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Impact of Mental Health Literacy on Mental Health and Renal Function in Dialysis Patients: A Cross-Sectional Study

Year 2024, Volume: 6 Issue: 3, 474 - 480
https://doi.org/10.37990/medr.1516058

Abstract

Aim: This article aims to assess Mental Health Literacy (MHL) in dialysis patients and examine their impact on anxiety, depression and physical health.
Material and Method: The study was conducted in the Hemodialysis Unit of Karaman Training and Research Hospital between March and June 2024. A total of 87 patients who met the inclusion criteria and agreed to participate were included in the study. Data were collected using a semi-structured sociodemographic form, Mental Health Literacy Scale, Hamilton Depression Scale and Hamilton Anxiety Scale. Biochemical parameters were obtained from electronic patient records.
Results: The frequency of depression was 45%. There was no significant difference in MHL points among individuals with and without depression. Furthermore, no correlation was found between MHL and duration of disease or dialysis. A significant relationship was found between Total and Resource subscale scores of MHL and estimated glomerular filtration rate (eGFR).
Conclusion: The frequency of depression was higher in dialysis patients than in the general population. Albeit no significant difference in MHL was observed between patients diagnosed with depression and those without, the significant relationship between MHL and eGFR suggests that interventions to increase MHL may have positive effects on disease progression.

References

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  • Jorm AF, Korten AE, Jacomb PA. Public beliefs about causes and risk factors for depression and schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 1997;82:143-8.
  • Jorm AF. Mental health literacy: public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000;177:396-401.
  • Razali SM, Khan UA, Hasanah CI. Belief in supernatural causes of mental illness among Malay patients: impact on treatment. Acta Psychiatr Scand. 1996;94:229-33.
  • Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103:813-21.
  • Norris SL, Engelgau MM, Narayan KMV. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 2001;24:561-87.
  • Karimzadeh M, Poursadeghiyan M, Rahmati-Najarkolaei F. Psychoeducation on improving mental health literacy and adjustment to illness in patients with type 2 diabetes: an experimental study. Iranian Rehabilitation Journal. 2018;16:395-404.
  • Clark M, Hampson SE. Implementing a psychological intervention to improve lifestyle self-management in patients with type 2 diabetes. Patient Educ Couns. 2001;42:247-56.
  • Protheroe J, Rowlands G, Bartlam B, Levin-Zamir D. Health literacy, diabetes prevention, and self-management. J Diabetes Res. 2017;2017:1298315.
  • Al saraireh FA, Aloush SM, Al Azzam M, Al Bashtawy M. The effectiveness of cognitive behavioral therapy versus psychoeducation in the management of depression among patients undergoing haemodialysis. Issues Ment Health Nurs. 2018;39:514-8.
  • De Bleser L, Matteson M, Dobbels F, et al. Interventions to improve medication-adherence after transplantation: a systematic review. Transpl Int. 2009;22:780-97.
  • Gençöz F, Gençöz T, Soykan A. Psychometric properties of the Hamilton Depression Rating Scale and other physician-rated psychiatric scales for the assessment of depression in ESRD patients undergoing hemodialysis in Turkey. Psychol Health Med. 2007;12:450-9.
  • Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:56-62.
  • Akdemir A, Örsel DS, Dağ İ, et al. Hamilton depresyon derecelendirme ölçeği (HDDÖ)’nin geçerliliği-güvenirliliği ve klinikte kullanımı. Psikiyatri Psikoloji Psikofarmakoloji Dergisi. 1996;4:251-9.
  • Karaağaoğlu E, Demir B, Yolaç P, et al. Hamilton anksiyete değerlendirme öiçeği, değerlendiriciler arası güvenirlik ve geçerlik çalışması. Türk Psikiyatri Dergisi. 1998;9:114-7.
