The Intersection of Chronic Kidney Disease and Depression

Nephrol Nurs J. 2024 Mar-Apr;51(2):165-172.

Abstract

Chronic kidney disease (CKD) and depression often coexist, resulting in a complex interaction that can be detrimental to patient outcomes. This article examines the reciprocal association between CKD and depression, with a focus on the increased incidence of depression and the harmful effects of depressive symptoms among patients with CKD. Next, it investigates the role CKD plays as a risk factor for the onset and worsening of depression because symptoms of depression may interfere with the progression of CKD. In addition, it highlights the difficulties in making a suitable diagnosis between CKD progression and depression regarding overlapping symptoms. Finally, it emphasizes the impact of depression on CKD outcomes, and proposes routine screening and non-pharmacological and pharmaceutical therapies to ease this dual burden. It is critical to identify and treat depression in the context of CKD to maximize patient outcomes and promote a comprehensive treatment approach.

Keywords: chronic kidney disease; depression; quality of life.

MeSH terms

  • Depression*
  • Humans
  • Kidney Failure, Chronic / complications
  • Renal Insufficiency, Chronic / complications
  • Risk Factors