The Franklin D. Roosevelt Research Award-2015 in Psychiatry goes to Vikhram Ramasubramanian, R. Ponnudurai, P. Soundararajan, K. Balakrishnan and B. Srinivasan from India. This is an excellent global opportunity to recognize the meritorious efforts by individual and organization. The research findings were published on world’s prestigious Journal of Psychiatry. Prevalent mental health problem in end-stage renal disease patients treated with haemodialysis. Our aim is to assess the demographic and psychological factors associated with depression among Haemodialysis patients and elucidated the relationships between depression, anxiety and Life events scale in Psychiatric illness and Diagnosis. This study enrolled 130 end-stage renal disease patients aged >18 years on haemodialysis. Depression and anxiety were assessed with the HAM-D (Hamilton rating scale for Depression) and HAM-A (Hamilton rating scale for anxiety) were used to analyze the models. A total of 46 patients were administered HAM-Din which majority of the patients (n=22, 47.82%) had scored for severe depressive features. HAM-A was administered to 16 patients. One patient from each diagnosis had moderate anxiety and one patient had a severe depressive disorder. Among Hemodialysis patients, depression was associated with a low BMI and an increased number of co morbid physical illnesses. A prospective study would prove helpful in determining whether early detection and early intervention of co morbid depression and anxiety among haemodialysis patients would reduce the illness effects. Depression as a co morbid illness in patients with ESRD has been more extensively studied. Depression appears to be the most frequent psychological complication of haemodialysis patients. Less attention has been paid to anxiety, and hence, the information in the medical literature is sparser with regard to information on practical anxiety screening tools, the potential effects of race/ethnicity on anxiety, and the preferred methods of treatment of anxiety in patients with ESRD. The psychiatric burden experienced by patients with ESRD may have profound effects on their quality of life and response to treatment. Such patients often develop depressive or anxiety disorders in response to these stresses, and of course, they may develop ESRD with underlying psychiatric illnesses that may not be directly related to kidney disease or kidney failure. The management plan for medical treatment as well as for possible psychotherapy of patients with ESRD should take these issues into consideration. In the meanwhile, individualized psychotherapeutic interventions for patients who report depressive symptoms and anxiety disorders and the development of psychiatric services in primary and secondary health care in patients undergoing regular haemodialysis would help those patients. Prevalence of Depression and Anxiety in patients with chronic renal failure undergoing haemodialysis. To assess the demographic and psychological factors associated with depression among Haemodialysis patients and elucidated the relationships between depression, anxiety and Life events scale in Psychiatric illness and Diagnosis. Some conceptual and methodological issues were associated with this study. The study was conducted in a hospital setting and hence cannot be generalised to community. The study was conducted over a period of 12 months, the sample size being too small for generalisation. Further studies with a longer study period with psychiatric intervention and higher sample size may be helpful to assess quality of life outcome in patients with depression and anxiety who are undergoing haemodialysis.
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