Vitamin D and Psychological Status in Dialysis Patient

Year 2021, Volume: 7 Issue: 3, 328 - 333, 31.12.2021

Kübra Gökalp , Mevra Aydın Çil , Ayşegül Yayla

https://doi.org/10.19127/mbsjohs.969964

Cited By: 1

Abstract

Objective: The study was conducted to determine the association between vitamin D level and psychological status in dialyzed patients.
Methods: The population consisted of dialysis patients in a university hospital dialysis center in Eastern Turkey between March and May 2017. The study's sample involved in 90 dialysis patients (59 hemodialysis, 31 continuous ambulatory peritoneal dialysis). 25(OH) D levels measured in a university hospital. Psychological status was evaluated by Brief Symptom Invantory. Minimum-maximum values, percentage, mean and standard deviation, average, frequency, Kruskal–Walli’s test and Pearson's Correlation Analysis were used to evaluate the data.
Results: Mean age was 53.74±14.83 years, 61.6% of patients were female, 38.4% of patients were male. Mean Vitamin D was 23.51±29.50 ng/mL. The vitamin D levels of 72.2% of the patients were below 30ng/mL. There was statistically significant negative correlation between vitamin D and somatization, obsessive compulsive disorder, interpersonal sensivity, depression, anxiety, hostility, phobia, paranoid thought, psychotization, other and total scores. Patients who low vitamin D level has had high scores of psychological statuses.
Conclusion: Vitamin D level has effect on psychological status in participants. Vitamin D is essential for psychological wellness in dialysis patients. While clinicians will assess, and therapy of these patient’s psychological status should take into account patients’s vitamin D status

Keywords

Medical science, Psychosocial care, Dialysis patient, Psychological status

Supporting Institution

Yok

Project Number

Yok

Thanks

The authors wish to thank the patients, dietitians, nurses and doctors who were in dialysis units of the Ataturk University Hospital

