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Depression and anxiety in living kidney donation: evaluation of donors and recipients.

2011-01Journal article Open access
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dc.contributor.authorLopes, A.
dc.contributor.authorFrade, I.C.
dc.contributor.authorTeixeira, L.
dc.contributor.authorOliveira, C.
dc.contributor.authorAlmeida, M.
dc.contributor.authorDias, L.
dc.contributor.authorHenriques, A.C.
dc.date.accessioned2011-07-20T13:55:36Z
dc.date.available2011-07-20T13:55:36Z
dc.date.issued2011-01
dc.description.abstractTransplant Proc. 2011 Jan-Feb;43(1):131-6. Depression and anxiety in living kidney donation: evaluation of donors and recipients. Lopes A, Frade IC, Teixeira L, Oliveira C, Almeida M, Dias L, Henriques AC. SourceLyaison-Psychiatry and Health Psychology Unit, Oporto Hospital Centre, Oporto, Portugal. lopealice@gmail.com Abstract BACKGROUND: Psychosocial status of donors before and after living kidney donor transplantation has been an important concern. Investigations of psychosocial issues in related recipients are not frequent. AIM: The aims of this study were to evaluate and compare psychopathologic dimensions in donors and recipients before and after transplantation. METHODS: Thirty-five recipients and 45 donors completed a psychosocial evaluation before and after transplantation. We applied Pearson chi-square, McNemar, Fisher, Wilcoxon, and Mann-Whitney tests as well as linear and logistic regression statistical methods. RESULTS: Before transplantation 100% of the recipients presented total anxiety, compared with 64.4% of donors, with higher anxiety levels in all dimensions (P < .001). Also, 38.7% of recipients and 16.3% of donors had moderate/serious depression (P = .029). Men showed higher levels of cognitive anxiety before transplantation (odds ratio [OR] = 4.3; P = .008). After versus before transplantation central nervous system and cognitive anxiety had diminished in recipients (P = .031; P = .035, respectively); there were higher levels of cognitive anxiety than among the donors (P = .007). Depression showed no significant changes in recipients or donors; the differences were no longer significant. There were less severely depressed recipients but an increase among severely depressed donors. Male recipients and donors showed greater cognitive anxiety (P = .02; P = .04, respectively) at both times. Female recipients presented with more severe depression (P = .036). CONCLUSIONS: Anxiety is an important symptom. Surgery had a positive impact to lower anxiety in recipients. Most protagonists displayed little or no depression; it was more prevalent among recipients. Donors and recipients maintained some psychopathologic symptoms after surgery. We defined vulnerable groups among these cohorts. Copyright © 2011 Elsevier Inc. All rights reserved.por
dc.identifier.issn0041-1345
dc.identifier.urihttp://hdl.handle.net/10400.16/749
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.relation.publisherversionhttp://www.sciencedirect.com/science/article/pii/S0041134510019433por
dc.titleDepression and anxiety in living kidney donation: evaluation of donors and recipients.por
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue43(1):131-6.por
oaire.citation.titleTransplantation Proceedingspor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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