Pérez-San-Gregorio M Ángeles, Martín-Rodríguez Agustín, Luque-Budia Asunción, Conrad Rupert
Department of Personality, Assessment, and Psychological Treatment, University of SevilleSeville, Spain.
Liaison Mental Health Services, University Hospital Virgen del RocíoSeville, Spain.
Front Psychol. 2017 Apr 11;8:564. doi: 10.3389/fpsyg.2017.00564. eCollection 2017.
Even though the majority of living kidney donor candidates appear in good mental health and show few concerns little is known concerning the influence of the type of donor-recipient relationship on donor candidates' specific concerns with regard to kidney donation. 136 donor candidates at Virgen del Rocío University Hospital of Seville filled in the of whom 105 donor candidates and their corresponding recipients (105 patients with End-Stage Renal Disease) were further evaluated with regard to mental health (, ) and quality of life (). As hypothesized recipients scored higher on depression and lower on quality of life. Donor candidates intending to donate to their children were significantly less concerned about risks of donation for themselves compared to donor candidates donating to siblings. Our findings highlight the importance of the type of donor-recipient relationship to understand specific concerns of donor candidates and optimize psychosocial assessment and support. From an evolutionary perspective parents lack of concern about their own well-being can be seen as an altruistic behavior to increase children's fitness at the (potential) expense of their own fitness.
尽管大多数活体肾供体候选人看起来心理健康状况良好，且很少表现出担忧，但对于供体 - 受体关系类型对供体候选人在肾脏捐赠方面的具体担忧的影响，我们却知之甚少。塞维利亚罗西奥圣母大学医院的136名供体候选人填写了相关问卷，其中105名供体候选人及其相应的受体（105名终末期肾病患者）就心理健康（……）和生活质量（……）进行了进一步评估。正如所假设的那样，受体在抑郁方面得分较高，而在生活质量方面得分较低。与向兄弟姐妹捐赠的供体候选人相比，打算向自己孩子捐赠的供体候选人对自身捐赠风险的担忧明显更少。我们的研究结果凸显了供体 - 受体关系类型对于理解供体候选人的具体担忧以及优化心理社会评估和支持的重要性。从进化的角度来看，父母对自身幸福的漠不关心可被视为一种利他行为，即以自身（潜在的）健康为代价来提高孩子的健康水平。
