Individual differences in personality profiles among potential living kidney transplant donors
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Background: Although the psychological assessment of potential living kidney donors (PLKD) is part of the recommendations for action for any transplant coordination, there are not many studies that provide data about the importance of selecting donors for improving transplant outcomes. This work aims to raise awareness of potential kidney donors by designing methods for early detection of potential problems after the transplant, as well as by selecting the most suitable donors
.Methods: This is a study of 25 PLKD drawn from the General University Hospital of Alicante. Participants completed the Millon Clinical Multiaxial Inventory (MCMI-III) for the study of personality characteristics.
Results: Women scored higher than men in the compulsive personality scale, and individuals with a genetic link with the recipient scored higher on depressive and dependent scales than did those with other relationships (emotional or altruistic).
Conclusions: Women showed a pattern of significantly more compulsive personality traits (cautious, controlled, perfectionist) within a non-pathological style. Among the PLKD, there were significantly more women, which is contrary to what typically happens with donations from cadavers. Genetically related subjects scored higher on depression than did those that were emotionally related. The personality assessment of candidates for PLKD can help with developing a post-transplant follow-up regimen for an improved quality of life.
Domínguez-Gil B, Pascual J. El trasplante renal de donante vivo en España: una gran oportunidad. Nefrología. 2008;28(2):143.
Olbrisch ME, Benedict SM, Haller DL, Levenson JL. Psychological assessment of living organ donors: clinical and ethical considerations. Prog Transplant. 2001;11(1):40.
Organización Nacional de Transplantes. Memoria Transplante renal 2010. 2010; Available at: http://www.ont.es/infesp/Memorias/Memoria_Renal_2010.pdf.
Coll E, Miranda B, Domínguez-Gil B, Martín E, Valentín M, Garrido G et al. Donantes de órganos en España: evolución de las tasas de donación por comunidades autónomas y factores determinantes. Med Clin (Barc). 2008;131(2):52.
Jacobs CL, Roman D, Garvey C, Kahn J and Matas AJ. Twenty-two nondirected kidney donors: an update on a single center's experience. Am J Transplant. 2004;4:1110.
Dew MA, Switzer GE, DiMartini AF, Myaskovsky L, Crowley-Matoka M. Psychosocial aspects of living organ donation. In: Tan HT, Marcos A, Shapiro R, editor. Living donor transplantation. USA: Informa Healthcare; 2007. p. 7.
Krahn LE D, A. Psychiatric and psychosocial aspects of liver transplantation. Liver Transplantation. 2005;11(10):1157.
Leo RJ, Smith BA, Mori DL. Guidelines for conducting a psychiatric evaluation of the unrelated kidney donor. Psychosomatics. 2003;44(6):452.
Natenson S. Donación de órganos: una mirada psicológica. Psicodebate: Psicología, Cultura y Sociedad. 2008;6:139.
Schweitzer J, Seide-Wiesel M, Verres R. Psychological consultation before living kidney donation: finding out and handling problem cases. Nephrol Dial Transplant. 2004;19(Suppl 4):iv75.
Surman OS, Fukunishi I, Allen T, Hertl M. Live organ donation: social context, clinical encounter, and the psychology of communication. Psychosomatics. 2005;46(1):1.
Gutiérrez-Dalmau A, Saurina A, Faura A. Valoración de los candidatos a trasplante renal de donante vivo. Arch Esp Urol. 2005;58(6):503.
Olbrisch ME, Benedict SM, Ashe K and Levenson JL. Psychological assessment and care of organ transplant patients. J Consult Clin Psych. 2002;70(3):771.
Sauer P, Schemmer P, Uhl W, Encke J. Living-donor liver transplantation: evaluation of donor and recipient. Nephrol Dial Transplant. 2004;19(Supple 4):iv11.
Fukunishi I, Sugawara Y, Takayama T, Makuuchi M, Kawarasaki H, Surman OS. Association between pretransplant psychological assessments and posttransplant psychiatric disorders in living-related transplantation. Psychosomatics. 2002;43(1):49.
Jendrisak MD, Hong B, Shenoy S, Lowell J, Desai N, Chapman W et al. Altruistic living donors: evaluation for nondirected kidney or liver donation. Am J Transplant. 2006;6:115-20.
Ríos-Martínez BP, Huitrón-Cervantes G, Rangel-Rodríguez GA, Pedraza-Moctezuma LG. Personalidad en donadores renales. Rev Med Inst Mex Seguro Soc. 2010;48(5):497.
Wutzler U, Venner M, Villmann T, Decker O, Ott U, Steiner T et al. Recording of dissimulation and denial in the context of the psychosomatic evaluation at living kidney transplantation using the Minnesota Multiphasic Personality Inventory (MMPI). GMS Psycho-Social-Medicine. 2009;6:1.
Fukunishi I, Sugawara Y, Takayama T, Makuuchi M, Kawarasaki H, Surman OS. Psychiatric disorders before and after living-related transplantation. Psychosomatics. 2001;42(4):337.
Ganellen RJ. Comparing the diagnostic efficiency of the MMPI, MCMI-II, and Rorschach: a review. J Pers Assess. 1996;67(2):219.
Hardie JC. A comparison of the MCMI-III and the MMPI-2 in a chronic pain population. Texas: University of North Texas; 2004.
Generalitat Valenciana. Consentimiento informado para nefrectomía de donante vivo para trasplante renal. 2011. Available at: http://www.san.gva.es/comun/ciud/docs/pdf/Castellano_201109_6.pdf.
Millon T. MCMI-III, Inventario Clínico Multiaxial de Millon. Madrid: Pearson Educación; 2011.
IBM. IBM SPSS Statistics 19. Chicago: IBM, 2011.
Nishimura K, Kobayashi S, Ishigooka J. Psychiatric history in living kidney donor candidates. Curr Opin Organ Transplant. 2012;17:193.
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Accepted 2013-11-05
Published 2013-12-31
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