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International Journal of Nephrology
Volume 2011, Article ID 798692, 7 pages
http://dx.doi.org/10.4061/2011/798692
Research Article

Depressive Symptomatology in Children and Adolescents with Chronic Renal Insufficiency Undergoing Chronic Dialysis

1Pediatric Nephrology Unit, Cayetano Heredia National Hospital, San Martín de Porras, Lima, Lima 31, Peru
2Pediatric Psychiatric Unit, The National Institute of Mental Health “Honorio Delgado-Hideyo Noguchi”, Lima, Lima 31, Peru

Received 14 February 2011; Accepted 19 July 2011

Academic Editor: Patrick Niaudet

Copyright © 2011 Edith G. Hernandez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This paper presents a descriptive study, using the Birleson Scale to determine the frequency of depressive symptomatology in children and adolescents with chronic renal insufficiency (CRI) undergoing hemodialysis (HD) and chronic peritoneal dialysis (CPD). There were 67 patients (40 female and 27 male) with a mean age of 1 4 . 7 6 Β± 2 . 7 1 years, duration of illness ≥3 months, 43 (64.18%) patients with CPD and 24 (35.82%) undergoing HD. The frequency of high occurrence, low occurrence, and absence of depressive symptomatology was 10.45% ( 𝑛 = 7 ), 43.28% ( 𝑛 = 2 9 ), and 46.27% ( 𝑛 = 3 1 ), respectively; all of the seven (100%) patients with high occurrence of depressive symptomatology were female ( 𝑃 = 0 . 0 4 ), and none of these (0%) had a friend to confide in ( 𝑃 = 0 . 0 3 ). Depressive symptomatology in patients with CPD was associated with a lower weekly 𝐾 𝑑 / 𝑉 compared to those without depressive symptomatology ( 2 . 1 5 Β± 0 . 6 8 versus 2 . 5 2 Β± 0 . 6 5 ; 𝑃 = 0 . 0 1 ). There was no association with patient age, caregiver, time and dialysis type, anemia, bone disease, nutritional or financial status, origin, schooling, or employment.