Haverkamp Gertrud L G, Loosman Wim L, van den Beukel Tessa O, Hoekstra Tiny, Dekker Friedo W, Chandie Shaw Prataap K, Smets Yves F C, Vleming Louis-Jean, Ter Wee Pieter M, Honig Adriaan, Siegert Carl E H
Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands; Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands.
Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands; Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands.
Gen Hosp Psychiatry. 2016 Jan-Feb;38:26-30. doi: 10.1016/j.genhosppsych.2015.09.002. Epub 2015 Sep 16.
Among immigrant chronic dialysis patients, depressive and anxiety symptoms are common. We aimed to examine the association of acculturation, i.e. the adaptation of immigrants to a new cultural context, and depressive and anxiety symptoms in immigrant chronic dialysis patients.
The DIVERS study is a prospective cohort study in five urban dialysis centers in the Netherlands. The association of five aspects of acculturation ("Skills", "Social integration", "Traditions", "Values and norms" and "Loss") and the presence of depressive and anxiety symptoms was determined using linear regression analyses, both univariate and multivariate.
A total of 249 immigrant chronic dialysis patients were included in the study. The overall prevalence of depressive and anxiety symptoms was 51% and 47%, respectively. "Skills" and "Loss" were significantly associated with the presence of depressive and anxiety symptoms, respectively ("Skills" β=0.34, CI: 0.11-0.58, and "Loss" β=0.19, CI: 0.01-0.37; "Skills" β=0.49, CI: 0.25-0.73, and "Loss" β=0.33, CI: 0.13-0.53). The associations were comparable after adjustment. No significant associations were found between the other subscales and depressive and anxiety symptoms.
This study demonstrates that less skills for living in the Dutch society and more feelings of loss are associated with the presence of both depressive and anxiety symptoms in immigrant chronic dialysis patients.
在移民慢性透析患者中，抑郁和焦虑症状很常见。我们旨在研究文化适应（即移民对新文化环境的适应）与移民慢性透析患者抑郁和焦虑症状之间的关联。
DIVERS研究是一项在荷兰五个城市透析中心进行的前瞻性队列研究。使用单变量和多变量线性回归分析确定文化适应的五个方面（“技能”、“社会融合”、“传统”、“价值观和规范”以及“失落感”）与抑郁和焦虑症状的存在之间的关联。
共有249名移民慢性透析患者纳入研究。抑郁和焦虑症状的总体患病率分别为51%和47%。“技能”和“失落感”分别与抑郁和焦虑症状的存在显著相关（“技能”β=0.34，置信区间：0.11 - 0.58，“失落感”β=0.19，置信区间：0.01 - 0.37；“技能”β=0.49，置信区间：0.25 - 0.73，“失落感”β=0.33，置信区间：0.13 - 0.53）。调整后，这些关联具有可比性。在其他子量表与抑郁和焦虑症状之间未发现显著关联。
本研究表明，在荷兰社会生活的技能较少以及更多的失落感与移民慢性透析患者抑郁和焦虑症状的存在相关。
