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Year : 2011  |  Volume : 21  |  Issue : 4  |  Page : 223-229

Depression, insomnia and sleep apnea in patients on maintenance hemodialysis

1 Department of Medicine, Maulana Azad Medical College, New Delhi, India
2 Dialysis Unit, Lok Nayak Hospital, New Delhi, India

Correspondence Address:
T Rustagi
F 5/5 Krishan Nagar, Delhi-110051
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-4065.83028

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Depression and sleep disorders are more frequent in patients on maintenance hemodialysis (HD) than the general population, and are associated with reduced quality of life and increased mortality risk. The purpose of this study was to assess the prevalence of depression, sleep apnea, insomnia in patients on HD as well as depression in their primary caregiver and to correlate these with the demographic profile. A cross-sectional study was conducted among 69 patients on maintenance HD for more than 3 months. There was high p revalence of depression (47.8%), insomnia (60.9%), increased risk of sleep apnea (24.6%) and depression in caregiver (31.9%). Depression was significantly more in patients with low monthly income (P=0.03), those on dialysis for more than 1 year (P=0.001) and the unemployed (P=0.009). High-risk patients for sleep apnea tended to be males with low monthly income (P=0.02). Insomnia was significantly higher in patients who were on dialysis for more than 1 year (P=0.003).


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Indian Journal of Nephrology
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Online since 20th Sept '07