Clinical Nephrology, Volume 105 (2026) - April (263 - 270)

Anxiety and its relationship with demographic and dialysis-related factors in patients undergoing peritoneal dialysis: A cross-sectional study

Sheida Kashi1, Shiva Seirafian2, 3, Fatemeh Rajabi4, Abdolamir Atapour2, 5, Seyedmohsen Hosseini1, Hadi Khanifar6, Mojgan Mortazavi2, 3
1 Isfahan University of Medical Sciences, 2 Isfahan Kidney Diseases Research Center, 3 Al-Zahra Hospital, 4 Department of Psychiatry, 5 Khorshid Hospital, Isfahan University of Medical Sciences, Isfahan, and 6 Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

   

 

DOI 10.5414/CN111794

Abstract

Background: Mood disorders are common among patients with end-stage renal disease (ESRD) undergoing dialysis, with anxiety and depressive disorders being the most prevalent. The association of anxiety symptoms with sociodemographic and dialysis-related factors is less well understood in dialysis patients. The level of anxiety experienced during individual peritoneal dialysis (PD) remains unclear. This study examined the frequency and severity of anxiety and the association of anxiety symptoms with selected demographic and dialysis-related variables in patients receiving peritoneal dialysis in Isfahan, Iran.
Materials and methods: A cross-sectional study was conducted on 85 PD patients referred to Al-Zahra and Khorshid centers between October 2022 and April 2023, who had been undergoing PD for at least 3 months. Patients completed the Beck Anxiety Inventory questionnaire, which assessed the presence and severity of anxiety symptoms.
Results: The overall mean anxiety score was 10.65 ± 10.04. Minimal anxiety was reported by 50.6% of participants, 25.9% experienced mild anxiety, 14.1% had moderate anxiety, and 9.4% reported severe anxiety. No significant associations were found between anxiety and demographic or PD-related factors (p > 0.05).
Conclusion: According to this study, 50.6% of our participants reported minimal anxiety, and 49.4% had mild to severe anxiety. Early diagnosis and management of mood disorders in ESRD patients are crucial to improve their quality of life and prevent adverse outcomes. These findings underscore the need to plan and implement screening programs for mood disorders among high-risk chronic kidney disease patients to ensure timely and appropriate management.

Author Details

Authors

Departments

  • 1 Isfahan University of Medical Sciences,
  • 2 Isfahan Kidney Diseases Research Center,
  • 3 Al-Zahra Hospital,
  • 4 Department of Psychiatry,
  • 5 Khorshid Hospital, Isfahan University of Medical Sciences, Isfahan, and
  • 6 Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

Address

Hadi Khanifar, MD
Department of Internal Medicine
Shahrekord University of Medical Sciences
Shahrekord, Iran
Email: [email protected]

Citation

Sheida Kashi, Shiva Seirafian, Fatemeh Rajabi, Abdolamir Atapour, Seyedmohsen Hosseini, Hadi Khanifar, Mojgan Mortazavi.Anxiety and its relationship with demographic and dialysis-related factors in patients undergoing peritoneal dialysis: A cross-sectional study
. Clin Nephrol. 2026; 105: 263-270. doi: 10.5414/CN111794. Pubmed: https://pubmed.ncbi.nlm.nih.gov/41467629/; PMID: 41467629.

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