ABSTRACT
Kidney transplant surgery may impact various aspects of the life and results in individual and psychological problems. Receiving a kidney from a cadaver donor is associated with beliefs related to death of donor and with recipient's survival. The aim of this study was to compare the rate of depression in patients receiving kidney from living donors with cadaveric donor kidney transplant .patients that were referred to nephrology clinics in hospitals of Mashhad University of Medical Sciences in 2010. A descriptive - comparative design was used. The sample of the study consisted of 60 patients receiving kidney from living donors and 60 cadaveric kidney transplantation attended to nephrology clinics in hospitals of Mashhad University of Medical Sciences. Data were collected by a demographic questionnaire and Beck depression Inventory. The reliability of this test was evaluated with test-retest and Pearson correlation test was 0. 95. Data were analyzed with SPSS software [version 13]. Depression scores in living kidney transplantation group were 11.6 +/- 5.7, and in the cadaveric group was 16.4 +/- 9.4. Independent t-test showed a significant difference between two groups scores of depression [P<0. 005]. The results showed a higher depression scores in kidney transplantation from cadaveric donors. Therefore it is recommended that efforts to detect and treat depression be included in the care of transplant patients before and after the surgery
ABSTRACT
Anxiety and depression are the most common psychological disorders in kidney transplant recipients that may affect disease process and graft survival. Based on the types of kidney donation in our country, living vs. cadaveric donation, we conducted this study to compare psychological problems in renal recipients. This cross-sectional study was conducted on kidney transplant recipients who were categorized according to their donors to and "living" and "cadaveric" groups. Patients with stable condition were followed monthly in outpatient clinics. The psychological status of each patient was assessed by clinical interview and Spielberg State Trait Anxiety Inventory and the Beck Depression Inventory [BDI]. The calculated Cronbach alpha for the reliability of the total scale was 0.95. We recruited 120 recipients [60 patients in each group of living and cadaveric donor transplantation] for the study. There was no significant difference in demographic data between two studied groups [p>0.05]. The mean +/- SD anxiety score was significantly lower among living transplant recipients compared to cadaveric transplant recipients [80.2 +/- 15.2 vs. 86.9 +/- 18.8 p=0.03]. We also found significant relation between depression score and kind of graft donation [11.6 +/- 5.7 in living vs. 16.4 +/- 9.4 in cadaveric groups; p<0.005]. Psychological problems such as depression and anxiety are significantly higher in cadaveric than living renal recipients. Periodic psychological evaluations should be recommended for kidney transplant recipients, especially for the cadaveric group