{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:02:42Z","timestamp":1789718562984,"version":"4.0.1"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100005616","name":"Memorial University of Newfoundland","doi-asserted-by":"publisher","award":["Startup Fund"],"award-info":[{"award-number":["Startup Fund"]}],"id":[{"id":"10.13039\/501100005616","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Nurs Res"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients initiating hemodialysis experience substantial lifestyle changes that increase their risk of psychological distress, including anxiety and depression. Despite these challenges, the existing literature has primarily focused on long-term hemodialysis populations, with limited research examining psychological distress during the early stages of hemodialysis treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To assess levels of anxiety and depression among newly diagnosed CKD patients beginning hemodialysis and to identify demographic and clinical predictors of psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted with 50 adults initiating hemodialysis within the first year of dialysis treatment at the Kidney Care Centre in St. John's, NL. Data were collected using a demographic questionnaire and the Hospital Anxiety and Depression Scale (HADS). Descriptive and multiple regression analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      High prevalence of psychological distress was observed. Anxiety was reported in 67.4% of participants (M\u2009=\u200911.41, SD\u2009=\u20092.32), while 60.9% were borderline and 8.7% clinically depressed (M\u2009=\u20098.52, SD\u2009=\u20091.99). Predictors did not significantly explain anxiety (Adjusted R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009.127, p\u2009=\u20090.11), though shorter dialysis duration (1\u20136 months) was associated with higher anxiety (p\u2009=\u20090.01). Depression was significantly predicted by employment status (Adjusted R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009.277, p\u2009=\u20090.019), with employed patients reporting higher scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Newly initiated hemodialysis patients experience substantial anxiety and depression, particularly in the early treatment period. Early psychological screening, structured orientation programs, and person-centered coping interventions tailored to individual occupational and social contexts are recommended to support mental health and treatment adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08445621261479664","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T03:13:22Z","timestamp":1789528402000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Distress and Predictors of Anxiety and Depression in New Hemodialysis Patients"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1198-7280","authenticated-orcid":false,"given":"Abubaker","family":"Hamed","sequence":"first","affiliation":[{"name":"Faculty of Nursing, Memorial University, St. John's, NL, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Maddigan","sequence":"additional","affiliation":[{"name":"Memorial University of Newfoundland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittnay","family":"Woodman","sequence":"additional","affiliation":[{"name":"Medicine & Regional Dialysis Program"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"MacPherson","sequence":"additional","affiliation":[{"name":"Medicine & Regional Dialysis Program"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Pike","sequence":"additional","affiliation":[{"name":"Medicine & Regional Dialysis Program"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0157-5319","authenticated-orcid":false,"given":"Ahtisham","family":"Younas","sequence":"additional","affiliation":[{"name":"Memorial University of Newfoundland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2020.1852476"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-21873-2"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.9225"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-016-2284-z"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqab417"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/1516-3180.2018.0272280119"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000452750"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-024-02194-1"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfad021"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2054358118825441"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.605651"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-040286"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_840_20"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJNRD.S126615"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5678781"},{"key":"e_1_3_3_17_1","unstructured":"Hossain M. 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