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活体肾供者的人格模式。

Patterns of Personality in Living Kidney Donors.

作者信息

De Pasquale C, Veroux M, Sinagra N, Sanfiorenzo A, Sanzone A, Trigona C, Giaquinta A, Veroux P, Pistorio M L

机构信息

Vascular Surgery and Organ Transplant Unit, Department of Medical, Surgical Sciences and Advanced technologies GF Ingrassia, University of Catania, Italy.

Vascular Surgery and Organ Transplant Unit, Department of Medical, Surgical Sciences and Advanced technologies GF Ingrassia, University of Catania, Italy.

出版信息

Transplant Proc. 2016 Mar;48(2):319-22. doi: 10.1016/j.transproceed.2015.12.057.

Abstract

BACKGROUND

The decision to undergo living donor transplantation determines a particular condition characterized by strong mental and emotional anguish, both for the patient and his family. Many recent studies showed the concern of living donors who, rather than being driven by altruistic reasons, meet the decision to donate with ambivalence, liabilities, and/or in response to family pressures. The aim of this study was to analyze the more frequently encountered personality variables in a sample of potential kidney living donors, together with any psychological variables that can express possible risks of an impulsive decision and/or poorly processed from a cognitive and emotional point of view.

METHODS

We examined 32 potential kidney donors. The personality study was performed using The Millon Clinical Multiaxial Inventory-III. The psychic symptoms were studied through the Symptom Checklist-90-R. The quality of life was studied through the Complete Form Health Survey (SF-36).

RESULTS

The study showed that the ability to express free and therefore invalid consent, in the role of donor, is an expression of specific personality patterns, cognitive, emotional aspects and interpersonal experiences.

CONCLUSIONS

The psychological-psychiatric evaluation of potential donors is fundamental to certify the state of mental health and psychological well-being, an indispensable prerequisite for the donation.

摘要

背景

决定接受活体供体移植会使患者及其家人处于一种以强烈精神和情感痛苦为特征的特殊状态。最近的许多研究表明,活体供体心存顾虑,他们做出捐赠决定并非出于利他原因,而是充满矛盾、负有责任和/或迫于家庭压力。本研究的目的是分析潜在活体肾供体样本中更常出现的人格变量,以及任何可能表明存在冲动决策风险和/或从认知和情感角度来看处理不当的心理变量。

方法

我们检查了32名潜在肾供体。使用米隆临床多轴问卷第三版进行人格研究。通过症状自评量表90修订版研究精神症状。通过健康调查简表(SF-36)研究生活质量。

结果

研究表明,在供体角色中表达自由因而无效同意的能力,是特定人格模式、认知、情感方面和人际经历的一种表现。

结论

对潜在供体进行心理-精神评估对于确认其心理健康和幸福状态至关重要,这是捐赠不可或缺的前提条件。

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