Levels of depression, anxiety and quality-of-life of kidney and liver donors in a university hospital in Ankara

Objective: The psychosocial assessments of live kidney and liver donor candidates constitutes an important issue whereas many studies has drawn attention to the donation's correlation with anxiety and depression as well as the unwanted psychosocial outcomes. There are studies that find psychiatric disorders that appear in the post-operative period after donation lower or higher compared to the normal population. Altruism is considered as a concept that ensures vital stress management and is defined as ‘the degree of obligation felt in situations where you are supposed to help others’. It is believed that altruistic behavior is a mature defense mechanism, which prevents the development of psychiatric disorders such as anxiety disorder and depression and protects the individual against those psychiatric disorders. Methods: Our study included 51 participants who were donors of kidney and liver at Ankara Hospital of Başkent University between the years 2016 and 2017, and who accepted to participate in the study. The participants were given the Beck Depression Inventory, Beck Anxiety Inventory, SF-36 Quality-of-Life Scale and a Sociodemographic Questionnaire. Results: When the donors who participated in the study were compared with the Turkish society standards, the patient group was found to obtain significantly higher scores than the society average in the quality-of-life subscales ‘physical function’, ‘difficulty in physical role’, ‘mental health’ and ‘pain’, therefore, they were found to have a higher quality-of-life. Among the donors who participated in our study, the rate of those with moderate to severe depression was found to be 3.9% and of those with moderate to severe anxiety was found to be ‘zero’. Discussion: Organ donation may be an altruistic behavior acting as a defensive mechanism that protects the individual against mental disorders such as depression and anxiety and increasing the quality-of-life. (Anatolian Journal of Psychiatry 2019; 20(2):175-181)

Ankara'da bir üniversite hastanesinde böbrek ve karaciğer vericilerinde depresyon, anksiyete ve yaşam kalitesi düzeyleri

Amaç: Canlı böbrek ve karaciğer verici adaylarının ruhsal-toplumsal değerlendirilmeleri önemli bir konudur ve çeşitli araştırmalarda vericiliğin; anksiyete ve depresyonla, istenmeyen ruhsal-toplumsal sonuçlarla olan bağlantılarına dikkat çekilmiştir. Vericilik sonrası postoperatif dönemde psikiyatrik bozuklukları normal popülasyondan daha düşük veya daha yüksek bulan araştırmalar vardır. Altruizm, yaşamsal stres yönetimini sağlayan ve ‘başkalarına yardım edilmesi gereken durumlarda kendini zorunlu hissetme derecesi’ olarak tanımlanmıştır. Altruistik davranışın kişiyi depresyon, anksiyete bozuklukları gibi psikiyatrik bozukluklardan koruyan olgun bir savunma düzeneği olduğu düşünülmektedir. Yöntem: Çalışmamıza 2016-2017 yıllarında Başkent Üniversitesi Ankara Hastanesi’nde böbrek veya karaciğer vericisi olmuş, çalışmaya katılmayı kabul eden 51 kişi alınmıştır. Katılımcılara Beck Depresyon Ölçe- ği, Beck Anksiyete Ölçeği, SF-36 Yaşam Kalitesi Ölçeği ve Sosyodemografik Anket Formu verilmiştir. Bulgular: Araştırmaya katılan organ vericileriyle Türk toplumu standartları karşılaştırıldığında, hasta grubunun yaşam kalitesi alt ölçeklerinden fiziksel işlev, fiziksel rol güçlüğü, ruhsal sağlık ve ağrı alt ölçeklerinde toplum ortalamasına göre anlamlı olarak daha yüksek puanlara sahip oldukları bulunmuştur. Araştırmamıza katılan organ vericilerinde orta- ağır depresyonu olanların oranı %3.9, orta-ağır düzeyde anksiyetesi olanların oranı ‘sıfır’ olarak bulunmuştur. Tartışma: Organ vericiliği, kişiyi depresyon ve anksiyete gibi ruhsal bozukluklara karşı koruyan, yaşam kalitesini yükselten olgun bir savunma düzeneği olarak etki eden altruistik bir davranış olabilir. (Anadolu Psikiyatri Derg 2019; 20(2):175-181)

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