Factors associated with depression among patients with chronic kidney disease on regular hemodialysis in Wangaya regional hospital Denpasar


  • A. A. Gede Oka Suta Wicaksana Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia http://orcid.org/0000-0003-2711-3841
  • Desak Putu Gayatri Saraswati Seputra Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia
  • I. Wayan Sunaka Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia




Chronic kidney disease, Hemodialysis, Depression


Background: Chronic kidney disease (CKD) still poses a significant health challenges in both developed and developing countries. Patients with CKD, especially those who require regular hemodialysis tend to experience alteration in psychological status. Depression is one of the most common psychiatric disorders found in patients with end-stage CKD undergoing regular hemodialysis.

Methods:This study was a cross-sectional analytic study aimed to identify factors associated with depression among patients with CKD on regular hemodialysis in Wangaya regional hospital. Study sample was all CKD patients who were on regular hemodialysis on February to March 2021. This study was done by questionnaire fulfilment with verbal interview. Additional data were also obtained from medical records. Beck depression index (BDI) questionnaire was used to evaluate depression.

Results: Sixty four samples were included in this study. Majority of the sample were male (75%), aged >50 years (71.9%), with low educational status (75%), were married (85.9%), unemployed (67.2%), had duration of hemodialysis of <2 years (64.1%) and had single co-morbidity (62.5%). Depression was found in 29.7% patients. Unemployment (p=0.05), duration of hemodialysis of >2 years (p<0.001) and multiple co-morbidities (p=0.02) were significantly associated with depression.

Conclusions:It is important to routinely screen hemodialysis patient for depression. Several individual determinants including sociodemographic factors, duration of hemodialysis and co-morbidities should be considered as they may correlate to the incidence of depression. 



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