (DSI, psychosocial adaptation, self‐efficacy), respectively. Conclusion The findings of this study can serve as a foundation for developing tailored depression interventions for HD patients, taking into account their HD duration.
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Chang et al. (2026) conducted a cross-sectional in Haemodialysis (n=470). Haemodialysis duration was evaluated on Factors influencing depressive symptoms. Factors influencing depressive symptoms in haemodialysis patients varied by dialysis duration, with models explaining 46.5% to 62.8% of the variance depending on time since starting dialysis.
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