Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Nov 19, 2023; 13(11): 884-892
Published online Nov 19, 2023. doi: 10.5498/wjp.v13.i11.884
Independent risk factors for depression in older adult patients receiving peritoneal dialysis for chronic kidney disease
Yu-Ping Sheng, Xiao-Ying Ma, Ye Liu, Xing-Meng Yang, Fu-Yun Sun
Yu-Ping Sheng, Xiao-Ying Ma, Ye Liu, Xing-Meng Yang, Fu-Yun Sun, Department of Nephrology, Cangzhou Central Hospital, Cangzhou 061000, Hebei Province, China
Author contributions: Sheng YP, Ma XY, Liu Y, Yang XM and Sun FY designed the research; Sheng YP, Sun FY, Ma XY performed the research; Liu Y and Yang XM contributed new reagents/analytic tools; Sheng YP, Sun FY and Liu Y analyzed the data; Sheng YP, Sun FY and Ma XY wrote the paper.
Institutional review board statement: This study has passed the ethical review and approval of Cangzhou Central Hospital.
Informed consent statement: The study has obtained informed consent from the patient or the patient's guardian.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fu-Yun Sun, MD, Attending Doctor, Department of Nephrology, Cangzhou Central Hospital, No. 16 Xinhua Road, Yunhe Distract, Cangzhou 061000, Hebei Province, China. 13315777305@163.com
Received: September 5, 2023
Peer-review started: September 5, 2023
First decision: September 14, 2023
Revised: September 22, 2023
Accepted: October 11, 2023
Article in press: October 11, 2023
Published online: November 19, 2023
Core Tip

Core Tip: We identified independent risk factors for depression in older patients with chronic kidney disease receiving peritoneal dialysis, including fewer years of education, higher Beck Depression Inventory Score-II and Self-Rating Anxiety Scale scores, poorer sleep quality, the presence of diabetes mellitus and cardiovascular disease, and lower hemoglobin and albumin levels. Conversely, more years of education, higher hemoglobin levels, and better peritoneal Kt/V ratio were associated with a lower risk of depression. These findings emphasize the importance of considering psychological well-being and addressing potential risk factors in the management of older patients on peritoneal dialysis, particularly in patients at high-risk of depression.