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Enfermería Nefrológica

On-line version ISSN 2255-3517Print version ISSN 2254-2884


SALAS MUNOZ, Rosa María  and  FERNANDEZ JIMENEZ, Antonio José. Impact of psychotherapeutic treatment of psychosomatic indicators in hemodialysis patients. Enferm Nefrol [online]. 2019, vol.22, n.1, pp.59-66. ISSN 2255-3517.

Although psychosomatic relationships and the effects of psychological treatment in the development of diseases has been a topic of interest in recent decades, there are no studies with renal patients on hemodialysis.


To evaluate the psychological and physical repercussions of the application of psychotherapy in renal patients on hemodialysis.

Material and Method:

Quasi-experimental study. 39 people received psychological attention between 3 and 18 months. Beck depression and anxiety-trait questionnaires were applied before and after the treatment with psychotherapy, and during treatment the values of heart rate, blood pressure, dry weight and inter-session water gain were also recorded.


After psychological treatment depression levels decreased in all patients except those with mild depression, and in the case of anxiety, decreased only in patients with high anxiety. The only physiological variable that showed variations during the psychological treatment was the inter-dialysis water gain, which described a descending linear trend in 24 cases.


The impact of psychological treatment can be reflected in a change in levels of anxiety and depression as well as a decrease in inter-dialytic water gain.

Keywords : hemodialysis; anxiety; depression; water-electrolyte balance; psychotherapy.

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