DASS21: A useful tool in the psychological profile evaluation of dialysis patients

Liu, Wen Jiun and Musa, Ramli and Chew, Thian Fook and Lim, Christopher T.S. and Morad, Zaher and Bujang, Mohamad Adam (2018) DASS21: A useful tool in the psychological profile evaluation of dialysis patients. American Journal of the Medical Sciences, 355 (4). pp. 322-330. ISSN 0002-9629

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Abstract

Background: The effect of dialysis treatment is complex, with both clinical and socio-psychological effects. In this study, we aimed to assess the psychological status of this growing population of end-stage renal disease. Methods: Using the Short Form of Depression, Anxiety and Stress Scale (DASS21) questionnaire, we aimed (1) to measure the psychological states of hemodialysis (HD) or peritoneal dialysis (PD) subjects from 15 sites, (2) to compare DASS21 scores between HD and PD, and (3) to identify the associated demographic and medical factors of better psychological states. Results: A total of 1,332 were eligible for analysis. Stress (48%) recorded the highest negative emotional states, followed by depression (37%) and anxiety (20%). By multivariate analysis, normal body mass index weight status, religion and absence of coronary artery disease were associated with lower score for depression, anxiety and stress, respectively. Tertiary education was associated with the lowest score in depression and anxiety, whereas HD had a lower score in stress than PD. A younger age was associated with worse DASS21 score of anxiety and stress. Conclusions: Obesity, religion and coronary artery disease were significantly associated with all 3 symptoms of depression, anxiety and stress. Older age has a protective effect on anxiety and stress. Further study is needed to evaluate the relationship between these significant factors and each psychological state.

Item Type:	Article (Journal)
Additional Information:	5818/63425
Uncontrolled Keywords:	DASS; Depression; Anxiety; Stress; Dialysis
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine > RC321 Neuroscience. Biological psychiatry. Neuropsychiatry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Psychiatry
Depositing User:	Professor Ramli Musa
Date Deposited:	26 Apr 2018 10:20
Last Modified:	21 Jun 2018 08:22
URI:	http://irep.iium.edu.my/id/eprint/63425

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