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肾移植的精神医学方面。

Psychiatric aspects of renal transplantation.

机构信息

Lecturer, Department of Psychiatry, National Institute of Mental Health & NeuroSciences, PB No. 2900, Bangalore 560 029, Karnataka, India.

出版信息

Indian J Psychiatry. 1985 Jan;27(1):77-81.

Abstract

This report pertains to the psychiatric problems in renal transplant recipients and its socio-demographic correlations.50 male recipient subjects with a post-transplant period ranging from six months to six years were evaluated through tape recorded interviews to study their pre and post-operative emotional reactions. A psychiatric examination was performed by two psychiatrists and a diagnosis given wherever necessary. On examination 46% of cases had identifiable psychiatric problems, mainly Anxiety Neurosis (18%), Depressive Neurosis (18%), Adjustment Reactions (10%). Non-organic (Psychogenic) pain, excessive somatic concern and personality changes were also noticed in some. The psychiatric illness was significantly more amongst unmarried (P < .05) and higher education group (P < .02). Other variables had no significant correlation with the psychiatric illness. None had psychoses or a major depressive disorder. Thus, psychiatric problems are present in particular groups of transplant recipients and are usually neurotic in nature and would require psychiatric help regarding these.

摘要

本报告涉及肾移植受者的精神问题及其与社会人口学的相关性。通过录音访谈评估了 50 名男性受者,他们的移植后时间从 6 个月到 6 年不等,以研究他们的手术前后情绪反应。由两名精神科医生进行精神检查,并在必要时给出诊断。检查发现 46%的病例存在可识别的精神问题,主要为焦虑症(18%)、抑郁症(18%)、适应障碍(10%)。一些患者还出现了非器质性(心因性)疼痛、过度躯体关注和人格改变。未婚(P<.05)和接受高等教育者(P<.02)的精神疾病明显更多。其他变量与精神疾病无显著相关性。无精神分裂症或重度抑郁症患者。因此,精神问题存在于特定的移植受者群体中,通常为神经症性质,需要对此类问题提供精神科帮助。

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