Depression can affect in 1 in 5 people with chronic kidney disease and 1 in 3 individuals on dialysis. Depression in people with chronic kidney disease has detrimental effects on mortality, rates of hospitalisation, medication and treatment adherence, nutrition and overall quality of life. Treatment of depressive symptoms in people with chronic kidney disease has the potential to improve health outcomes.
Management
- Screen recurrently and maintain a high level of clinical awareness for depression
- Modifiable causes of depression that are commonly experienced by people with chronic kidney disease (e.g. insomnia, medication side effects, inadequate dialysis) should be considered and excluded
- Treatment of persistent depressive symptoms involves a combination of non medication therapy (e.g. education, cognitive behavioural therapy, exercise program) and anti depressant medication
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