Original articles Independent associations of alexithymia and social support with depression in hemodialysis patients B
2007
Objective: The influences of
alexithymiaand
social supporton depression among chronically ill patients were examined prospectively. Methods: The study population was 230 outpatients receiving chronic hemodialysis (HD) therapy. The Beck Depression InventoryII (BDI-II), the 20-item
Toronto Alexithymia Scale(TAS-20), and two subscales of the
Social SupportQuestionnaire were given to the subjects. The BDI-II was readministered after a 6-month interval, and subjects who showed deterioration in their depression score above the level predicted from their baseline score were identified. Multivariate logistic analysis adjusted for age, gender, cause of dialysis, and psychosocial variables were performed. Results: Baseline depression was significantly and independently associated with
alexithymiaand low satisfaction with available support. Deterioration of depression after 6 months was predicted by
alexithymiaand poor available support. Conclusions:
Alexithymiaand reduced
social supportmight have independent associations with the presence and the prognosis of depression among HD patients.
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