Key result
A systematic review of 10 studies on cognitive behaviour therapy for depression in haemodialysis patients highlighted a lack of randomized trials in Malaysia.
Why the study?
Antidepressant trials in ESRD are limited by safety concerns, making psychological interventions preferred, but prior CBT studies have focused largely on depressed patients without comorbid chronic medical illness.
Does cognitive behaviour therapy improve depression in end-stage renal disease patients undergoing haemodialysis?
Systematic Review
Does cognitive behaviour therapy improve depression in end-stage renal disease patients undergoing haemodialysis?
There is a need for more rigorous randomized controlled trials to evaluate the effectiveness of cognitive behavioral therapy for depression in haemodialysis patients, particularly in Malaysia.
Evidence for CBT in haemodialysis depression remains limited; leaves open effectiveness and requires rigorous RCTs, especially in Malaysia.
End-stage renal disease (ESRD) is a major public health issue in Malaysia and worldwide. Depression is highly associated with ESRD and with the increasing number of ESRD, the rate of depression will also grow. There are limited data on clinical trials of antidepressant medication on ESRD due to safety reasons. Due to that, psychological intervention is a preferred treatment for this population. Previously, studies on the effectiveness of cognitive behaviour therapy (CBT) have been focused more on patients with depression with no comorbid chronic medical illness. Therefore, the present article is set out to analyse the existing literature on the effectiveness of CBT on depression among ESRD undergoing haemodialysis treatment. Guided by the PRISMA Statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) review method, a systematic review on Scopus database has identified 10 studies. Further review of these articles resulted in two main themes—single-group trial and two-groups trial. The two-groups trial is further producing another two sub-themes. The discussion is mainly on the lack of randomized trial in the depression treatment among haemodialysis patients in Malaysia. Several recommendations are being highlighted, where are to compare CBT treatment group with another active therapy and to use more than one database for the research searching tools.
No takes yet. Share an insight, caveat, or question.
Othman et al. (2020) conducted a systematic review in End-stage renal disease with depression undergoing haemodialysis. Cognitive behaviour therapy was evaluated on Depression. A systematic review of 10 studies on cognitive behaviour therapy for depression in haemodialysis patients highlighted a lack of randomized trials in Malaysia.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: