Chronic kidney disease patients with depression at complications risk

Washington, May 20 (ANI): UT Southwestern Medical Center researchers have found that patients with chronic kidney disease who have been diagnosed with depression are twice as likely to be hospitalized, progress to long-term dialysis treatments or die within a year as those who are not depressed.

In the study, researchers monitored for one year 267 patients with chronic kidney disease – 56 of them with a diagnosis of a current major depressive episode, referred to here as depression, based on the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV).

Nearly 61 percent of patients with depression compared to 44 percent without depression either died, progressed to long-term dialysis, or were hospitalized within a year of observation; 55 percent of depressed patients were hospitalized compared to 40 percent of patients who were not depressed; 27 percent of depressed patients needed to start regular dialysis treatments compared to 11 percent without depression; and 9 percent of depressed individuals died compared to 6 percent without depression.

“Chronic kidney disease patients with depression have poorer health outcomes than those without depression, even after adjusting for other factors that determine poor outcomes in these patients, such as other medical diseases, anemia and low albumin levels,” said Dr. Susan Hedayati, assistant professor of internal medicine at UT Southwestern, staff nephrologist at the Dallas VA Medical Center and lead author of the study.

“Clinicians should consider screening chronic kidney disease patients for

depression, especially since depression is also associated with poor quality of life,” she added.

The study appears in the May 19 issue of the Journal of the American Medical Association. (ANI)

1 in 10 youth gamers ‘addicted to video games’

Washington, April 21 (ANI): Nearly one in 10 kids and teens who play video games show behavioral signs that may indicate addiction, a new study has found.

The findings are based on a Harris Poll survey of 1,178 American youths (ages 8-18).

Researchers at Iowa State University (ISU) and the National Institute on Media and the Family found that some gamers show at least six symptoms of gambling addiction such as lying to family and friends about how much they play games, using the games to escape their problems and becoming restless or irritable when they stop playing.

They may also skip homework to play videogames or spend too much time playing the games and do poorly in school.

“Although the general public uses the word ‘addiction,’ clinicians often report it as pathological use. This is the first study to tell us the national prevalence of pathological play among youth gamers, and it is almost 1 in 10,” said Gentile, who is also director of research for the Minneapolis-based National Institute on Media and the Family.

“What we mean by pathological use is that something someone is doing — in this case, playing video games — is damaging to their functioning. It’s not simply doing it a lot. It has to harm functioning in multiple ways,” Gentile said.

Gentile analyzed data collected in a January 2007 Harris Poll survey. He compared respondents’ video game play habits to the symptoms established in The Diagnostic and Statistical Manual of Mental Disorders for pathological gambling. Gamers were classified as “pathological” if they exhibited at least six of 11 symptoms.

The pathological gamers in the study played video games 24 hours per week, about twice as much as non-pathological gamers.

They also were more likely to have video game systems in their bedrooms, reported having more trouble paying attention in school, received poorer grades in school, had more health problems, were more likely to feel “addicted,” and even stole to support their habit.

The study also found that pathological gamers were twice as likely to have been diagnosed with attention problems such as Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder. (ANI)