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Waiting for kidney transplantation from living or cadaveric donor: Impact on transplant representations

Published online by Cambridge University Press:  16 April 2020

M. Ammor ,
A. Durrbach ,
B. Charpentier ,
P. Lang ,
F. Advenier ,
S. Amidi ,
A. Dezamis ,
P. Hardy ,
B. Falissard  and
E. Corruble
M. Ammor
Affiliation:
Department of Psychiatry, Paris XI University, INSERM U 669, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
A. Durrbach
Affiliation:
Department of Nephrology, Paris XI University, INSERM U 542, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
B. Charpentier
Affiliation:
Department of Nephrology, Paris XI University, INSERM U 542, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
P. Lang
Affiliation:
Department of Nephrology, Paris XII University, INSERM U 581, Mondor University Hospital, Assistance Publique Hôpitaux de Paris, Creteil, France
F. Advenier
Affiliation:
Department of Psychiatry, Paris XI University, INSERM U 669, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
S. Amidi
Affiliation:
Department of Psychiatry, Paris XI University, INSERM U 669, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
A. Dezamis
Affiliation:
Department of Psychiatry, Paris XI University, INSERM U 669, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
P. Hardy
Affiliation:
Department of Psychiatry, Paris XI University, INSERM U 669, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
B. Falissard
Affiliation:
Department of Psychiatry, Paris XI University, INSERM U 669, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France
E. Corruble
Affiliation:
Department of Psychiatry, Paris XI University, INSERM U 669, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Le Kremlin Bicêtre, France

Abstract

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The transplant representations of patients waiting for a kidney transplantation have been studied recently. Our hypotheses is that these representations can be measured with a questionnaire and differ between recipients from living or cadaveric donor. As result of lack of clinical standardized instrument,we developed the Transplant Representation Questionnaire(TRQ) of 19 items in 4 degrees.

Objective:

Compare results on the TRQ in patients waiting for a kidney transplantation from cadaveric or living donor.

Methods:

390 patients included in waiting list for kidney transplantation with cadaveric or living donor were assessed with the TRQ. Since the beginning of the study, 170 patients were transplanted, 148 (87%) with cadaveric donor (CD group), and 22 (13%) with living donor (LD group). The principal component analysis has been performed on 390 patients.

Results:

The Principal component analysis of the TRQ has shown 2 factors.The factor “Donor” refers to the recipient concerns about the donor (11 items).The factor “Transplant” refers to the negative attitude of the recipient about the transplanted organ (8 items). The LD group was younger and had more social support than the CD group. It had also higher scores on the “donor” factor and similar scores on the “transplant” factor.

Discussion:

As compared to patients waiting for transplantation with cadaveric donor, patients waiting for transplantation with living donor have more concerns about the donor, and similar representations of their future transplant. Our preliminary results should be confirmed in more powerful studies. Further studies will assess prospectively the transplant representations after transplantation.

Type
Poster Session 2: Anxiety, Stress Related, Impulse and Somatoform Disorders
Information
European Psychiatry , Volume 22 , Issue S1: 15th AEP Congress - Abstract book - 15th AEP Congress , March 2007 , pp. S267
Copyright
Copyright © European Psychiatric Association 2007
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