- 作者：Gertrud L.G. Haverkamp ; M.D.a ; b ; G.haverkamp@slaz.nl" class="auth_mail" title="E-mail the corresponding author ; Wim L. Loosman ; M.D.a ; b ; Tessa O. van den Beukel ; M.D. ; Ph.D.c ; Tiny Hoekstra ; Ph.D.d ; Friedo W. Dekker ; Ph.D.d ; Prataap K. Chandie Shaw ; M.D. ; Ph.D.e ; Yves F.C. Smets ; M.D. ; Ph.D.f ; Louis-Jean Vleming ; M.D. ; Ph.D.g ; Pieter M. Ter Wee ; M.D. ; Ph.D.h ; Adriaan Honig ; M.D. ; Ph.D.b ; Carl E.H. Siegert ; M.D. ; Ph.D.a
- 关键词：Acculturation ; Anxiety symptoms ; Depressive symptoms ; Immigrant chronic dialysis patients
- 刊名：General Hospital Psychiatry
- 出版年：2016
- 出版时间：January-February 2016
- 年：2016
- 卷：38
- 期：Complete
- 页码：26-30
- 全文大小：236 K
Methods
The DIVERS study is a prospective cohort study in five urban dialysis centers in the Netherlands. The association of five aspects of acculturation (“Skills”, “Social integration”, “Traditions”, “Values and norms” and “Loss”) and the presence of depressive and anxiety symptoms was determined using linear regression analyses, both univariate and multivariate.
Results
A total of 249 immigrant chronic dialysis patients were included in the study. The overall prevalence of depressive and anxiety symptoms was 51% and 47%, respectively. “Skills” and “Loss” were significantly associated with the presence of depressive and anxiety symptoms, respectively (“Skills” β=0.34, CI: 0.11–0.58, and “Loss” β=0.19, CI: 0.01–0.37; “Skills” β=0.49, CI: 0.25–0.73, and “Loss” β=0.33, CI: 0.13–0.53). The associations were comparable after adjustment. No significant associations were found between the other subscales and depressive and anxiety symptoms.
Conclusion
This study demonstrates that less skills for living in the Dutch society and more feelings of loss are associated with the presence of both depressive and anxiety symptoms in immigrant chronic dialysis patients.