References

• 1. Turkey Ministry of Health. Turkey Kidney Diseases Prevention and Control Program, 2018-2023. (cited 2021 Julay 12). Available from: https://hsgm.saglik.gov.tr/depo/birimler/kronik-hastaliklar-engelli-db/hastaliklar/bobrek_hastaliklari/kitap_ve_makaleler/Turkiye_Bobrek_Hastaliklari_Onleme_ve_Kontrol_Programi_2018-2023.pdf.
• 2. Ersoy FF. Renal Osteodistrofi. Turkiye Klinikleri J Orthop & Traumatol-Special Topics 2010; 3(2): 60-67.
• 3. Feroze U, Martin D, Reina-Patton A, Kalantar-Zadeh K, Kopple JD. Mental Health, Depression, and Anxiety in Patients on Maintenance Dialysis. Iranian J Kidney Disease.2010; 4(3): 173.
• 4. King‐Wing Ma T, Kam‐Tao Li P. Depression in Dialysis Patients. Nephrology 2016; 21(8): 639-646.
• 5. Zhang J, Zhang P, Ni X, Bao B, Huang C, Wu Y, et al. Vitamin D Status in Chronic Dialysis Patients with Depression: A Prospective Study. BMC Psychiatry 2014; 14(1): 125.
• 6. Oztas P, Seker N, Taskintuna N. Group Therapy in Patients with Chronic Renal Disease. Arch Neuropsychiatry 2012; 49(1):63-68. 7. Uhlig K, Berns JS, Kestenbaum B, Kumar R, Leonard MB, Martin KJ, et al. KDOQI US Commentary on the 2009 KDIGO Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of CKD–Mineral and Bone Disorder (CKD-MBD). American J Kidney Disease 2010;55(5): 773-799.
• 8. Ganji V, Cristiana M, Mildred MC, McCarty F,Wang YT. Serum Vitamin D Concentrations are Related to Depression in Young Adult us Population: The Third National Health and Nutrition Examination Survey. Intern Arch Med 2010;3: 29.
• 9. Wilkins CH, Sheline YI, Roe CM, Birge SJ, Morris JC. Vitamin D Deficiency is Associated with Low Mood and Worse Cognitive Performance in Older Adults. American J Geriatric Psychiatry 2006;14:1032–40.
• 10. Przybelski RJ, Binkley NC. Is Vitamin D Important for Preserving Cognition? A Positive Correlation of Serum 25-Hydroxyvitamin D Concentration with Cognitive Function. Arch Biochem Biophy 2007;460(2): 202-205.
• 11. Armstrong DJ, Meenagh GK, Bickle I, Lee AS, Curran ES, Finch MB. Vitamin D Deficiency is Associated with Anxiety and Depression in Fibromyalgia. Clin Rheumatol 2007;26: 551–4.
• 12. Jorde R, Sneve M, Figenschau Y, Svartberg J, Waterloo K. Effects of Vitamin D Supplementation on Symptoms of Depression in Overweight and Obese Subjects: Randomized Double Blind Trial. J Internal Med 2008;264: 599–609.
• 13. Jhee JH, Kim H, Park S, Yun HR, Jung SY, Kee YK, et al. Vitamin D Deficiency is Significantly Associated with Depression in Patients with Chronic Kidney Disease. PloS One 2017;12(2): e0171009.
• 14. Kara B. Compliance with Treatment in Hemodialysis Patients. Gulhane Med J 2007; 49:132-136.
• 15. Cankaya E, Bilen Y, Keles M, Uyanık A, Akbas M, Gungor A, et al. Comparison of Serum Vitamin D Levels among Patients with Chronic Kidney Disease, Patients in Dialysis, and Renal Transplant Patients. Transplant Proceed 2015; 47 (5): 1405-1407.
• 16. Derogatis LR, Melisaratos N. The Brief Symptom Inventory: An Introductory Report. Psychol Med 1983; 13 (3):595–605.
• 17. Sahin N, Durak A. Brief Symptom Inventory: Adaptation for the Turkish Youth. Turkish J Psychol 1994; 9:44–56. 18. Nabolsi MM, Wardam L, Al‐Halabi JO. Quality of Life, Depression, Adherence to Treatment and Illness Perception of Patients on Hemodialysis. Intern J Nursing Practice 2015;21(1):1-10.
• 19. Chan R, Steel Z, Brooks R, Heung T, Erlich J, Chow J, et al. Psychosocial Risk and Protective Factors for Depression in the Dialysis Population: A Systematic Review and Meta-Regression Analysis. J Psychosom Res 2011; 71(5): 300-310.
• 20. Bhan I, Burnett-Bowie SAM, Ye J, Tonelli M, Thadhani R. Clinical Measures İdentify Vitamin D Deficiency in Dialysis. Clin J American Soc Nephrol 2010; 5(3): 460-467.
• 21. Nazzal ZA., Hamdan Z, Natour N, Barbar M, Rimawi R, Salaymeh E. Prevalence of Vitamin D Deficiency among Hemodialysis Patients in Palestine: A Cross-Sectional Study. Intern J Nephrology 2021:1-6.
• 22. Anglin RE, Samaan Z, Walter SD, McDonald SD. Vitamin D Deficiency and Depression in Adults: Systematic Review and Meta-Analysis. British J Psych 2013;202(2): 100-107.
• 23. Stewart R, Hirani V. Relationship Between Vitamin D Levels and Depressive Symptoms in Older Residents from a National Survey Population. Psychosom Med 2010; 72: 608-612.
• 24. Callegari ET, Reavley N, Gorelik A, Garland SM, Wark JD. Serum 25-Hydroxyvitamin D and Mental Health in Young Australian Women: Results from the Safe-D Study. J Affective Disorder 2017;224: 48-55.
• 25. Cinar S, Karaca S, Bahcebasi ZB. Comparison of the Mental Symptoms in Peritoneal Dialysis and Haemodialysis Patients. Acta Medica 2015; 31: 1027.
• 26. Palmieri GA, de Oliveira Oller A, Serra GA, Palota Eid L, Alcalá Pompeo D, de Lima EQ, et al. Anxıous and Depressıve Symptoms in Hemodialytic Treatment Patients. J Nursing UFPE 2017; 11(11).
• 27. Yu HB, Jiang AL, Wei F, Chen HY, Wang LH. Investigation of Mental Health Condition in Patients with Maintenance Dialysis. J Tianjin Med Uni 2009;1: 040.
• 28. Chatterjee S, Mandal D, Das A, Biswas I, Shil R, Mazumdar P, Maiti N. Endodontic management of open apices by two bioactive materials: A case series. Int J Med Heal Res. 2019;17;5(8):19–22.