Ozcan Seyda Gul, Poyraz Burc Cagri, Bakir Alev, Trabulus Sinan, Pekmezci Salih, Seyahi Nurhan
From the Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Exp Clin Transplant. 2021 Mar 17. doi: 10.6002/ect.2020.0488.
In an attempt to control the new coronavirus pandemic, many countries have taken unprecedented measures, such as extensive social distancing and total lockdowns of cities. Kidney transplant recipients have an increased risk for infectious diseases, including viral infections. In this study, we aimed to investigate the effects of population-wide infection control measures on the mood statuses of kidney transplant recipients.
We used an electronic survey tool to collect demographic and sociocultural data. Additionally, in the same survey, we used 2 questionnaires (the Profile of Mood States and the Hospital Anxiety and Depression Scale) to measure mood statuses of kidney transplant recipients. We also examined a control group and selected eligible participants according to age- and sex-based propensity score matching.
We analyzed the data of 308 participants: 154 kidney transplant recipients (mean age of 39.9 ± 10.6 years; 57.1% male) and 154 control participants (mean age of 39.1 ± 10.5; 57.1% male). With regard to the Profile of Mood States questionnaire, total scores and all subscale scores, excluding vigor, were significantly lower in kidney transplant recipients than in the control group, a finding consistent with a better mood status. We found similar findings in anxiety and depression scores for the Hospital Anxiety and Depression Scale questionnaire.
Kidney transplant recipients seem to be resilient to the psychological stress induced by social distancing and lockdown periods. Strict adherence to infection control measures is purposefully suggested in this infection-prone population.
为控制新型冠状病毒大流行，许多国家采取了前所未有的措施，如广泛的社交距离措施和城市全面封锁。肾移植受者感染传染病（包括病毒感染）的风险增加。在本研究中，我们旨在调查全人群感染控制措施对肾移植受者情绪状态的影响。
我们使用电子调查工具收集人口统计学和社会文化数据。此外，在同一项调查中，我们使用两份问卷（情绪状态量表和医院焦虑抑郁量表）来测量肾移植受者的情绪状态。我们还检查了一个对照组，并根据年龄和性别倾向得分匹配选择符合条件的参与者。
我们分析了308名参与者的数据：154名肾移植受者（平均年龄39.9±10.6岁；57.1%为男性）和154名对照参与者（平均年龄39.1±10.5岁；57.1%为男性）。关于情绪状态量表问卷，肾移植受者的总分和除活力外的所有子量表得分均显著低于对照组，这一结果与更好的情绪状态一致。我们在医院焦虑抑郁量表问卷的焦虑和抑郁得分中也发现了类似的结果。
肾移植受者似乎能抵御社交距离措施和封锁期所带来的心理压力。对于这个易感染人群，有针对性地建议严格遵守感染控制措施。
