Scott Cohen|Lorenzo Norris|Kimberly Acquaviva|Rolf A. Peterson|Paul L. Kimmel
Screening, Diagnosis, and Treatment of Depression in Patients with End-Stage Renal Disease
Washington University Medical Center|George Washington University
depression common patients endstage renal disease linked increased mortality screening depression general medical population remains controversial however given high prevalence depression significant impact morbidity mortality strong case depression screening patients endstage renal disease made several studies performed validate common depression screening measures patients chronic kidney disease beck depression inventory hamilton rating scale depression ninequestion patient health questionnaire center epidemiologic studies depression scale measures used screen depression patients endstage renal disease data suggest higher beck depression inventory cutoff score 14 16 increased positive predictive value diagnosing depression patients endstage renal disease limited data treatment depression patient population pharmacotherapy including selective serotonin reuptake inhibitors used deemed clinically indicated active contraindication exists even fewer data support role cognitive behavioral therapy social support group interventions electroconvulsive therapy treatment depression patients chronic kidney disease larger randomized controlled clinical trials aimed treatment depression patients endstage renal disease desperately needed