Lecturer, Department of Psychiatry, National Institute of Mental Health & NeuroSciences, PB No. 2900, Bangalore 560 029, Karnataka, India.
Indian J Psychiatry. 1985 Jan;27(1):77-81.
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.
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。