Efficacy of Psychological Interventions in Reducing the Prevalence and Intensity of Depression in Patients with Long-Term Hemodialysis

Document Type : Original Article


1 Assistant professor of Psychiatric &Mental Health Nursing, Faculty of Nursing/ Zagazig University/Egypt

2 Assistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing/Ain Shams University/Egypt. and Associate Professor of Psychiatric &Mental Health Nursing, Faculty of Nursing/Jerash University/Jordan.


Background: People with end‐stage renal disease treated with long- term hemodialysis is frequently affected by
major depression, which results in poor patients’outcomes; therefore, psychological interventions are crucial. Aim
of the study: This study aimed to investigate the efficacy of psychological interventions in reducing the prevalence
and intensity of depression in patients with long -term hemodialysis. Design: A one group quasi-experimental
design that measures change in depression pre and post psychological interventions. Setting: This study was
conducted at the hemodialysis unit (HD) in Dyarb Negm Central Hospital in Dyarb Negm City, in the Sharkia
Governorate. Subjects: A purposive sample of 100 adult patients with End Stage Renal Disease (ESRD) who are
on regular hemodialysis therapy in the study setting and have agreed to participate in the study. Tools: Patients’
baseline demographic and medical data structured interview questionnaire and Beck Depression Inventory. Results:
The current study findings revealed that all of the studied patients had depression, and the majority suffered from
severe depression pre- intervention phase, while the intensity of depression for the majority reduced to a mild level
post-intervention phase. Conclusion: There were statistically significant differences in depression and its’ intensity
pre-and post-psychological interventions. Recommendation: The study recommends that all ESRD patients on
regular hemodialysis undergo periodic psychological evaluations in order to detect any disturbances early. Further
research is proposed to examine the efficacy of such psychological interventions on the quality of life of patients on
regular hemodialysis.