TY - JOUR
T1 - The effect of psychosocial interventions on depression, anxiety, and quality of life in hemodialysis patients: a systematic review and a meta-analysis
AU - Barello, S.
AU - Anderson, Gloria
AU - Acampora, M.
AU - Bosio, C.
AU - Guida, E.
AU - Irace, V.
AU - Guastoni, C. M.
AU - Bertani, B.
AU - Graffigna, Guendalina
PY - 2022
Y1 - 2022
N2 - Purpose: Hemodialysis has become a standard therapy for adults with end-stage renal diseases. Adults undergoing hemodialysis have to cope with unique psychological issues that make their care journey particularly fatiguing. In this systematic review and meta-analysis, we aimed to summarize and evaluate the effects of psychosocial interventions on the reduction of anxiety and depression in adults with HDs. Methods: We included randomized controlled trials and quasi-experimental studies that measure change in depression, anxiety, and quality of life. Results: We identify three categories of psychosocial interventions delivered to adults undergoing hemodialysis. Based on our analysis, there was a medium effect of psychosocial intervention on depression (SMD − 0.85, 95%CI − 1.17; − 0.52, I2 = 80%, p < 0.01) and anxiety (SMD − 0.99, 95%CI − 1.65; − 0.33, I2 = 88%, p < 0.01) in adults undergoing hemodialysis. Conclusions: Psychosocial interventions, such as psychological support or relaxation-based therapy, seems all to reduce depression and anxiety in adults undergoing HD. Preliminary evidence suggests that there may be a benefit of psychosocial interventions on the quality of life for adults undergoing HD.
AB - Purpose: Hemodialysis has become a standard therapy for adults with end-stage renal diseases. Adults undergoing hemodialysis have to cope with unique psychological issues that make their care journey particularly fatiguing. In this systematic review and meta-analysis, we aimed to summarize and evaluate the effects of psychosocial interventions on the reduction of anxiety and depression in adults with HDs. Methods: We included randomized controlled trials and quasi-experimental studies that measure change in depression, anxiety, and quality of life. Results: We identify three categories of psychosocial interventions delivered to adults undergoing hemodialysis. Based on our analysis, there was a medium effect of psychosocial intervention on depression (SMD − 0.85, 95%CI − 1.17; − 0.52, I2 = 80%, p < 0.01) and anxiety (SMD − 0.99, 95%CI − 1.65; − 0.33, I2 = 88%, p < 0.01) in adults undergoing hemodialysis. Conclusions: Psychosocial interventions, such as psychological support or relaxation-based therapy, seems all to reduce depression and anxiety in adults undergoing HD. Preliminary evidence suggests that there may be a benefit of psychosocial interventions on the quality of life for adults undergoing HD.
KW - Anxiety
KW - Depression
KW - End-stage renal diseases
KW - Hemodialysis
KW - Psychosocial intervention
KW - Quality of life
KW - Anxiety
KW - Depression
KW - End-stage renal diseases
KW - Hemodialysis
KW - Psychosocial intervention
KW - Quality of life
UR - https://publicatt.unicatt.it/handle/10807/229537
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85139247755&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85139247755&origin=inward
U2 - 10.1007/s11255-022-03374-3
DO - 10.1007/s11255-022-03374-3
M3 - Article
SN - 0301-1623
VL - 55
SP - 897
EP - 912
JO - International Urology and Nephrology
JF - International Urology and Nephrology
IS - 4
ER -