Mood, Body Image, Fear of Kidney Failure, Life Satisfaction, and Decisional Stability Following Living Kidney Donation: Findings from the KDOC Study

Jr Rodrigue; Jd Schold; P. Morrissey; J. Whiting; J. Vella; Lk Kayler; D. Katz; J. Jones; B. Kaplan; A. Fleishman; M. Pavlakis; Da Mandelbrot; Kidney Donor Outcomes Cohort (KDOC) Study Group

doi:10.1111/ajt.14618

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Mood, Body Image, Fear of Kidney Failure, Life Satisfaction, and Decisional Stability Following Living Kidney Donation: Findings from the KDOC Study

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Mood, Body Image, Fear of Kidney Failure, Life Satisfaction, and Decisional Stability Following Living Kidney Donation: Findings from the KDOC Study

Jr Rodrigue, Jd Schold, P. Morrissey, J. Whiting, J. Vella, Lk Kayler, D. Katz, J. Jones, B. Kaplan, A. Fleishman, …

American journal of transplantation, Vol.18(6), pp.1397-1407

01/09/2018

DOI: 10.1111/ajt.14618

PMCID: PMC5988866

PMID: 29206349

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Abstract

Prior studies demonstrate that most living kidney donors (LKDs) report no adverse psychosocial outcomes; however, changes in psychosocial functioning at the individual donor level have not been routinely captured. We studied psychosocial outcomes pre-donation and at 1, 6, 12, and 24 months post-donation in 193 LKDs and 20 healthy controls (HCs). There was minimal to no mood disturbance, body image concerns, fear of kidney failure, or life dissatisfaction, indicating no incremental changes in these outcomes over time and no significant differences between LKDs and HCs. The incidence of any new-onset adverse outcomes post-donation was as follows: mood disturbance (16%), fear of kidney failure (21%), body image concerns (13%), and life dissatisfaction (10%). Multivariable analyses demonstrated LKDs with more mood disturbance symptoms, higher anxiety about future kidney health, low body image, and low life satisfaction prior to surgery were at highest risk of these same outcomes post-donation. Importantly, some LKDs showed improvement in psychosocial functioning from pre- to post-donation. Findings support the balanced presentation of psychosocial risks to potential donors as well as the development of a donor registry to capture psychosocial outcomes beyond the mandatory two-year follow-up period in the USA.

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Title: Subtitle: Mood, Body Image, Fear of Kidney Failure, Life Satisfaction, and Decisional Stability Following Living Kidney Donation: Findings from the KDOC Study
Creators: Jr Rodrigue
Jd Schold
P. Morrissey - Rhode Island Hospital
J. Whiting - Maine Medical Center
J. Vella - Maine Medical Center
Lk Kayler
D. Katz - University of Iowa
J. Jones - University of Iowa
B. Kaplan - University of Arizona
A. Fleishman - Beth Israel Deaconess Medical Center
M. Pavlakis - Harvard University
Da Mandelbrot
Kidney Donor Outcomes Cohort (KDOC) Study Group
Resource Type: Journal article
Publication Details: American journal of transplantation, Vol.18(6), pp.1397-1407
DOI: 10.1111/ajt.14618
PMID: 29206349
PMCID: PMC5988866
NLM abbreviation: Am J Transplant
ISSN: 1600-6135
eISSN: 1600-6143
Grant note: DOI: 10.13039/100000062, name: National Institute of Diabetes and Digestive and Kidney Diseases, award: R01DK085185
Language: English
Date published: 01/09/2018
Academic Unit: Psychological and Brain Sciences; Surgery
Record Identifier: 9984322827702771

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