Communicating openly has a positive impact on patients on dialysis

This study examines the degree to which perceptions of open communication between patients and staff affect patients’ mental health. Open disclosure correlated independently with lower levels of depression at baselineand a predicted significant decrease in depression over time. Other interpersonal characteristics (limited equality, respect and helpfulness) did not correlate with depression or subjective well-being at baseline or longitudinally. The interpersonal climate in chronic dialysis units influences patient well-being. Open disclosure in patients’ relationships with staff is not detrimental and contributes to well-being.