The identification and management of depression in UK Kidney Care: Results from the Mood Maps Study

Joseph Chilcot; Christina J Pearce; Natalie Hall; Amanda D. Busby; Janine Hawkins; Balvinder Vraitch; Mandy Rathjen; Alexander Hamilton; Amanda Bevin; Lucy Mackintosh; Joanna L. Hudson; David Wellsted; Julia Jones; Shivani Sharma; Sam Norton; Paula Ormandy; Nick Palmer; Ken Farrington

doi:10.1111/jorc.12489

The identification and management of depression in UK Kidney Care: Results from the Mood Maps Study

Joseph Chilcot, Christina J Pearce, Natalie Hall, Amanda D. Busby, Janine Hawkins, Balvinder Vraitch, Mandy Rathjen, Alexander Hamilton, Amanda Bevin, Lucy Mackintosh, Joanna L. Hudson, David Wellsted, Julia Jones, Shivani Sharma, Sam Norton, Paula Ormandy, Nick Palmer, Ken Farrington

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: Depression is common in people with chronic kidney disease, yet little is known about how depression is identified and managed as part of routine kidney care.

OBJECTIVES: The primary objective was to survey all UK adult kidney centres to understand how depression is identified and managed. A secondary objective was to broadly describe the variability in psychosocial care.

DESIGN: Online survey.

METHODS: The survey comprised of three sections: (1) general kidney care, (2) psychological provision and (3) social work provision.

RESULTS: 48/68 (71%) of centres responded to the general survey with 20 and 13 responses from psychological and social work module respectively. Only 31.4% reported having both in centre psychological and social work practitioners. Three centres reported no access to psychosocial provision. Of the 25 centres who reported on pathways, 36.0% reported having internal pathways for the identification and management of depression. Within services with psychological provision, screening for depression varied across modality/group (e.g., 7.1% in mild/moderate chronic kidney disease vs. 62.5% in kidney donors). Cognitive Behavioural Therapy and Acceptance and Commitment Therapy were the most common interventions offered. Most psychosocial services were aware of the National Institute for Health and Care Excellence guidelines for managing depression in long-term conditions (n = 18, 94.7%) yet few fully utilised (n = 6, 33.3%). Limited workforce capacity was evident.

CONCLUSIONS: There is considerable variability in approaches taken to identify and treat depression across UK kidney services, with few services having specific pathways designed to detect and manage depression. Workforce capacity remains a significant issue.

Original language	English
Journal	Journal of Renal Care
Early online date	11 Feb 2024
DOIs	https://doi.org/10.1111/jorc.12489
Publication status	E-pub ahead of print - 11 Feb 2024

Bibliographical note

Copyright © 2024 The Authors. Journal of Renal Care published by John Wiley & Sons Ltd on behalf of European Dialysis & Transplant Nurses Association/European Renal Care Association. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Data Access Statement

Research data are not shared. The data are not publicly available due
to privacy or ethical restrictions.

Keywords

chronic kidney disease
depression
kidney care
psychological services
psychosocial care

Access to Document

10.1111/jorc.12489Licence: CC BY 4.0

Journal of Renal Care - 2024 - Chilcot - The identification and management of depression in UK Kidney Care Results from
Copyright © 2024 The Authors. Journal of Renal Care published by John Wiley & Sons Ltd on behalf of European Dialysis & Transplant Nurses Association/European Renal Care Association. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Final published version, 1.22 MBLicence: CC BY 4.0

Cite this

Chilcot, J., Pearce, C. J., Hall, N., Busby, A. D., Hawkins, J., Vraitch, B., Rathjen, M., Hamilton, A., Bevin, A., Mackintosh, L., Hudson, J. L., Wellsted, D., Jones, J., Sharma, S., Norton, S., Ormandy, P., Palmer, N., & Farrington, K. (2024). The identification and management of depression in UK Kidney Care: Results from the Mood Maps Study. Journal of Renal Care. Advance online publication. https://doi.org/10.1111/jorc.12489

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title = "The identification and management of depression in UK Kidney Care: Results from the Mood Maps Study",

abstract = "BACKGROUND: Depression is common in people with chronic kidney disease, yet little is known about how depression is identified and managed as part of routine kidney care.OBJECTIVES: The primary objective was to survey all UK adult kidney centres to understand how depression is identified and managed. A secondary objective was to broadly describe the variability in psychosocial care.DESIGN: Online survey.METHODS: The survey comprised of three sections: (1) general kidney care, (2) psychological provision and (3) social work provision.RESULTS: 48/68 (71%) of centres responded to the general survey with 20 and 13 responses from psychological and social work module respectively. Only 31.4% reported having both in centre psychological and social work practitioners. Three centres reported no access to psychosocial provision. Of the 25 centres who reported on pathways, 36.0% reported having internal pathways for the identification and management of depression. Within services with psychological provision, screening for depression varied across modality/group (e.g., 7.1% in mild/moderate chronic kidney disease vs. 62.5% in kidney donors). Cognitive Behavioural Therapy and Acceptance and Commitment Therapy were the most common interventions offered. Most psychosocial services were aware of the National Institute for Health and Care Excellence guidelines for managing depression in long-term conditions (n = 18, 94.7%) yet few fully utilised (n = 6, 33.3%). Limited workforce capacity was evident.CONCLUSIONS: There is considerable variability in approaches taken to identify and treat depression across UK kidney services, with few services having specific pathways designed to detect and manage depression. Workforce capacity remains a significant issue.",

keywords = "chronic kidney disease, depression, kidney care, psychological services, psychosocial care",

