Tavakoli S A H, Shabanzadeh A P, Arjmand B, Aghayan S H R, Nozary Heshmati B, Emami Razavi S H, Bahrami Nasab H
Iranian Tissue Bank, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Transplant Proc. 2008 Dec;40(10):3299-302. doi: 10.1016/j.transproceed.2008.08.136.
The aim of this research was to study the relationship between depression and organ donation among families of brain death cases.
This descriptive, cross-sectional study included a sample of first-degree relatives of brain death cases: 54 relatives among 27 organ donor families and 104 relatives among 58 nonorgan donor families participated in the research by the counting method. All families were questioned about their willingness for organ donation and at least 3 months had passed from their relative's death to the time we performed the research. Data were collected via a demographic questionnaire and Beck depression inventory (BDI) with a cutoff point of 16; persons with scores over 16 were considered depressed. Data were analyzed using descriptive statistics, Student t test, and chi-square test.
Depression was observed in 20.4% of donor families and 17.3% of nondonor families; there was no significant difference between them. There were no significant differences in the frequency of depression between parents, spouses, and children of the 2 groups. The organ donors' relatives reported the effectiveness of organ donation to alleviate their grief: 66% completely and 32% partially.
Organ donation does not have a significant effect on the course of grief and later depression among relatives of brain death cases.
本研究旨在探讨脑死亡病例家属中抑郁症与器官捐献之间的关系。
本描述性横断面研究纳入了脑死亡病例的一级亲属样本：采用计数法，27个器官捐献者家庭中的54名亲属和58个非器官捐献者家庭中的104名亲属参与了研究。所有家庭均被询问了其器官捐献意愿，且从其亲属死亡至我们开展研究的时间至少已过去3个月。通过一份人口统计学调查问卷和贝克抑郁量表（BDI，临界值为16）收集数据；得分超过16分的人被视为抑郁。使用描述性统计、学生t检验和卡方检验对数据进行分析。
在捐献者家庭中观察到20.4%的抑郁发生率，在非捐献者家庭中为17.3%；两者之间无显著差异。两组的父母、配偶和子女在抑郁发生率上无显著差异。器官捐献者的亲属报告了器官捐献在减轻其悲伤方面的有效性：66%认为完全有效，32%认为部分有效。
器官捐献对脑死亡病例亲属的悲伤过程及随后的抑郁没有显著影响。
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