Hildebrand Lee, Melchert Timothy P, Anderson Rebecca C
Department of Counselor Education and Counseling Psychology, Marquette University, Milwaukee.
Clin Transplant. 2014 Aug;28(8):855-61. doi: 10.1111/ctr.12390. Epub 2014 Jun 20.
Many healthcare providers have been concerned about the extent to which potential kidney donors use impression management or concealment of important information regarding their medical history, current functioning, or other circumstances that could affect whether they are accepted as donors. To date, however, there has been very little empirical examination of these questions. It is also not known whether donors' use of impression management pre-donation is related to their reactions and adjustment post-donation.
This study surveyed 76 individuals who had donated a kidney one to six yr previously regarding their use of impression management and their concealing of information during their psychological evaluations. They were also asked about their reactions to the donation and whether they would make the same decision again. In addition, 21 of these donors participated in focus groups that explored these questions in depth.
Many of the kidney donors reported that they possessed very strong motivation to donate and consequently used impression management in their interactions with medical professionals pre-donation. Very few donors, however, indicated that they concealed information during their pre-donation evaluations. The donors' psychological reactions post-donation were generally positive, and nearly all indicated that they would make the same decision again.
许多医疗服务提供者担心潜在的肾脏捐赠者在多大程度上会进行印象管理或隐瞒有关其病史、当前身体机能或其他可能影响他们是否被接受为捐赠者的情况的重要信息。然而，迄今为止，对这些问题几乎没有实证研究。也不清楚捐赠者在捐赠前使用印象管理是否与他们捐赠后的反应和适应情况有关。
本研究调查了76名在一至六年前捐赠过肾脏的个体，询问他们在心理评估期间使用印象管理和隐瞒信息的情况。还询问了他们对捐赠的反应以及是否会再次做出相同的决定。此外，其中21名捐赠者参加了深入探讨这些问题的焦点小组。
许多肾脏捐赠者报告说，他们有非常强烈的捐赠动机，因此在捐赠前与医疗专业人员的互动中使用了印象管理。然而，很少有捐赠者表示他们在捐赠前评估中隐瞒了信息。捐赠者捐赠后的心理反应总体上是积极的，几乎所有人都表示会再次做出相同的决定。
