Assessment of living donors with respect to pre- and posttransplant psychosocial properties and posttransplant family functioning in pediatric liver transplantation

Psychosocial impact of pediatric living-donor kidney and liver transplantation on recipients, donors, and the family: a systematic review

“…Only a minority of donors regretted their decision [32,33,41], and all donors would donate again if necessary [29,32,36]. In one study, though, 63% indicated they would prefer a deceased donor if possible [41], although motivations for doing so were not addressed.…”

“…In another study, by contrast, 12.5% of donors suffered from lowered mood, 6.3% from major depression, and 6.3% from an anxiety disorder, although the criteria on which diagnoses were made were not reported. The presence of these disorders strongly correlated with medical outcomes in the recipient [32]. Similarly, yet another study revealed that 26% of donors experienced some psychosomatic or psychiatric symptoms after the operation [33].…”

“…Diagnosis of mental health disorders [22,31,32] Self-report of psychiatric symptoms [33] Emotional and behavioral well-being (n = 11): Concerns about own health [38,41] Emotional quality of life [29,36,37] Experience of operation and recovery [33,34,[38][39][40] Feelings of emotional strain [33] Feelings of loss after donation [41] Identity and self-image [35,39,41] Regret of decision to donate [32,33,41] Willingness to donate again [29,32,36] Social functioning (n = 5): Satisfaction with social support [33,35,[38][39][40] Perspectives on (the meaning of) community [35] FAMILY Donor-recipient relationship (N = 13): [26,[28][29][30][32][33][34][35][36]38,[41][42][43] Relationship between donor and partner (N = 6): [29,[31]…”

“…In one study, though, over 70% experienced some emotional strain after transplantation [33]. Moreover, several donors complained of more postoperative pain than expected [32,33,36,[38][39][40][41], and some mentioned it took them a long time to overcome their 'crisis mode' level of functioning [40].…”

Discrepancy in Psychological Attitudes Toward Living Donor Liver Transplantation Between Recipients and Donors

“…1 It is critically important to evaluate not only physical but also psychological conditions of donors in LDLT in light of the potentially serious impact on their mood and mental quality of life (QOL). [2][3][4][5] In fact, Trotter et al 2 have shown that 16 (4.1%) of 392 donors in LDLT had 1 or multiple psychiatric complications, including severe ones, such as suicide, accidental overdose, and suicide attempt after the transplantation. Moreover, careful attention should also be paid to recipients' mental health when LDLT is performed because receiving a transplant from a living donor could result in psychological distress in recipients.…”