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Article Published In Vol.2 (Sept-Oct-2014)

A Study of substance abuse among chronic kidney disease patients having psychiatric illness undergoing haemodialysis

Author : Vikhram Ramasubramanian, R.Ponnudurai, P.Soundararajan, K.Balakrishnan and B.Srinivasan

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Objective: The objective of the present study was to explore the study of substance abuse among chronic kidney disease patients having psychiatric illness undergoing haemodialysis.
Method: This study enrolled 130 chronic renal disease patients undergoing haemodialysis with Psychiatric morbidity. Psychological characteristics were assessed with the Mini-International Neuropsychiatric Interview, Life Events Scale and Karl Fagerstrom Nicotine Tolerance Questionnaire were used to analyze the models.
Results: The male patients diagnosed with psychiatric illness, most (n=28, 21.53%) had a co morbid alcohol abuse in the past and seven male patients (5.38%) did not exhibit co morbid alcohol abuse. On comparing patients with and without psychiatric illness and their alcohol history, there is a significant association (p< .001) between alcohol abuse and psychiatric illness. The mean duration of renal dysfunction [4.36+ 5.28] was compared with mean duration of alcohol abuse [19.76 + 10.53] and it was observed that the difference in mean age is difference is statistically highly significant (p = <0.001).27.69% patients (n=36) had no co morbid tobacco abuse. Three patients (2.3%) reported to be abusing tobacco currently. The mean duration of smoking 21.76 + 10.53 was compared with mean duration of Renal dysfunction [4.36+ 5.28] and it was observed that the difference in mean duration is statistically significant (p = <0.001).On comparing patients with and without psychiatric illness and other substance abuse and their duration, no significant association was found.
Conclusion: The prevalence of substance abuse observed in our sample appears to be an important finding which might contribute to evaluate the role in the path physiology of CKD.

Keywords: Dialysis, chronic renal failure, psychological factors

 

 

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