PMID: 11333526May 3, 2001Paper

Anxiety and depression among renal transplantation candidates: impact of donor availability

Actas españolas de psiquiatría
D Terán-EscandónA Díaz-Martínez

Abstract

Among the kidney transplantation candidates, regardless if they already have a living related donor (LRD) or if they are waiting for a cadaveric donor (CD), the transplantation process is highly stressful, and the stress intensity is proportioned to the waiting time for surgery. The patients waiting for a CD have no certainty about receiving a kidney in time for surviving, or, when the patient's relatives refused the donation, they may feel rejected by their family. In chronic diseases, psychiatric comorbidity affects the disease evolution, dampering the treatment efficacy, leading to long-term hospitalizations and a more severe emotional stress. To calculate the difference of anxiety and depression levels between LRD and CD patients. The Hospital Anxiety and Depression scale (HAD) was applied to the kidney transplantation candidates who attended their first psychiatric evaluation along a year, they were grouped according to their kind of donor (LRD= 31, CD= 12). Statistical analysis was performed by means of Fisher and Mann-Whitney tests. 33.33% of the LRD patients were anxious (6.60+/- 2.65 points) and 40% were depressed (5.9+/- 3.29); 75% of the CD patients were anxious (p= 0.005) (10.17+/- 2.48, p< 0.001) and 90% were depre...Continue Reading

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