Christina J. Pearce PhD, Natalie Hall MSc, Joanna L. Hudson PhD, Ken Farrington MD FRCP, Madeleine J. Ryan Tucker MSc, David Wellsted PhD, Julia Jones PhD, Shivani Sharma PhD, Sam Norton PhD, Paula Ormandy PhD, Nick Palmer BSc, Anthony Quinnell MB ChB, Lauren Fitzgerald MSc, Sophie Griffiths MSc, Joseph Chilcot PhD
{"title":"识别和管理慢性肾病患者抑郁症的方法：对 860 篇论文的范围界定综述。","authors":"Christina J. Pearce PhD, Natalie Hall MSc, Joanna L. Hudson PhD, Ken Farrington MD FRCP, Madeleine J. Ryan Tucker MSc, David Wellsted PhD, Julia Jones PhD, Shivani Sharma PhD, Sam Norton PhD, Paula Ormandy PhD, Nick Palmer BSc, Anthony Quinnell MB ChB, Lauren Fitzgerald MSc, Sophie Griffiths MSc, Joseph Chilcot PhD","doi":"10.1111/jorc.12458","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Depression is prevalent across the spectrum of Chronic Kidney Disease and associated with poorer outcomes. There is limited evidence regarding the most effective interventions and care pathways for depression in Chronic Kidney Disease.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To investigate how depression is identified and managed in adults with Chronic Kidney Disease.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Scoping review.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Systematic search of eight databases with pre-defined inclusion criteria. Data relevant to the identification and/or management of depression in adults with Chronic Kidney Disease were extracted.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Of 2147 articles identified, 860 were included. Depression was most identified using self-report screening tools (<i>n</i> = 716 studies, 85.3%), with versions of the Beck Depression Inventory (<i>n</i> = 283, 33.7%) being the most common. A total of 123 studies included data on the management of depression, with nonpharmacological interventions being more frequently studied (<i>n</i> = 55, 45%). Cognitive Behavioural Therapy (<i>n</i> = 15) was the most common nonpharmacological intervention, which was found to have a significant effect on depressive symptoms compared to controls (<i>n</i> = 10). However, how such approaches could be implemented as part of routine care was not clear. There was limited evidence for antidepressants use in people with Chronic Kidney Disease albeit in a limited number of studies.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Depression is commonly identified using validated screening tools albeit differences exist in reporting practices. Evidence regarding the management of depression is mixed and requires better-quality trials of both pharmacological and nonpharmacological approaches. Understanding which clinical care pathways are used and their evidence, may help facilitate the development of kidney care specific guidelines for the identification and management of depression.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"50 1","pages":"4-14"},"PeriodicalIF":1.5000,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12458","citationCount":"0","resultStr":"{\"title\":\"Approaches to the identification and management of depression in people living with chronic kidney disease: A scoping review of 860 papers\",\"authors\":\"Christina J. Pearce PhD, Natalie Hall MSc, Joanna L. Hudson PhD, Ken Farrington MD FRCP, Madeleine J. Ryan Tucker MSc, David Wellsted PhD, Julia Jones PhD, Shivani Sharma PhD, Sam Norton PhD, Paula Ormandy PhD, Nick Palmer BSc, Anthony Quinnell MB ChB, Lauren Fitzgerald MSc, Sophie Griffiths MSc, Joseph Chilcot PhD\",\"doi\":\"10.1111/jorc.12458\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Depression is prevalent across the spectrum of Chronic Kidney Disease and associated with poorer outcomes. There is limited evidence regarding the most effective interventions and care pathways for depression in Chronic Kidney Disease.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To investigate how depression is identified and managed in adults with Chronic Kidney Disease.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>Scoping review.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Systematic search of eight databases with pre-defined inclusion criteria. 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Approaches to the identification and management of depression in people living with chronic kidney disease: A scoping review of 860 papers
Background
Depression is prevalent across the spectrum of Chronic Kidney Disease and associated with poorer outcomes. There is limited evidence regarding the most effective interventions and care pathways for depression in Chronic Kidney Disease.
Objectives
To investigate how depression is identified and managed in adults with Chronic Kidney Disease.
Design
Scoping review.
Methods
Systematic search of eight databases with pre-defined inclusion criteria. Data relevant to the identification and/or management of depression in adults with Chronic Kidney Disease were extracted.
Results
Of 2147 articles identified, 860 were included. Depression was most identified using self-report screening tools (n = 716 studies, 85.3%), with versions of the Beck Depression Inventory (n = 283, 33.7%) being the most common. A total of 123 studies included data on the management of depression, with nonpharmacological interventions being more frequently studied (n = 55, 45%). Cognitive Behavioural Therapy (n = 15) was the most common nonpharmacological intervention, which was found to have a significant effect on depressive symptoms compared to controls (n = 10). However, how such approaches could be implemented as part of routine care was not clear. There was limited evidence for antidepressants use in people with Chronic Kidney Disease albeit in a limited number of studies.
Conclusions
Depression is commonly identified using validated screening tools albeit differences exist in reporting practices. Evidence regarding the management of depression is mixed and requires better-quality trials of both pharmacological and nonpharmacological approaches. Understanding which clinical care pathways are used and their evidence, may help facilitate the development of kidney care specific guidelines for the identification and management of depression.
期刊介绍：
The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA).
The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given.
The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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