Abram H S, Buchanan D C
Int J Psychiatry Med. 1976;7(2):153-64. doi: 10.2190/ghwc-hxqg-6fcu-3n2j.
The literature on psychological reactions to renal transplantation in adult donors and recipients is reviewed. Although the psychiatric complications of kidney transplantation appear to be fewer than in renal dialysis, the operation represents a threat to the donor, recipient and extended family. Donors, despite altruistic motivations for offering their kidney, often harbor resentment toward the recipient and commonly experience depression in the early postoperative period. Recipients often unrealistically expect the homograft to be a panacea for their emotional stresses. Anxiety and depression are common reactions when a physical complication, particularly rejection, does occur. It has been proposed that psychological acceptance is related to a patient's psychological acceptance of the organ.
本文综述了关于成年肾移植供体和受体心理反应的文献。尽管肾移植的精神并发症似乎比肾透析少，但手术对供体、受体和大家庭来说都是一种威胁。供体尽管出于利他动机捐献肾脏，但往往对受体心怀怨恨，并且在术后早期通常会出现抑郁情绪。受体常常不切实际地期望同种异体移植能成为缓解其情绪压力的万灵药。当出现身体并发症，尤其是排斥反应时，焦虑和抑郁是常见的反应。有人提出，心理接受与患者对器官的心理接受程度有关。
