Independent associations of alexithymia and social support with depression in hemodialysis patients |
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Authors: | Kojima Masayo Hayano Junichiro Tokudome Shinkan Suzuki Sadao Ibuki Koichi Tomizawa Hiroshi Nakata Atsuro Seno Hachiro Toriyama Takanobu Kawahara Hiroshi Furukawa Toshiaki A |
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Affiliation: | Department of Health Promotion and Preventive Medicine, Nagoya City University Graduate School of Medical Science, Nagoya, Aichi, Japan. masayok@med.nagoya-cu.ac.jp |
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Abstract: | OBJECTIVE: The influences of alexithymia and social support on depression among chronically ill patients were examined prospectively. METHODS: The study population was 230 outpatients receiving chronic hemodialysis (HD) therapy. The Beck Depression Inventory-II (BDI-II), the 20-item Toronto Alexithymia Scale (TAS-20), and two subscales of the Social Support Questionnaire were given to the subjects. The BDI-II was readministered after a 6-month interval, and subjects who showed deterioration in their depression score above the level predicted from their baseline score were identified. Multivariate logistic analysis adjusted for age, gender, cause of dialysis, and psychosocial variables were performed. RESULTS: Baseline depression was significantly and independently associated with alexithymia and low satisfaction with available support. Deterioration of depression after 6 months was predicted by alexithymia and poor available support. CONCLUSIONS: Alexithymia and reduced social support might have independent associations with the presence and the prognosis of depression among HD patients. |
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Keywords: | Alexithymia Depression Hemodialysis Prospective design Prognosis Social support |
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