author = "Joseph Chilcot and Pearce, {Christina J} and Natalie Hall and Busby, {Amanda D.} and Janine Hawkins and Balvinder Vraitch and Mandy Rathjen and Alexander Hamilton and Amanda Bevin and Lucy Mackintosh and Hudson, {Joanna L.} and David Wellsted and Julia Jones and Shivani Sharma and Sam Norton and Paula Ormandy and Nick Palmer and Ken Farrington",

note = "Copyright {\textcopyright} 2024 The Authors. Journal of Renal Care published by John Wiley & Sons Ltd on behalf of European Dialysis & Transplant Nurses Association/European Renal Care Association. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited. ",

year = "2024",

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Chilcot, J, Pearce, CJ, Hall, N, Busby, AD, Hawkins, J, Vraitch, B, Rathjen, M, Hamilton, A, Bevin, A, Mackintosh, L, Hudson, JL, Wellsted, D, Jones, J, Sharma, S, Norton, S, Ormandy, P, Palmer, N & Farrington, K 2024, 'The identification and management of depression in UK Kidney Care: Results from the Mood Maps Study', Journal of Renal Care. https://doi.org/10.1111/jorc.12489

TY - JOUR

T1 - The identification and management of depression in UK Kidney Care: Results from the Mood Maps Study

AU - Chilcot, Joseph

AU - Pearce, Christina J

AU - Hall, Natalie

AU - Busby, Amanda D.

AU - Hawkins, Janine

AU - Vraitch, Balvinder

AU - Rathjen, Mandy

AU - Hamilton, Alexander

AU - Bevin, Amanda

AU - Mackintosh, Lucy

AU - Hudson, Joanna L.

AU - Wellsted, David

AU - Jones, Julia

AU - Sharma, Shivani

AU - Norton, Sam

AU - Ormandy, Paula

AU - Palmer, Nick

AU - Farrington, Ken

N1 - Copyright © 2024 The Authors. Journal of Renal Care published by John Wiley & Sons Ltd on behalf of European Dialysis & Transplant Nurses Association/European Renal Care Association. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

PY - 2024/2/11

Y1 - 2024/2/11

N2 - BACKGROUND: Depression is common in people with chronic kidney disease, yet little is known about how depression is identified and managed as part of routine kidney care.OBJECTIVES: The primary objective was to survey all UK adult kidney centres to understand how depression is identified and managed. A secondary objective was to broadly describe the variability in psychosocial care.DESIGN: Online survey.METHODS: The survey comprised of three sections: (1) general kidney care, (2) psychological provision and (3) social work provision.RESULTS: 48/68 (71%) of centres responded to the general survey with 20 and 13 responses from psychological and social work module respectively. Only 31.4% reported having both in centre psychological and social work practitioners. Three centres reported no access to psychosocial provision. Of the 25 centres who reported on pathways, 36.0% reported having internal pathways for the identification and management of depression. Within services with psychological provision, screening for depression varied across modality/group (e.g., 7.1% in mild/moderate chronic kidney disease vs. 62.5% in kidney donors). Cognitive Behavioural Therapy and Acceptance and Commitment Therapy were the most common interventions offered. Most psychosocial services were aware of the National Institute for Health and Care Excellence guidelines for managing depression in long-term conditions (n = 18, 94.7%) yet few fully utilised (n = 6, 33.3%). Limited workforce capacity was evident.CONCLUSIONS: There is considerable variability in approaches taken to identify and treat depression across UK kidney services, with few services having specific pathways designed to detect and manage depression. Workforce capacity remains a significant issue.

AB - BACKGROUND: Depression is common in people with chronic kidney disease, yet little is known about how depression is identified and managed as part of routine kidney care.OBJECTIVES: The primary objective was to survey all UK adult kidney centres to understand how depression is identified and managed. A secondary objective was to broadly describe the variability in psychosocial care.DESIGN: Online survey.METHODS: The survey comprised of three sections: (1) general kidney care, (2) psychological provision and (3) social work provision.RESULTS: 48/68 (71%) of centres responded to the general survey with 20 and 13 responses from psychological and social work module respectively. Only 31.4% reported having both in centre psychological and social work practitioners. Three centres reported no access to psychosocial provision. Of the 25 centres who reported on pathways, 36.0% reported having internal pathways for the identification and management of depression. Within services with psychological provision, screening for depression varied across modality/group (e.g., 7.1% in mild/moderate chronic kidney disease vs. 62.5% in kidney donors). Cognitive Behavioural Therapy and Acceptance and Commitment Therapy were the most common interventions offered. Most psychosocial services were aware of the National Institute for Health and Care Excellence guidelines for managing depression in long-term conditions (n = 18, 94.7%) yet few fully utilised (n = 6, 33.3%). Limited workforce capacity was evident.CONCLUSIONS: There is considerable variability in approaches taken to identify and treat depression across UK kidney services, with few services having specific pathways designed to detect and manage depression. Workforce capacity remains a significant issue.

KW - chronic kidney disease

KW - depression

KW - kidney care

KW - psychological services

KW - psychosocial care

UR - https://onlinelibrary.wiley.com/doi/10.1111/jorc.12489

UR - http://www.scopus.com/inward/record.url?scp=85184876315&partnerID=8YFLogxK

U2 - 10.1111/jorc.12489

DO - 10.1111/jorc.12489

M3 - Article

C2 - 38341770

SN - 1755-6678

JO - Journal of Renal Care

JF - Journal of Renal Care

ER -

The identification and management of depression in UK Kidney Care: Results from the Mood Maps Study

Abstract

Bibliographical note

Data Access Statement

Keywords

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