2.1. Patients and Study Design
CB/023/2017, ideation, anxiety, psychiatric, depression, Depression
The study involved 64 patients selected by random sampling of the nephrology department of the Hospital Civil de Guadalajara Fray Antonio Alcalde, Mexico. Patients were selected through a screening process conducted on an initial 151 patients whose symptoms of depression and anxiety were evaluated (Patients assigned to the control group had CBI while those assigned to the experimental group had the same CBI with two additional sessions of resilience intervention (CBI + R). Both groups attended hemodialysis therapy three times a week and continued the usual pharmacological and nutritional treatments. Only literate patients without psychiatric comorbidities and no hospitalizations in the last six months were included. After an explanation of the protocol, all participants signed the informed consent form. The study protocol was approved by two committees relating to Research and Bioethics (number CB/023/2017 and 298/17 protocol). Patients who were identified with severe symptoms of depression and/or anxiety or had suicidal ideation according to item 9 of the Beck Depression Inventory were referred to psychiatric services for assessment and treatment.Three evaluations were carried out at different times for both groups. The first evaluation was performed at the baseline time (before the first treatment session). The second was performed at the end of treatment, thus eight weeks after the baseline measurement. The last (follow up) was completed four weeks after the end of treatment.