Williams Hernández J
Bol Med Hosp Infant Mex. 1977 Jan-Feb;34(1):173-9.
Ten adolescents were studied from the psychological viewpoint before and after kidney transplantation. Psychological tests showed that before the transplantation, the patients showed signs of brain damage which did not persist after the operation. IQ was low, especially in areas where fine visual and motor coordination was required. After transplantation, IQ was higher. Perception of the body structure was altered in most patients and it improved after transplantation. The most important content in the projective tests was that of death, before and after the operation, indicating depressive factors that influence personality; other traits were fears and guilt feelings before and after transplantation which leads us to conclude that this type of patients have significant feelings of anxiety when they learn about their disease and which continue indefinitely. In spite of the fact that in the last twenty years the number of patients treated with kidney transplantation has increased, there are not many reports from the psychological viewpoint. It is obvious that in the treatment of this disease, as in any other that is chronic and of an uncertain prognosis, although generally fatal, there thill be a series of emotional factors that cause abrupt changes in all aspects of life in these patients, since they are constantly facing death.
对10名青少年在肾移植前后进行了心理学角度的研究。心理测试表明，移植前患者表现出脑损伤迹象，但术后并未持续存在。智商较低，尤其是在需要精细视觉和运动协调的方面。移植后，智商有所提高。大多数患者对身体结构的认知发生了改变，移植后有所改善。投射测试中最重要的内容是手术前后的死亡主题，表明存在影响人格的抑郁因素；移植前后的其他特征是恐惧和内疚感，这使我们得出结论，这类患者在得知自己的病情时会有明显的焦虑情绪，且这种情绪会持续很久。尽管在过去二十年中接受肾移植治疗的患者数量有所增加，但从心理学角度的报告并不多。显然，在这种疾病的治疗中，如同其他慢性且预后不确定（尽管通常是致命的）的疾病一样，会有一系列情感因素导致这些患者生活的各个方面发生突然变化，因为他们一直面临着死亡。
