Research Article

Vitamin D and Psychological Status in Dialysis Patient

Volume: 7 Number: 3 December 31, 2021
EN

Vitamin D and Psychological Status in Dialysis Patient

Abstract

Objective: The study was conducted to determine the association between vitamin D level and psychological status in dialyzed patients.
Methods: The population consisted of dialysis patients in a university hospital dialysis center in Eastern Turkey between March and May 2017. The study's sample involved in 90 dialysis patients (59 hemodialysis, 31 continuous ambulatory peritoneal dialysis). 25(OH) D levels measured in a university hospital. Psychological status was evaluated by Brief Symptom Invantory. Minimum-maximum values, percentage, mean and standard deviation, average, frequency, Kruskal–Walli’s test and Pearson's Correlation Analysis were used to evaluate the data.
Results: Mean age was 53.74±14.83 years, 61.6% of patients were female, 38.4% of patients were male. Mean Vitamin D was 23.51±29.50 ng/mL. The vitamin D levels of 72.2% of the patients were below 30ng/mL. There was statistically significant negative correlation between vitamin D and somatization, obsessive compulsive disorder, interpersonal sensivity, depression, anxiety, hostility, phobia, paranoid thought, psychotization, other and total scores. Patients who low vitamin D level has had high scores of psychological statuses.
Conclusion: Vitamin D level has effect on psychological status in participants. Vitamin D is essential for psychological wellness in dialysis patients. While clinicians will assess, and therapy of these patient’s psychological status should take into account patients’s vitamin D status

Keywords

Medical science , Psychosocial care , Dialysis patient , Psychological status

References

  1. 1. Turkey Ministry of Health. Turkey Kidney Diseases Prevention and Control Program, 2018-2023. (cited 2021 Julay 12). Available from: https://hsgm.saglik.gov.tr/depo/birimler/kronik-hastaliklar-engelli-db/hastaliklar/bobrek_hastaliklari/kitap_ve_makaleler/Turkiye_Bobrek_Hastaliklari_Onleme_ve_Kontrol_Programi_2018-2023.pdf.
  2. 2. Ersoy FF. Renal Osteodistrofi. Turkiye Klinikleri J Orthop & Traumatol-Special Topics 2010; 3(2): 60-67.
  3. 3. Feroze U, Martin D, Reina-Patton A, Kalantar-Zadeh K, Kopple JD. Mental Health, Depression, and Anxiety in Patients on Maintenance Dialysis. Iranian J Kidney Disease.2010; 4(3): 173.
  4. 4. King‐Wing Ma T, Kam‐Tao Li P. Depression in Dialysis Patients. Nephrology 2016; 21(8): 639-646.
  5. 5. Zhang J, Zhang P, Ni X, Bao B, Huang C, Wu Y, et al. Vitamin D Status in Chronic Dialysis Patients with Depression: A Prospective Study. BMC Psychiatry 2014; 14(1): 125.
  6. 6. Oztas P, Seker N, Taskintuna N. Group Therapy in Patients with Chronic Renal Disease. Arch Neuropsychiatry 2012; 49(1):63-68. 7. Uhlig K, Berns JS, Kestenbaum B, Kumar R, Leonard MB, Martin KJ, et al. KDOQI US Commentary on the 2009 KDIGO Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of CKD–Mineral and Bone Disorder (CKD-MBD). American J Kidney Disease 2010;55(5): 773-799.
  7. 8. Ganji V, Cristiana M, Mildred MC, McCarty F,Wang YT. Serum Vitamin D Concentrations are Related to Depression in Young Adult us Population: The Third National Health and Nutrition Examination Survey. Intern Arch Med 2010;3: 29.
  8. 9. Wilkins CH, Sheline YI, Roe CM, Birge SJ, Morris JC. Vitamin D Deficiency is Associated with Low Mood and Worse Cognitive Performance in Older Adults. American J Geriatric Psychiatry 2006;14:1032–40.
  9. 10. Przybelski RJ, Binkley NC. Is Vitamin D Important for Preserving Cognition? A Positive Correlation of Serum 25-Hydroxyvitamin D Concentration with Cognitive Function. Arch Biochem Biophy 2007;460(2): 202-205.
  10. 11. Armstrong DJ, Meenagh GK, Bickle I, Lee AS, Curran ES, Finch MB. Vitamin D Deficiency is Associated with Anxiety and Depression in Fibromyalgia. Clin Rheumatol 2007;26: 551–4.
Vancouver
1.Kübra Gökalp, Mevra Aydın Çil, Ayşegül Yayla. Vitamin D and Psychological Status in Dialysis Patient. Mid Blac Sea J Health Sci. 2021 Dec. 1;7(3):328-33. doi:10.19127/mbsjohs.969964