Association Between Perceived Stress with Anxiety, Depression, and Resilience in Hemodialysis Patients During Coronavirus Disease 2019 Pandemic

Background: Research has revealed heightened levels of anxiety, depression, and stress in various groups during the coronavirus disease 2019 (COVID-19) pandemic. Nevertheless, the influence of the pandemic on the mental well-being of individuals undergoing dialysis has yet to be fully understood. The aim of this study was to investigate the association between perceived stress (PS) with anxiety, depression, and resilience in hemodialysis patients during COVID-19 pandemic. Methods: The study population consisted of consecutive 53 hemodialysis patients. The sociodemographic form, PS scale, hospital anxiety depression scale (HADS), and resilience scale were applied to all participants. Results: The mean age of the study population was 64.7 +/- 12.8 years. Twenty-eight (52.8%) of patients were male. The PS score was significantly correlated with HADS-Anxiety (A) score, HADS-Depression (D) score, and total resilience score. Patients with a PS score >= 25 were accepted as the high PS score group. Thirty-four patients (64.2%) had a high PS score. The number of illiterate patients and patients living with a nuclear family were more common in patients with a high PS score. HADS-A score and HADS-D score were significantly higher in patients with a high PS score. Multivariate logistic regression analysis demonstrated that among the total resilience score, HADS-A score, HADS-D score, age, education status, and family status, only HADS-A score was an independent predictor of a high PS score. Conclusion: The PS score was significantly correlated with HADS-A score, HADS-D score, and total resilience score. The HADS-A score was an independent predictor of a high PS score. Clinicians should pay more attention to the evaluation of psychiatric symptoms in hemodialysis patients due to devastating consequences of the COVID-19 pandemic.