title: Anxiety and decreased social support underline poorer quality of life of parent living kidney donors.
abstract: BACKGROUND
  A growing body of published work suggests that the parent-child relationship can be inherently coercive, such that the expectation that a living parent will not hesitate to donate a kidney to their children, makes informed consent difficult if not impossible to ascertain. The present study was designed to explore whether the emotional response and social resources have a similar effect on health-related quality of life among parent and sibling living kidney donors.
  
  
  METHODS
  This was a cross-sectional study. A total of 98 living kidney donors (60 parent donors, 38 sibling donors) completed an assessment including emotional response, social support and quality of life.
  
  
  RESULTS
  Depression, anxiety, subjective social support and quality of life scores were much poorer for parent than sibling donors. Parent donors also showed more anxiety and poorer physical functioning than their counterparts in the general population. Hierarchical multiple regression analyses suggested that anxiety and decreased social support in the parent group were negatively associated with physical and mental function. In the sibling group, the main indicator of improved physical state was higher education level.
  
  
  CONCLUSIONS
  Current results raised new concerns for the quality of life of parent donors as emotional response and social support differentially affected parent versus sibling quality of life. Therefore, stricter standards for physical selection, as well as emotional and supportive intervention, are needed for parent donors.
authors.affiliation: Institute of Developmental Psychology, Beijing Normal University, Beijing, China.
authors.forename: Pinhong
authors.initials: P
authors.lastname: Chen
authors.forename: Qidong
authors.initials: Q
authors.lastname: Luo
authors.forename: Longkai
authors.initials: L
authors.lastname: Peng
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012944:Social Support
keywords: living related kidney donation; psychological factors; quality of life; renal transplantation