ムラヤマ ノリオ    Murayama Norio
   村山 憲男
   所属
人間社会学部 心理学科
 
生活機構研究科 心理学専攻
 
生活心理研究所 所属教員
 
生活機構研究科 生活機構学専攻
   職種
准教授
言語種別 英語
発行・発表の年月 2022/08
形態種別 学術雑誌
査読 査読あり
標題 Relationship between psychiatric symptoms and activities of daily living in patients undergoing hemodialysis
執筆形態 共著
掲載誌名 Renal Replacement Therapy
掲載区分国外
巻・号・頁 8(36)
著者・共著者 Yusuke Matsunaga, Hiroki Takahashi, Yuta Suzuki, Shohei Yamamoto, Keigo Imamura, Shun Yoshikoshi, Juri Uchida, Takuya Nakajima, Narumi Fukuzaki, Manae Harada, Ryota Matsuzawa, Atsushi Yoshida, Kanako Ichikura, Yuko Fukase, Norio Murayama, Hanako Murase, Hirokuni Tagaya, Atsuhiko Matsunaga
概要 Accurately identifying the factors contributing to decline in activities of daily living (ADL) is important for preventing such decline in patients undergoing hemodialysis (HD). We studied the prevalence and number of overlapping psychiatric symptoms (depressive symptoms, apathy, and sleep disturbance) in patients undergoing HD and examined the relationship between psychiatric symptoms and ADL. The study utilized a cross-sectional research design. The sample included 203 outpatients (median age: 69 years) undergoing stable HD treatment three times a week. Patient characteristics, including age, sex, body composition, dialysis vintage, primary kidney disease, comorbidity, and nutritional status, were collected from patients' medical records. Functional status was assessed based on the self-reported questionnaire that combined five basic and eight instrumental ADL items. Usual walking speed was used as an index of physical function. Additionally, the short version of the Center for Epidemiologic Studies Depression Scale was used to assess depressive symptoms. Further, apathy and sleep disturbance were assessed using the Motivation Score and the Athens Insomnia Scale, respectively. The present study clarified that the overlapping symptoms, including depressive symptoms, apathy, and sleep disturbance, were independently associated with ADL decline in patients undergoing HD. It is useful to examine not only depressive symptoms but also other symptoms such as apathy and sleep disturbance to elucidate factors associated with deteriorated ADL in chronic patients. Our findings provide a strong basis for targeted interventions to prevent functional dependence in the HD population.