Interpersonal Psychotherapy-Based Counseling for Hemodialysis Patients: Effect on Adjustment and Depression

NCT06839287 | Completed

• 1 other identifier: BU-KA24/91-TU
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this clinical study is to examine the effect of interpersonal psychotherapy-based counseling on adjustment to illness and depression levels in individuals receiving hemodialysis treatment. The main questions this study aims to answer are: Does interpersonal psychotherapy-based counseling improve the adjustment to illness in individuals receiving hemodialysis treatment? Does interpersonal psychotherapy-based counseling reduce depressive symptoms in individuals receiving hemodialysis treatment? The researchers will compare interpersonal psychotherapy-based counseling with routine care to determine its effectiveness in individuals undergoing hemodialysis treatment. Participants: For eight weeks, participants will receive either routine care or interpersonal psychotherapy-based counseling.

Conditions

Hemodialysis; Interpersonal Psychotherapy

Keywords

hemodialysis patients; depression; adjusment to illness; interpersonal psychotherapy; counseling; nursing

Outcome Measures

Primary Outcomes (1)

• Adaptation to Chronic Diseases Scale

  The Adaptation to Chronic Diseases Scale was developed by Atik and Karatepe (2016) to assess the level of adaptation to the disease of individuals diagnosed with chronic diseases (heart, lung and kidney diseases, diabetes, etc.). In the scale, situations including beliefs, attitudes and behaviors experienced by individuals diagnosed with chronic diseases during the disease are specified. The scale consists of 5-point Likert type and 25 items (56). The scale has 3 sub-dimensions as Physical, Social and Psychological Adjustment. Physical Adjustment sub-dimension consists of 1st, 9th, 10th, 13th, 16th, 18th, 22-24th items, Social Adjustment sub-dimension consists of 2nd, 3rd, 5th, 7th, 17th, 19th and 25th items, Psychological Adjustment sub-dimension consists of 4th, 6th, 8th, 11th, 12th, 20th and 21st items. A maximum score of 55 and a minimum score of 11 can be obtained from the Physical Adjustment sub-dimension, a maximum score of 35 and a minimum score of 7 from the Social Adjustment

  five mounths

Secondary Outcomes (1)

• Beck Depression Scale

  five mounths

Study Arms (2)

IPT Group

EXPERIMENTAL

Interpersonal psychotherapy-based counseling will be applied to indivuduals with receiving hemodialysis for 8 weeks

Other: Interpersonal psychotherapy-based counseling

Control Group

NO INTERVENTION

Participants in this group will receive routine care

Interventions

Interpersonal psychotherapy-based counseling OTHER

The first data from the individuals in the experimental and control groups will be collected after the first interview. Data will be collected from the individuals to whom interpersonal relationship therapy techniques are applied after the 8th session by face-to-face interviews. In addition, if the individuals in the experimental group have questions about psychotherapy, they will be answered. The control group will be verbally informed with the data collection form and chronic disease adaptation and depression scales and will continue to receive routine care. Data will be collected by face-to-face interviews with the control group after the first interview and 8 weeks later when they come to the dialysis center. Follow-up data of the participants will be collected again at the 3rd month after the last interview.

IPT Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 18 years of age or older,
• Hemodialysis treatment for at least 6 months,
• Having no problem communicating in Turkish,
• No hearing problems and cognitive impairment,
• Openness to cooperation,
• Not diagnosed with major depression according to DSM-V and ICD-11,
• Not having an additional mental disorder,
• Not receiving any therapy or treatment,
• Receiving hemodialysis treatment at the center 3 days a week,
• Do not take care of yourself,
• Scoring 10 and above on the Beck Depression Inventory (scores of 10 and above indicate that the participant has depressive symptoms)
• Patients who voluntarily agree to participate in the study will be included.

You may not qualify if:

• \- Having a neurological or psychiatric illness that may interfere with reading and understanding the data collection tools,
• Have received or are receiving any therapy or treatment,
• A score of 10 or less on the Beck Depression Inventory,
• Having problems in speaking/understanding Turkish,
• Changing cities during research,
• Don't want to leave the research,
• Receiving a psychiatric diagnosis during research,
• Starting therapy or treatment during the research,
• Hospitalization during research,
• Failure to attend the treatment for 2 consecutive sessions,

Sponsors & Collaborators

• Baskent University: lead

Study Sites (1)

Başkent University

Ankara, Turkey (Türkiye)

Location

Related Publications (22)

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• Ravitz P, Watson P, Lawson A, Constantino MJ, Bernecker S, Park J, Swartz HA. Interpersonal Psychotherapy: A Scoping Review and Historical Perspective (1974-2017). Harv Rev Psychiatry. 2019 May/Jun;27(3):165-180. doi: 10.1097/HRP.0000000000000219.

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• Gerogianni G, Kouzoupis A, Grapsa E. A holistic approach to factors affecting depression in haemodialysis patients. Int Urol Nephrol. 2018 Aug;50(8):1467-1476. doi: 10.1007/s11255-018-1891-0. Epub 2018 May 19.

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• Frasure-Smith N, Koszycki D, Swenson JR, Baker B, van Zyl LT, Laliberte MA, Abramson BL, Lambert J, Gravel G, Lesperance F. Design and rationale for a randomized, controlled trial of interpersonal psychotherapy and citalopram for depression in coronary artery disease (CREATE). Psychosom Med. 2006 Jan-Feb;68(1):87-93. doi: 10.1097/01.psy.0000195833.68482.27.

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• Belay W, Kaba M, Labisso WL, Tigeneh W, Sahile Z, Zergaw A, Ejigu A, Baheretibeb Y, Gufue ZH, Haileselassie W. The effect of interpersonal psychotherapy on quality of life among breast cancer patients with common mental health disorder: a randomized control trial at Tikur Anbessa Specialized Hospital. Support Care Cancer. 2022 Jan;30(1):965-972. doi: 10.1007/s00520-021-06508-y. Epub 2021 Aug 25.

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• Hedayati SS, Bosworth HB, Kuchibhatla M, Kimmel PL, Szczech LA. The predictive value of self-report scales compared with physician diagnosis of depression in hemodialysis patients. Kidney Int. 2006 May;69(9):1662-8. doi: 10.1038/sj.ki.5000308.

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  BACKGROUND

• Davison SN. Personalized Approach and Precision Medicine in Supportive and End-of-Life Care for Patients With Advanced and End-Stage Kidney Disease. Semin Nephrol. 2018 Jul;38(4):336-345. doi: 10.1016/j.semnephrol.2018.05.004.

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MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: In this study, participants will be randomly assigned to intervention and control groups. As a blinding method, it will be arranged so that the participants and the people responsible for data analysis who will make the evaluations will not know which group the participants are in (single-blind or double-blind design). Participants may know their groups due to the intervention content, but evaluations will be made with objective scales so as not to affect the study results.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: In this study, there are two groups. One of them is interventional group which participants receiving IPT for 8 weeks

Study Record Dates

• First Submitted: February 17, 2025
• First Posted: February 21, 2025
• Study Start: March 1, 2025
• Primary Completion: July 1, 2025
• Study Completion: September 5, 2025
• Last Updated: September 17, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)