Abstract

Patients with CKD are subjected to extremely high levels of stress on all fronts, including the physical, the psychological, the emotional, and the economical. This study was thus conducted to assess psychiatric illnesses in CKD patients and their impact on quality of life. Methodology- This study was conducted as an observational cross sectional study on patients with CKD seeking care at Department of Medicine, Gandhi Medical College, Bhopal. All the patients were subjected to detailed general and physical examination and findings were documented. Quality of life in CKD patients was assessed using WHO QoL scale. Psychiatric illness were assessed using Brief psychiatric rating scale. Results-The present study was conducted on 200 cases with CKD with mean age of 43.90±15.753 years. Overall mean quality of life irrespective of domains was 52.72±4.31. Most common psychiatric illness in patients with CKD was depressive mood(99%), and 79.5% had mild depressive mood. We observed a significantly weak negative correlation of uncooperativeness with social domain(r=-0.142; p<0.05). Environmental domain showed a weak positive correlation with guilt feeling and grandiosity(r=0.148 and 0.147 respectively; p<0.05). Conclusion-The prevalence of mental disease was substantially higher among CKD patients. Patients with CKD were more likely to experience depression followed by anxiety. Patients with a CKD diagnosis are at a much higher risk for the emergence of mental health issues. There was a statistically significant correlation between chronic renal disease and the physical, social, environmental, and psychological dimensions of quality of life in the population we examined. Quality of life was also observed to be diminished in CKD patients(QOL)

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