Research view
Title: | Correlates of psychiatric morbidity in Egyptian renal transplant recipients |
Author: | Naglaa El Mahalawy, Hisham A. Hatata, Marwa A. El Meguid, Dalia A. Moneim, Mohamed H. El Din and Samah Hamed Rabei |
Abstract: |
Background
High rates of psychiatric morbidity have been reported after successful renal
transplantation.
Aim
The aim of this study was to estimate the prevalence of psychiatric disorders among
renal transplant recipients and to study their sociodemographic and medical
correlates.
Patients and methods
A stratified random sample of 230 postrenal transplant recipients was selected from
the nephrology clinics of Ain Shams University Specialized Hospital and from Nasser
Institute Nephrology Clinics. All cases were subjected to a semistructured
questionnaire for renal transplant recipients, the socioeconomic family scale, the
Arabic version of the General Health Questionnaire-28, and the Structured Clinical
Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Axis I
Disorders.
Results
The prevalence of psychiatric morbidity was 39.1%. Major depression was the most
frequently encountered diagnosis (16.52%), followed by adjustment disorder with
depressed mood (9.13%), dysthymia (8.26%), generalized anxiety disorder (4.35%),
and post-traumatic stress disorder (0.87%). There was a statistically significant
association between psychiatric morbidity and age, occupational level, and marital
status. However, there was no significant association between psychiatric morbidity
and sex, educational level, social class, side effects of drugs received after transplant,
medical diseases other than renal impairment, duration of hemodialysis therapy before
surgery, and type of donor.
Conclusion
The frequency of psychiatric morbidity is quite high in renal transplantation recipients,
which necessitates thorough screening of the demographic and clinical variables. The
involvement of mental health professionals with the team of renal transplantation can
help and facilitate early detection and proper intervention to help patients suffering
from psychiatric complications after the surgery.
Keywords:
demographic data, psychiatric morbidity, renal transplant recipients, renal
transplantation
|
Journal: | Middle East Curr Psychiatry 24:85–92 |
Text: | |
Download |