Modalidade de terapia renal substitutiva como preditora de sintomas depressivos

Objectives Compare occurrence of depressive symptoms scores between two homogeneous groups of patients, one under hemodialysis (HD) and another under peritoneal dialysis (PD) to verify the possible predictor role of the method. Influence of social demographics and clinics variables was verified too. Methods Sixty patient in TRS were enrolled, divided in two group homogeneous, 30 patients in HD and 30 in DP. Beck Depressive Inventory (BDI) was applied to study the presence and the intensity of depressive symptoms in two groups. Results The groups had similar social demographic and clinics characteristics, except for the schooling. The BDI’s average score was higher in the group of HD than in the PD: 12.53 versus 11.13 (p = 0.352). The occurrence of depressive symptoms in HD group occurred in 36.7% of the patients. In the PD group 23.3% of the patients presented (OR 1.90 [0,61 – 5.86]). In patients with basic education, 52.9% presented depressive symptoms. Only 20% of the patients with higher education presented depressive symptoms (p = 0.051). Conclusion There was a tendency to occur depressive symptoms in patients under HD when compared to patients under PD. The risk was almost two times in group HD. Low education was associated to the occurrence of depressive symptoms. The difference between the BDI’s scores wasn’t significant.