Behavioral therapy significantly improves the quality of life for kidney disease patients with depression
Depression is extremely common among kidney disease patients who frequently need dialysis. 20 to 30% of patients who are on dialysis because of kidney disease become depressed. However, the first study of its kind proves that there is hope for individuals suffering from depression in this population. According to a paper presented at the American Society of Nephrology’s 41st Annual Meeting and Scientific Exposition in Philadelphia, Pennsylvania, behavioral therapy, a relatively cheap and accessible option, significantly improves the quality of life for kidney disease patients with depression. The following is an excerpt of an article from Medical News Today that discusses the details:
Researchers now report the results of the first clinical trial of a psychological intervention in hemodialysis patients who are depressed. Ricardo Sesso, MD and his colleagues at the Federal University of Sao Paulo in Sao Paulo, Brazil studied 85 patients with end-stage renal disease who were on chronic hemodialysis and had been diagnosed with depression. Half of the patients underwent three months of weekly 90-minute sessions of cognitive-behavioral therapy led by a trained psychologist. Sessions focused on issues related to kidney disease treatment and its effects on daily life, depression and coping techniques, thinking and cognitive remodeling techniques, relaxation activities, social behavior abilities, etc.
The other half of patients in the study received usual treatment offered in the dialysis clinic, without behavioral interventions. All patients filled out quality-of-life questionnaires at the start of the study and again after three and nine months of follow up.
The investigators found that after three months of intervention, the group receiving cognitive-behavioral therapy had a significant improvement in depressive symptoms, cognitive function, and quality-of-life scores when compared to the control group. These differences also persisted after six months of intervention. During this period, patients received once a month maintenance sessions. The authors concluded that cognitive-behavioral therapy – a relatively cheap, harmless, and practical intervention – is an effective strategy to treat depression in patients with kidney disease. “No other randomized trial using psychological or medical intervention with drugs has shown to be effective or has been published in this regard,” said Sesso.