  • Jung H, von Sternberg K, Davis K. Expanding a measure of mental health literacy: development and validation of a multicomponent mental health literacy measure. Psychiatry Res. 2016;243:278-86.
  • Göktaş S, Işıklı B, Fatih Önsüz M, et al. Evaulation of Validity and Reliability of the Turkish Version of the Mental Health Literacy Scale (Mhl Scale). Konuralp Tıp Dergisi. 2019;11:424-31.
  • Palmer S, Vecchio M, Craig JC, al. et. Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies. Kidney Int. 2013;84:179-91.
  • Murtagh FEM, Addington-Hall J, Higginson IJ. The prevalence of symptoms in end-stage renal disease: a systematic review. Adv Chronic Kidney Dis. 2007;14:82-99.
  • Waraich P, Goldner EM, Somers JM, Hsu L. Prevalence and incidence studies of mood disorders: a systematic review of the literature. Can J Psychiatry. 2004;49:124-38.
  • Jofré R, Rodriguez-Benitez P, López-Gómez JM, Pérez-Garcia R. Inflammatory syndrome in patients on hemodialysis. J Am Soc Nephrol. 2006;17:S274-80.
  • Palmer SC, Hayen A, Macaskill P, et al. Serum levels of phosphorus, parathyroid hormone, and calcium and risks of death and cardiovascular disease in individuals with chronic kidney disease: a systematic review and meta-analysis. JAMA. 2011;305:1119-27.
  • Steven S, Frenis K, Oelze M, et al. Vascular inflammation and oxidative stress: major triggers for cardiovascular disease. Oxid Med Cell Longev. 2019;2019:7092151.
  • Li Y, Zhu B, Shen J, Miao L. Depression in maintenance hemodialysis patients: what do we need to know?. Heliyon. 2023;9:e19383.
  • Gazmararian J, Baker D, Parker R, Blazer DG. A multivariate analysis of factors associated with depression: evaluating the role of health literacy as a potential contributor. Arch Intern Med. 2000;160:3307-14.
  • Amone-P’Olak K, Kakinda AI, Kibedi H, Omech B. Barriers to treatment and care for depression among the youth in Uganda: the role of mental health literacy. Front Public Health. 2023;11:1054918.
  • Almanasef M. Mental health literacy and help-seeking behaviours among undergraduate pharmacy students in Abha, Saudi Arabia. Risk Manag Healthc Policy. 2021;14:1281-6.
  • Cyranka K, Klupa T, Pilecki M, et al. Diabetes distress and diabetes burnout explored in various areas of life in patients with type 1 diabetes: effect of short-term psychological intervention. Endocrine. 2024;85:676-84.
  • Chew BH, Vos RC, Metzendorf MI, et al. Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2017;9:CD011469.
  • Wang C, Havewala M, Cheong Y, Chen J. Cybervictimization, mental health literacy and depressive symptoms among college students: a cross-cultural investigation. Current Psychology. 2023;42:22745-57.
  • Roozbehani R, Fatemi AA, Zamani Z, et al. Impact of short message system education on blood sugar control and treatment adherence in patients with type 2 diabetes. Iranian Rehabilitation Journal. 2022;20:549-60.
  • Vazifehkhorani AK, Karimzadeh M, Poursadeghiyan M, Rahmati-Najarkolaei F. Psychoeducation on improving mental health literacy and adjustment to illness in patients with type 2 diabetes: an experimental study. Iranian Rehabilitation Journal. 2018;16:395-404.
  • Chen HC, Zhu L, Chan WCS, et al. The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: a randomized controlled trial. Int J Nurs Pract. 2023;29:e13123.
  • Zhang L, Zou L, Zhou L. Effectiveness of psychoeducational interventions on psychological distress and health-related quality of life among patients with maintenance hemodialysis: a systematic review and meta-analysis. Ren Fail. 2024;46:2331613.
  • Ng CZ, Tang SC, Chan M, et al. A systematic review and meta-analysis of randomized controlled trials of cognitive behavioral therapy for hemodialysis patients with depression. J Psychosom Res. 2019;126:109834.
Year 2024, Volume: 6 Issue: 3, 474 - 480
https://doi.org/10.37990/medr.1516058

