ANXIETY AND ALCOHOL CONSUMPTION IN PATIENTS UNDERGOING HEMODIALYSIS
Keywords:
Anxiety, Alcohol drinking, Chronic kidney disease , Hemodialysis, NursingAbstract
Introduction: Chronic kidney disease (CKD) is a growing public health problem, and a substantial proportion of patients require hemodialysis, a treatment associated with a high physical and emotional burden. Anxiety is one of the most frequent emotional disorders in this population, whereas alcohol consumption remains a relevant behavior in adults, although its study in patients with CKD undergoing hemodialysis is limited. Objective: To determine the relationship between anxiety symptoms and alcohol consumption in adult patients with CKD undergoing hemodialysis. Methods: A descriptive correlational cross-sectional study was conducted in a General Zone Hospital in Monterrey, Mexico. A total of 135 adult patients with CKD undergoing hemodialysis were selected through stratified random sampling by sex. A personal data and alcohol-consumption prevalence form, the Beck Anxiety Inventory, and the Alcohol Use Disorders Identification Test were used. Descriptive statistics, Pearson’s chi-square test, and Spearman’s correlation were applied. Results: Mean age was 52.6 years (SD = 13.04). Minimal and mild anxiety levels predominated (74.8%). Women showed a higher proportion of moderate and severe anxiety. Alcohol consumption prevalence was low; lifetime and past-year consumption were higher in men. Only 6.7% showed non-hazardous drinking and no dependent or harmful consumption was identified. No significant correlation was found between anxiety and alcohol consumption (rs = -.06, p > .05). Conclusions: Low anxiety levels and low alcohol consumption predominated in patients with CKD undergoing hemodialysis. No significant relationship was identified between both variables. Emotional-health assessment should be strengthened and future studies should explore additional psychosocial determinants.
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References
Ahumada-Cortez, J. G., Gámez-Medina, M. E., & Valdez-Montero, C. (2017). El consumo de alcohol
como problema de salud pública. Ra Ximhai, 13(2), 13-24.
http://www.redalyc.org/articulo.oa?id=46154510001
Alshelleh, S., Alhouri, A., Taifour, A., Abu-Hussein, B., Alwreikat, F., Abdelghani, M., Badran, M., Al-
Asa'd, Y., Alhawari, H., & Oweis, A. O. (2022). Prevalence of depression and anxiety with their
effect on quality of life in chronic kidney disease patients. Scientific Reports, 12(1), 17627.
https://doi.org/10.1038/s41598-022-21873-2
Amador Cannals, A. C., Aborashed Amador, N. F., Vargas Rodriguez, L. J., Ariza Rodríguez, D. J., & Sierra
Gil, L. B. (2020). Prevalencia y factores asociados a la ansiedad en pacientes con enfermedad renal
crónica en dos unidades de diálisis de Boyacá, Colombia. Revista Colombiana de Nefrología, 7(2),
-43. https://doi.org/10.22265/acnef.7.2.386
Anker, J. J., & Kushner, M. G. (2019). Co-occurrence of anxiety and alcohol use disorders: Implications
for treatment. Alcohol Research: Current Reviews, 40(1), 1-16.
Babor, T., Higgins, J., Saunders, J., & Monteiro, M. (2001). Cuestionario de identificación de los
trastornos debidos al consumo de alcohol (AUDIT). Organización Mundial de la Salud.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety:
Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897.
https://doi.org/10.1037/0022-006X.56.6.893
Cheungpasitporn, W., Thongprayoon, C., Kittanamongkolchai, W., Brabec, B. A., O'Corragain, O. A.,
Edmonds, P. J., & Erickson, S. B. (2014). High alcohol consumption and the risk of renal damage:
A systematic review and meta-analysis. QJM: An International Journal of Medicine, 108(7), 539-
https://doi.org/10.1093/qjmed/hcu247
Fan, Z., Yun, J., Yu, S., Yang, Q., & Song, L. (2019). Alcohol consumption can be a 'double-edged
sword' for chronic kidney disease patients. Medical Science Monitor, 25,7059-7072.
https://doi.org/10.12659/MSM.917941
Fernández, D. M., Bonini Campos, J. A., Ribeiro Gonçalves, D. A., & Maroco, J. (2021). Symptoms of
anxiety and alcohol abuse during the COVID-19 pandemic: A cross-sectional study with Brazilian
dental undergraduate students. Journal of Dental Education, 85(11), 1739-1748.
https://doi.org/10.1002/jdd.12642
Lee, Y., Kim, B. H., Lee, C. H., Kim, Y. S., & Kang, Y. U. (2021). Associations of alcohol consumption patterns with changes in kidney function in Korean adults: A 12-year follow-up study. Scientific
Reports, 11, 13202. https://doi.org/10.1038/s41598-021-92554-2
Moeinzadeh, F., Mansourian, M., Ahmadi, A., Nasri, H., & Rafieian-Kopaei, M. (2023). Alcohol
consumption and the prevalence and severity of chronic kidney disease: A cross-sectional study.
Journal of Renal Injury Prevention, 12(2), e18. https://doi.org/10.34172/jrip.2023.18
Mosleh, H., Alenezi, M., Al Johani, S., Alsani, A., Fairaq, G., & Bedaiwi, R. (2020). Prevalence and factors
of anxiety and depression in chronic kidney disease patients undergoing hemodialysis: A crosssectional
single-center study in Saudi Arabia. Cureus, 12(1), e6668.
https://doi.org/10.7759/cureus.6668
Páez, A. E., Jofre, M. J., Azpiroz, C. R., & De Bortoli, M. A. (2009). Ansiedad y depresión en pacientes con
insuficiencia renal crónica en tratamiento de diálisis. Universitas Psychologica, 8(1), 117-124.
Tafoya, S. A., Gómez, N. J., Ortega, M. E., & Ortiz, J. J. (2006). Inventario de ansiedad de Beck:
Validación en pacientes con infarto agudo al miocardio. Revista de Enfermería del Instituto
Mexicano del Seguro Social, 14(2), 89-94.
Yuan, Q., Xie, Y., Wang, M., Huang, F., Peng, C., Yu, Y., Qin, N., Wei, Y., Wang, L., & Zhao, F. (2021).
Alcohol consumption and the risk of incident chronic kidney disease: A meta-analysis. Frontiers
in Nutrition, 8, 706667. https://doi.org/10.3389/fnut.2021.706667
Zhao, J., Stockwell, T., Naimi, T., Churchill, S., Clay, J., Sherk, A., & Liang, W. (2023). Association
between daily alcohol intake and risk of all-cause mortality: A systematic review and metaanalyses.
JAMA Network Open, 6(3), e236185.
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