Identifying depression in South Asian patients with end-stage renal disease: Considerations for practice

Shivani Sharma, Kamaldeep Bhui, Joseph Chilcot, D. Wellsted, Ken Farrington

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Abstract

Depression is a prevalent burden for patients with end-stage renal disease (ESRD) and one that is under-recognized and consequently under-treated. Although several studies have explored the association between depression symptoms, treatment adherence and outcomes in Euro-American patient groups, quantitative and qualitative exploration of these issues in patients from different cultural and ethnic backgrounds has been lacking. This review discusses the methodological issues associated with measuring depression in patients of South Asian origin who have a 3- to 5-fold greater risk of developing ESRD. There is a need to advance research into the development of accurate screening practices for this patient group, with an emphasis on studies utilizing rigorous approaches to evaluating the use of both emic (culture-specific) and etic (universal or culture-general) screening instruments.
Original languageEnglish
Pages (from-to)262–271
Number of pages9
JournalNephron Extra
Volume1
Issue number1
DOIs
Publication statusPublished - Dec 2011

Keywords

  • depression
  • end-stage renal disease
  • South Asian
  • measurement
  • screening

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