Author(s)

A. K. M. Shahidur Rahman^1*, Mohammad Shamsul Ahsan², Mohammad Kamrul Ahsan³, A. B. M. Mobasher Alam⁴, Tanvir Rahman⁵, Shahida Mullah⁶, Md. Mustafizur Rahman⁷, Salahuddin Feroz⁸, Amir Mohammad Kaiser⁹, Md. Shariful Haque¹⁰

¹Department of Nephrology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
²Department of Nephrology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
³Holy Family Red Crescent Medical College Hospital (HFRCMCH), Dhaka, Bangladesh.
⁴Department of Nephrology, Rangpur Medical College Hospital (RMCH), Rangpur, Bangladesh.
⁵Department of Nephrology, United Hospital Limited, Dhaka, Bangladesh.
⁶Department of Medicine, Sarkari Karmachari Hospital, Dhaka, Bangladesh.
⁷Department of Nephrology, Sheikh Hasina Medical College, Tangail, Bangladesh.
⁸Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh.
⁹Department of Nephrology & Dialysis, Gonoshaystha Somazvittik Medical College and Gonoshaystha Nagar Hospital, Dhaka, Bangladesh.
¹⁰Department of Nephrology, Shaheed M. Monsur Ali Medical College, Sirajgonj, Bangladesh.

Background: Depression is a common and serious medical illness around the world. It occurs more frequently in patients with chronic illness than in the general population. It is a common psychiatric problem in patients with chronic kidney disease (CKD). Objective: To assess the level of depression in pre-dialytic CKD patients attending at a tertiary care hospital in Bangladesh. Methodology: This cross sectional study was conducted at Department of Nephrology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2020 to June 2020. A total of 100 pre-dialytic CKD patients were selected by convenience sampling technique and their level of depression was assessed by Zung Self-Rating Depression Scale (ZSDS). Data were collected by existing questionnaire with face to face interview and analyzed by statistical test. Results: The mean age of the participants was 49.70 ± 11.80 years. Among them 64% were male, 95% were muslim, 98% were married, 65% were completed secondary/above higher secondary level education, 65% were unemployed and 55% were lived in urban area. It was observed that 65% participants were economically dependent to their family, only 6% were engaged in regular exercise, 14% had family history of depression, 8% were smoker and 12% were alcohol/drug abuser. According to the Zung Self-Rating Depression Scale (ZSDS) we found 29% participants were mildly depressed, 39% participants were moderately depressed and 18% participants were severely depressed. Prevalence of depression was 86% in pre-dialytic CKD patients. Of them, 7% was in CKD stage-I, 17.4% was in CKD stage-II, 19.8% was in CKD stage-III, 22.1% was in CKD stage-IV and 33.7% was in CKD stage-V. Conclusion: Depression is highly prevalent in pre-dialytic CKD patients and more frequent in the advanced stages of CKD.

Chronic Kidney Disease (CKD), Depression, Zung Self-Rating Depression Scale (ZSDS)

Rahman, A. , Ahsan, M. , Ahsan, M. , Alam, A. , Rahman, T. , Mullah, S. , Rahman, M. , Feroz, S. , Kaiser, A. and Haque, M. (2020) Prevalence of Depression in Pre-Dialytic Chronic Kidney Disease Patients Attending at a Tertiary Care Hospital in Bangladesh. Journal of Biosciences and Medicines, 8, 135-148. doi: 10.4236/jbm.2020.812013.