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The prevalence of psychiatric illness among patients on home haemodialysis

  • C. J. Farmer (a1), S. A. Snowden (a1) and V. Parsons (a1)


An entire population of 32 patients on regular dialysis treatment (RDT) in their own homes were ranked according to their present mental state as assessed by a standardized semi-structured interview. The point-prevalence of psychiatric morbidity was 31 % which compares closely with that of patients attending a general practitioner's surgery who were assessed by the same method. The 10 patients who were psychiatrically ill had more organic symptoms and their spouses were less able to tolerate RDT in the home.


Corresponding author

1Address for correspondence: Dr C. J. Farmer, Castel Hospital, Guernsey, C. I.


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Abram, H. S. (1974). Psychiatric reflections on adaptation to repetitive dialysis. Kidney International 6, 6772.
Abram, H. S., Moore, G. L. & Westenett, F. B. Jr. (1971). Suicidal behaviour in chronic dialysis patients. American Journal of Psychiatry 127, 11991204.
Cadnapaphornchai, P., Kuruvila, K. C., Holmes, J. & Schrier, R. W. (1974). Analysis of 5 year experience of home dialysis as a treatment modality for patients with end-stage renal failure. American Journal of Medicine 57, 789799.
Calland, C. H. (1972). Iatrogenic problems in end stage renal failure. New England Journal of Medicine 287, 334336.
Cramond, W. A., Knight, P. R. & Lawrence, J. R. (1967). The psychiatric contribution to a renal unit undertaking chronic haemodialysis and renal homotransplantation. British Journal of Psychiatry 113, 12011236.
Farmer, C. J., Bewick, M., Parsons, V., Snowden, S. A. (1979). Survival on home haemodialysis: its relationship with physical symptomatology, psychosocial background and psychiatric morbidity. Psychological Medicine 9, 515523.
Finney, D. J. (1963). Tables for Testing Significance in a 2 × 2 Contingency Table. Cambridge University Press: London.
Goldberg, D. P. (1970). A psychiatric study of patients with diseases of the small intestine. Journal of the British Society of Gastroenterology - Gut 2, 459465.
Goldberg, D. P. & Blackwell, B. (1970). Psychiatric illness in general practice. A detailed study using a new method of case identification. British Medical Journal ii, 439443.
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970). A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine 24, 1823.
Hailstone, J. D. (1971). Psychiatric disturbance in chronic renal failure and its treatment by dialysis. Postgraduate Medical Journal 47, 549.
Illich, I. (1975). Medical Nemesis, p. 51. Calder and Boyars: London.
Kaplan, De-Nour A. & Czaczkes, J. W. (1976). The influence of patient's personality on adjustment to chronic dialysis. Journal of Nervous and Mental Disease 162, 323333.
Levy, N. B. (1973). Sexual adjustment to maintenance haemodialysis and renal transplantation, National Survey by Questionnaire. Preliminary Report. Transactions: American Society for Artificial Internal Organs 19, 138143.
Levy, N. B. (1974). Living or Dying: Adaptation to Haemodialysis. Charles C. Thomas: Springfield, Ill.
Levy, N. B. (1976). Clinical Aspects of Uraemia and Dialysis (ed. Massry, S. G. & Sellers, A. L.). Charles C. Thomas: Springfield, Ill.
Menzies, I. C. & Stewart, W. K. (1968). Psychiatric observations on patients receiving regular dialysis treatment. British Medical Journal i, 544.
Parsons, V. (1978). The ethical challenges of transplantation. Practitioner 220, 871877.
Shaldon, S. (1968). Independence in maintenance haemodialysis Lancet i, 520.
Shambaugh, P. W. & Kanter, S. S. (1969). Spouses under stress: group meetings with spouses of patients on haemo-dialysis. American Journal of Psychiatry 125, 928936.
Smith, E. K. M., Curtis, J. R., McDonald, S. J. & De Wardener, H. E. (1969). Haemodialysis in the home. Problems and frustrations. Lancet i, 614.
Wright, R. G., Sand, P. & Livingston, G. (1966). Psycho. logical stress during haemodialysis for chronic renal failure. Annals of Internal Medicine 64, 611621.


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