Frequency of depressive symptoms in Syrian refugees and Turkish maintenance hemodialysis patients during COVID-19 pandemic.

Sevinc, Mustafa, Hasbal, Nuri Baris, Sakaci, Tamer, Basturk, Taner, Ahbap, Elbis, Ortaboz, Mustafa, Erkan Mazi, Emrah, Pirdogan, Efruz, Ling, Jonathan and Unsal, Abdulkadir (2020) Frequency of depressive symptoms in Syrian refugees and Turkish maintenance hemodialysis patients during COVID-19 pandemic. Plos One. ISSN 1932-6203

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Abstract

Introduction
Pneumonia of unknown cause was detected on 30 December 2019 in China. It was categorized as an outbreak and named as COVID-19 by the World Health Organization. The pandemic affects all people, but patient groups such as hemodialysis (HD) patients have been particularly affected. We do not know if refugees suffered more during the outbreak. In this study, we compared depressive symptom frequency between Syrian refugee HD patients and Turkish ones.

Methods
The study had a single-center, cross-sectional design. Demographic and clinical data were collected retrospectively from patients’ files containing details about past medical history, demographic variables and laboratory values. Validated Turkish and Arabic forms of Beck Depression Inventory (BDI) were used to assess depressive symptoms. BDI scores were compared according to nationality, demographic features and clinical data. A BDI score more than 14 was accepted as suspicion of depression.

Results
119 patients were enrolled in the study. After the exclusion of 22 patients, 75 Turkish and 22 Syrian patients were included for further analysis. The median BDI (interquartile range) score for Turkish and Syrian patients were 12 (7–23) and 19.5 (12.7–25.2), respectively (p = 0.03). Suspicion of depression was present at 42.7% of Turkish, and 72.7% of Syrian HD patients (p = 0.013). Regarding all patients, phosphorus level, Kt/V, and nationality were significantly different between patients with and without suspicion of depression (p = 0.023, 0.039, 0.013, respectively).

Conclusion
Syrian patients had higher BDI scores and more depressive symptoms than Turkish patients. Additional national measures for better integration and more mental support to Syrian HD patients are needed.

Item Type: Article
Subjects: Sciences > Health Sciences
Divisions: Faculty of Health Sciences and Wellbeing
Depositing User: Jonathan Ling
Date Deposited: 14 Dec 2020 14:31
Last Modified: 11 Jan 2021 17:15
URI: http://sure.sunderland.ac.uk/id/eprint/12875
ORCID for Mustafa Sevinc: ORCID iD orcid.org/0000-0003-2804-4884
ORCID for Jonathan Ling: ORCID iD orcid.org/0000-0003-2932-4474

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