Abstract

References

  • Jorm AF, Korten AE, Jacomb PA. Belief systems of the general public concerning the appropriate treatments for mental disorders. Soc Psychiatry Psychiatr Epidemiol. 1997;32:468-73.
  • Jorm AF, Korten AE, Jacomb PA. Public beliefs about causes and risk factors for depression and schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 1997;82:143-8.
  • Jorm AF. Mental health literacy: public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000;177:396-401.
  • Razali SM, Khan UA, Hasanah CI. Belief in supernatural causes of mental illness among Malay patients: impact on treatment. Acta Psychiatr Scand. 1996;94:229-33.
  • Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103:813-21.
  • Norris SL, Engelgau MM, Narayan KMV. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 2001;24:561-87.
  • Karimzadeh M, Poursadeghiyan M, Rahmati-Najarkolaei F. Psychoeducation on improving mental health literacy and adjustment to illness in patients with type 2 diabetes: an experimental study. Iranian Rehabilitation Journal. 2018;16:395-404.
  • Clark M, Hampson SE. Implementing a psychological intervention to improve lifestyle self-management in patients with type 2 diabetes. Patient Educ Couns. 2001;42:247-56.
  • Protheroe J, Rowlands G, Bartlam B, Levin-Zamir D. Health literacy, diabetes prevention, and self-management. J Diabetes Res. 2017;2017:1298315.
  • Al saraireh FA, Aloush SM, Al Azzam M, Al Bashtawy M. The effectiveness of cognitive behavioral therapy versus psychoeducation in the management of depression among patients undergoing haemodialysis. Issues Ment Health Nurs. 2018;39:514-8.
  • De Bleser L, Matteson M, Dobbels F, et al. Interventions to improve medication-adherence after transplantation: a systematic review. Transpl Int. 2009;22:780-97.
  • Gençöz F, Gençöz T, Soykan A. Psychometric properties of the Hamilton Depression Rating Scale and other physician-rated psychiatric scales for the assessment of depression in ESRD patients undergoing hemodialysis in Turkey. Psychol Health Med. 2007;12:450-9.
  • Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:56-62.
  • Akdemir A, Örsel DS, Dağ İ, et al. Hamilton depresyon derecelendirme ölçeği (HDDÖ)’nin geçerliliği-güvenirliliği ve klinikte kullanımı. Psikiyatri Psikoloji Psikofarmakoloji Dergisi. 1996;4:251-9.
  • Karaağaoğlu E, Demir B, Yolaç P, et al. Hamilton anksiyete değerlendirme öiçeği, değerlendiriciler arası güvenirlik ve geçerlik çalışması. Türk Psikiyatri Dergisi. 1998;9:114-7.
  • Jung H, von Sternberg K, Davis K. Expanding a measure of mental health literacy: development and validation of a multicomponent mental health literacy measure. Psychiatry Res. 2016;243:278-86.
  • Göktaş S, Işıklı B, Fatih Önsüz M, et al. Evaulation of Validity and Reliability of the Turkish Version of the Mental Health Literacy Scale (Mhl Scale). Konuralp Tıp Dergisi. 2019;11:424-31.
  • Palmer S, Vecchio M, Craig JC, al. et. Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies. Kidney Int. 2013;84:179-91.
  • Murtagh FEM, Addington-Hall J, Higginson IJ. The prevalence of symptoms in end-stage renal disease: a systematic review. Adv Chronic Kidney Dis. 2007;14:82-99.
  • Waraich P, Goldner EM, Somers JM, Hsu L. Prevalence and incidence studies of mood disorders: a systematic review of the literature. Can J Psychiatry. 2004;49:124-38.
  • Jofré R, Rodriguez-Benitez P, López-Gómez JM, Pérez-Garcia R. Inflammatory syndrome in patients on hemodialysis. J Am Soc Nephrol. 2006;17:S274-80.
  • Palmer SC, Hayen A, Macaskill P, et al. Serum levels of phosphorus, parathyroid hormone, and calcium and risks of death and cardiovascular disease in individuals with chronic kidney disease: a systematic review and meta-analysis. JAMA. 2011;305:1119-27.
  • Steven S, Frenis K, Oelze M, et al. Vascular inflammation and oxidative stress: major triggers for cardiovascular disease. Oxid Med Cell Longev. 2019;2019:7092151.
  • Li Y, Zhu B, Shen J, Miao L. Depression in maintenance hemodialysis patients: what do we need to know?. Heliyon. 2023;9:e19383.
  • Gazmararian J, Baker D, Parker R, Blazer DG. A multivariate analysis of factors associated with depression: evaluating the role of health literacy as a potential contributor. Arch Intern Med. 2000;160:3307-14.
  • Amone-P’Olak K, Kakinda AI, Kibedi H, Omech B. Barriers to treatment and care for depression among the youth in Uganda: the role of mental health literacy. Front Public Health. 2023;11:1054918.
  • Almanasef M. Mental health literacy and help-seeking behaviours among undergraduate pharmacy students in Abha, Saudi Arabia. Risk Manag Healthc Policy. 2021;14:1281-6.
  • Cyranka K, Klupa T, Pilecki M, et al. Diabetes distress and diabetes burnout explored in various areas of life in patients with type 1 diabetes: effect of short-term psychological intervention. Endocrine. 2024;85:676-84.
  • Chew BH, Vos RC, Metzendorf MI, et al. Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2017;9:CD011469.
  • Wang C, Havewala M, Cheong Y, Chen J. Cybervictimization, mental health literacy and depressive symptoms among college students: a cross-cultural investigation. Current Psychology. 2023;42:22745-57.
  • Roozbehani R, Fatemi AA, Zamani Z, et al. Impact of short message system education on blood sugar control and treatment adherence in patients with type 2 diabetes. Iranian Rehabilitation Journal. 2022;20:549-60.
  • Vazifehkhorani AK, Karimzadeh M, Poursadeghiyan M, Rahmati-Najarkolaei F. Psychoeducation on improving mental health literacy and adjustment to illness in patients with type 2 diabetes: an experimental study. Iranian Rehabilitation Journal. 2018;16:395-404.
  • Chen HC, Zhu L, Chan WCS, et al. The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: a randomized controlled trial. Int J Nurs Pract. 2023;29:e13123.
  • Zhang L, Zou L, Zhou L. Effectiveness of psychoeducational interventions on psychological distress and health-related quality of life among patients with maintenance hemodialysis: a systematic review and meta-analysis. Ren Fail. 2024;46:2331613.
  • Ng CZ, Tang SC, Chan M, et al. A systematic review and meta-analysis of randomized controlled trials of cognitive behavioral therapy for hemodialysis patients with depression. J Psychosom Res. 2019;126:109834.
There are 35 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Original Articles
Authors

Mustafa Karaağaç 0000-0001-5737-5880

Ömer Acat 0000-0002-8239-4896

Publication Date
Submission Date July 16, 2024
Acceptance Date August 28, 2024
Published in Issue Year 2024 Volume: 6 Issue: 3

Cite

AMA Karaağaç M, Acat Ö. Impact of Mental Health Literacy on Mental Health and Renal Function in Dialysis Patients: A Cross-Sectional Study. Med Records. 6(3):474-480. doi:10.37990/medr.1516058

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

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