1. Assoc Prof Dr Ramli Musa International Islamic University Malaysia

2.  Prevalence of Psychiatric Disorders?  QOL and its relationships?  How good of the psychological tools?

3. 1. Depression; The most common psychiatric complication (33.4% - Chen et al. Nephrology (Carlton). 2003 Jun;8(3):121-6. 2. Suicidal Behavior 3. Delirium; uremia, anemia, hyperparathyroidism, dialysis disequilibrium syndrome. 4. Anxiety and Panic Symptoms

5.  Nature of the illness; chronic  cost of dialysis therapy  many other medical conditions

7.  Fund; MOSTI Malaysia 1. DASS-21- Depression Anxiety and Stress Scale 2. WHOQOL-BREF- World Health Organization Quality of Life -- validated, Malay, Chinese and English versions.  Stratified random sampling  The Malaysian National Renal Registry  25, 763 haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD)  1569 subjects ---- > 1,333 patients

8.  23 government, NGO and private hospitals.  Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM).

10. 1, 333 Depression26% (347 pts) Anxiety47% (626 pts) Stress22% (293 pts) 10

12. Depression Anxiety Stress Psychosocial Distress Quality of Life Environment Physical Health Psychological Health

15.  Psychiatric morbidities are high  QOL is related to level of depression  DASS 21 and WHOQOl BREF are good tools