Pre-operative Assessment of Psychological Characteristics and Mood States in Living Donor Kidney and Liver Transplantation.
BACKGROUND
Past studies have indicated that psychological problems in both transplant recipients and donors increase during the pre-operative period. However, few studies have evaluated the pre-operative psychological status of both the recipient and the donor.


METHODS
This study included the donors and recipients of 36 adult living donor kidney transplants (LDKT) and 12 adult living donor liver transplants (LDLT) between January 2012 and December 2014. Their personalities were assessed using the Tokyo University Egogram (TEG) and the Yatabe-Guilford Personality Inventory (Y-G), while their mood states just before transplantation were evaluated via the Profile of Mood States (POMS).


RESULTS
On the TEG, the mean Adapted Child (AC) score of the LDLT recipient group was significantly lower than that of the LDKT recipient group. On the Y-G, no differences in the distribution of the five personality types were recognized among the four groups. POMS depression scores in the LDLT recipient group were significantly higher compared with the other groups.


CONCLUSIONS
LDLT recipients exhibited a depressive mood just before transplantation, and also had a low AC score. Therefore, clinicians should pay careful attention to potential medical non-adherence and post-operative depression in LDLT recipients. Based on these pre-operative assessments of personality and mood states, the transplant team should include post-operative care to support the quality of life of the recipients as well as the donors.
Department of Nephro-Urologic Surgery and Andrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan; Organ Transplantation Center, Mie University Hospital, Tsu, Mie, Japan. Electronic address: kouheini@clin.medic.mie-u.ac.jp.
K
K
Nishikawa
Department of Psychiatry, Mie University School of Medicine, Tsu, Mie, Japan.
T
T
Hasegawa
Department of Psychiatry, Mie University School of Medicine, Tsu, Mie, Japan.
A
A
Usami
Organ Transplantation Center, Mie University Hospital, Tsu, Mie, Japan.
A
A
Urawa
Organ Transplantation Center, Mie University Hospital, Tsu, Mie, Japan.
S
S
Watanabe
Organ Transplantation Center, Mie University Hospital, Tsu, Mie, Japan; Department of Hepatobiliary Pancreatic and Transplant Surgery, Mie University School of Medicine, Tsu, Mie, Japan.
S
S
Mizuno
Organ Transplantation Center, Mie University Hospital, Tsu, Mie, Japan; Department of Hepatobiliary Pancreatic and Transplant Surgery, Mie University School of Medicine, Tsu, Mie, Japan.
S
S
Isaji
Department of Nephro-Urologic Surgery and Andrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Y
Y
Sugimura
Department of Psychiatry, Mie University School of Medicine, Tsu, Mie, Japan.
M
M
Okada
D000328:Adult; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods* / Q000523:psychology; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology*; D011183:Postoperative Complications / Q000517:prevention & control / Q000523:psychology; D011300:Preoperative Care / Q000379:methods; D011788:Quality of Life; D066027:Transplant Recipients / Q000523:psychology; D055815:Young Adult