The association of anxiety, depression, sleep quality and intradialytic hypotension in hemodialysis patients: a cross-sectional study - Takeaways - MDSpire
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Exploring the Relationship Between Anxiety, Depression, Sleep Quality, and Intradialytic Hypotension in Patients Undergoing Hemodialysis: A Cross-Sectional Analysis

  • By

  • Xiaomei Jiang

  • Panpan Chen

  • Siyan Deng

  • Yujuan Yang

  • Yixiu Liu

  • Shuixiang Wu

  • Qinjuan Xu

  • Huagang Hu

  • Xiaowen Zhu

  • June 5, 2026

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  • 1

    Intradialytic hypotension (IDH) occurred in 11.7% of hemodialysis sessions, with 26.3% of patients experiencing frequent episodes.

  • 2

    Anxiety was present in 30.4%, depression in 44.3%, and poor sleep quality in 39.9% of the 467 patients studied.

  • 3

    Frequent IDH was significantly associated with higher scores of anxiety, depression, and poor sleep quality (P<0.05).

  • 4

    The study highlights the need for integrating hemodynamic monitoring with psychological and sleep assessments in MHD care.

  • 5

    Further longitudinal studies are necessary to clarify causal mechanisms and evaluate interventions for IDH and psychological symptoms.

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