Stewart R S
Hosp Community Psychiatry. 1983 Jul;34(7):623-8. doi: 10.1176/ps.34.7.623.
Hemodialysis and kidney transplantation are often accompanied by psychological problems that can affect the medical course of the illness. The most frequent problems include depression, noncompliance with diet and medication, and sexual dysfunction. Approximately one-fourth of dialysis patients are depressed at any one time, and 2.7 percent of transplant patients experience affective psychosis. In addition, about 1 percent of the dialysis patients will commit suicide. Following transplantation body image problems may occur, primarily arising from the introjection of the new organ and from the disfiguring side effects of steroid medication. The author summarizes the pertinent psychiatric literature and treatment modalities available.
血液透析和肾脏移植常常伴随着可能影响疾病治疗过程的心理问题。最常见的问题包括抑郁、不遵守饮食和药物治疗规定以及性功能障碍。在任何时候，约四分之一的透析患者患有抑郁症，2.7%的移植患者会出现情感性精神病。此外，约1%的透析患者会自杀。移植后可能会出现身体形象问题，主要源于对新器官的认同以及类固醇药物的毁容性副作用。作者总结了相关的精神病学文献和可用的治疗方式。
