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潜在活体肾移植供体个性特征的个体差异。

Individual differences in personality profiles among potential living kidney transplant donors.

作者信息

van-der Hofstadt Carlos J, Rodríguez-Marín Jesús, Martínez-Zaragoza Fermín, de Santiago-Guervós Carlos

机构信息

Departamento de Psicología de la Salud. Universidad Miguel Hernández

Equipo de Coordinación de Trasplantes. Hospital General Universitario de Alicante, Spain

出版信息

Colomb Med (Cali). 2013 Dec 31;44(4):213-7. eCollection 2013 Oct.

Abstract

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.

摘要

背景

尽管对潜在活体肾供体(PLKD)进行心理评估是任何移植协调行动建议的一部分,但很少有研究提供关于选择供体对改善移植结果重要性的数据。这项工作旨在通过设计移植后潜在问题的早期检测方法以及选择最合适的供体,提高对潜在肾供体的认识。

方法

这是一项对来自阿利坎特综合大学医院的25名潜在活体肾供体的研究。参与者完成了米隆临床多轴问卷(MCMI-III)以研究人格特征。

结果

在强迫型人格量表上,女性得分高于男性,与受者有基因关联的个体在抑郁量表和依赖量表上的得分高于其他关系(情感或利他关系)的个体。

结论

女性在非病理性风格中表现出明显更多的强迫型人格特质(谨慎、克制、完美主义)。在潜在活体肾供体中,女性明显更多,这与尸体捐赠的通常情况相反。有基因关联的受试者在抑郁量表上的得分高于情感关联的受试者。对潜在活体肾供体候选人进行人格评估有助于制定移植后随访方案以提高生活质量。

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本文引用的文献

1
Psychiatric history in living kidney donor candidates.供肾者候选人的精神病史。
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Living-donor liver transplantation: evaluation of donor and recipient.活体肝移植:供体与受体评估
Nephrol Dial Transplant. 2004 Jul;19 Suppl 4:iv11-5. doi: 10.1093/ndt/gfh1035.

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