The Impact of COVID-19 on the mental health of dialysis patients
Bonenkamp, Anna A.; Druiventak, Theresia A.; van Eck van der Sluijs, Anita; van Ittersum, Frans J.; van Jaarsveld, Brigit C.; Abrahams, Alferso C.; the DOMESTICO study group
(2021) Journal of Nephrology, volume 34, issue 2, pp. 337 - 344
(Article)
Abstract
Background: Studies have shown increased anxiety, depression, and stress levels among different populations during the coronavirus disease 2019 (COVID-19) pandemic. However, the impact of the pandemic on the mental health of dialysis patients remains unknown. The aim of this study was to investigate the mental health of dialysis patients during
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the COVID-19 pandemic compared to the period preceding the pandemic. Methods: Data originate from the ongoing multicentre observational Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes (DOMESTICO). Patients who filled in a health-related quality of life (HRQoL) questionnaire during the pandemic and six to three months prior were included. The mean difference in Mental Component Summary (MCS) score of the Short Form 12 (SF-12) was analysed with multilevel linear regression. A McNemar test was used to compare presence of mental health-related symptoms during and prior to the COVID-19 pandemic. Results: A total of 177 patients were included. The mean MCS score prior to COVID-19 was 48.08 ± 10.15, and 49.00 ± 10.04 during the COVID-19 pandemic. The adjusted mean MCS score was 0.93 point (95% CI − 0.57 to 2.42) higher during the COVID-19 pandemic than during the period prior to the pandemic. Furthermore, no difference in the presence of the following mental health-related symptoms was found during the COVID-19 pandemic: feeling anxious, feeling sad, worrying, feeling nervous, trouble falling asleep, and trouble staying asleep. Conclusions: The mental health of dialysis patients appears to be unaffected by the COVID-19 pandemic. Dialysis patients may be better able to cope with the pandemic, since they have high resilience and are less impacted by social distancing measures. Trial registration number: Netherlands Trial Register NL6519, date of registration: 22 August 2017. Graphic abstract: [Figure not available: see fulltext.]
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Keywords: Chronic dialysis, COVID-19, Health-related quality of life, Mental health, Anxiety/epidemiology, Pandemics, COVID-19/complications, Renal Dialysis/psychology, Comorbidity, Humans, Middle Aged, Male, Mental Health, Kidney Failure, Chronic/epidemiology, Incidence, SARS-CoV-2, Depression/epidemiology, Quality of Life, Female, Netherlands/epidemiology, Nephrology, Research Support, Non-U.S. Gov't, Observational Study, Multicenter Study, Journal Article, Comparative Study
ISSN: 1121-8428
Publisher: Wichtig Publishing
Note: Funding Information: The Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes is supported by grants of ZonMw, Fresenius Medical Care Deutschland GmbH, Baxter Netherlands BV, AstraZeneca and Dirinco. The grant of ZonMw is provided from the ‘Health care efficiency research’ program. ZonMw has independently peer reviewed the study protocol. The sponsors had no role in the design and conduct of the study and no role in writing or in the decision to publish this paper. Publisher Copyright: © 2021, The Author(s).
(Peer reviewed)