Dialysis and Kidney Transplantation: Similarities and Differences in the Psychological Aspects of Noncompliance

Rapisarda, Francesco; Tarantino, A; Vecchi, A. De; Baggio, G.; Ghezzi, Fabio; Nicodemo, D.; Resega, R.; Vecchi, Maurizio

doi:10.1016/j.transproceed.2006.02.143

Cited by 10 publications

(4 citation statements)

References 3 publications

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“…In addition, due to the significantly negative correlation between age and non-functional coping strategies, the data showed that younger patients were inclined to deny the disease and its eventual emotional effects. A patient's insufficient consciousness about his or her health condition may be denial of the disease or underestimation [37].…”

Section: Discussionmentioning

confidence: 99%

Stress Coping Strategies in Hemodialysis and Kidney Transplant Patients

Gürkan

Pakyüz

Demir

2015

Transplantation Proceedings

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Section: Discussionmentioning

confidence: 99%

Stress Coping Strategies in Hemodialysis and Kidney Transplant Patients

Gürkan

Pakyüz

Demir

2015

Transplantation Proceedings

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“…In addition, it has been shown that depression and no adherence can predict mortality in hemodialysis patients. On the other hand, chronic stress related to the process of dialysis commonly increases the level of depression in these patients (9-12).…”

Section: Introductionmentioning

confidence: 99%

Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Pop‐Jordanova

Polenakovič

2013

Int J Artif Organs

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Studies related to psychological aspects of dialysis patients show that depression and anxiety are the most common characteristics. The aim of our study was to analyze the personality profile in patients on chronic maintenance dialysis and to evaluate more specifically the level of depression. The total number of patients was 68 (30 females and 38 males), with mean age 62.3 and 56.5 for females and males respectively. Mean duration of dialysis was 6.73 years for females and 6.68 years for men (the period varied from 0.5 to 18 years). For the evaluation of psychological characteristics, we used two psychometric instruments: Minnesota Multiphase Personality Inventory (MMPI- 201) and Beck Depression Inventory. The obtained results confirmed the presence of depression in patients treated with hemodialysis. The level of depression is variable (minimal is present in 21.43%; mild in 35.71%; moderate in 17.85% and severe in 14.28% of patients). The depression is significantly positively correlated with age (p<0.05) as well as with educational level, and negatively with the duration of dialysis. Specific characteristics of personality obtained with MMPI are hypersensitivity, depressive mood, and withdrawal from friends and relatives. More specific emotional traits are the accentuated anxiety, low level of hostility, but very high passive aggression which destroys their social communications. Some response measures for depression such as relaxation training, psychological support, music therapy, or peripheral biofeedback are recommended.

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“…As raised levels of distress and perceived stress are thought to contribute to nonadherence to immunological regimen in other groups of transplant patients (67), active ongoing efforts to promote psychological well-being and to support adherence are indicated (71). These should include strategies to cope with the side effects of immunosuppression (72).…”

Section: The Postdischarge Periodmentioning

confidence: 99%

Face Transplantation: A Review of the Technical, Immunological, Psychological and Clinical Issues with Recommendations for Good Practice

Morris

Bradley²,

Doyal³

et al. 2007

Transplantation

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Three years ago, the Working Party on Facial Transplantation concluded that until there was more information available about risks any potential patient would be exposed to, it would be unwise to proceed with transplantation of the human face. Over the last three years, there has been a deepening understanding of the potential psychological problems of facial transplantation as well as a very considerable debate on the ethical aspects of the procedure. Further data on experimental work in animal models of facial transplantation as well as medium-term follow-up data from 24 hand and forearm transplants in 18 patients has now become available. Furthermore, a partial facial transplantation has been performed in France and a second one in China. In this second edition of the report, the technical, immunological, psychological, and ethical issues are discussed again in the light of this developing knowledge. In particular, there has been a major expansion of the sections on the psychological and societal issues, as well as the ethical and legal problems of facial transplantation. The working party still has considerable reservations about facial transplantation. Although it accepts that on balance the risks cannot be precisely quantified, they remain substantial. Therefore, if patients are allowed to make an informed choice to proceed, they must be very carefully selected and protected in the process, along with the families of both the donors and the recipients. To achieve this, the working party insists that 15 minimum requirements, described at the end of this report, must be fulfilled before it would be appropriate for a research ethics committee/institutional review board to approve of a proposal to undertake facial transplantation.

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Dialysis and Kidney Transplantation: Similarities and Differences in the Psychological Aspects of Noncompliance

Cited by 10 publications

References 3 publications

Stress Coping Strategies in Hemodialysis and Kidney Transplant Patients

Stress Coping Strategies in Hemodialysis and Kidney Transplant Patients

Psychological Characteristics of Patients Treated by Chronic Maintenance Hemodialysis

Face Transplantation: A Review of the Technical, Immunological, Psychological and Clinical Issues with Recommendations for Good Practice

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