Making an offer you can’t refuse? A challenge of altruistic donation*

Neuberger, James

doi:10.1111/j.1432-2277.2011.01367.x

Cited by 9 publications

(1 citation statement)

References 17 publications

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“…In general, unspecified donation has met scepticism and has been the topic of much (ethical) debate (e.g., Adams et al., 2002 ; Henderson et al., 2003 ; Hilhorst et al., 2005 ; Mamode et al., 2013 ; Neuberger, 2011 ). One of the questions that has been raised is whether or not unspecified donors are psychologically (un)stable or vulnerable?…”

Section: Introductionmentioning

confidence: 99%

Positive and negative aspects of mental health after unspecified living kidney donation: A cohort study

Massey

Pronk

Zuidema

et al. 2021

British J Health Psychol

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Objectives. Unspecified donors give a kidney to a stranger with end-stage kidney failure. There has been little research on the long-term impact of unspecified donation on mental health outcomes. The aim of this study was to assess the positive and negative aspects of mental health among unspecified donors.Design. We invited all unspecified donors who donated a kidney between 2000 and 2016 at our centre to participate in an interview and to complete validated questionnaires. Methods. We measured positive mental health using the Dutch Mental Health Continuum-Short Form (MHC-SF), psychological complaints using the Symptoms Checklist-90 (SCL-90) and psychiatric diagnoses using the Mini-International Neuropsychiatric Interview (M.I.N.I.) Screen for all donors and the M.I.N.I. Plus on indication.Results. Of the 134 eligible donors, 114 participated (54% female; median age 66 years), a median of 6 years post-donation. Scores on emotional and social wellbeing subscales of the MHC-SF were significantly higher than in the general population. Psychological symptoms were comparable to the general population. Thirty-two per cent of donors had a current or lifetime psychiatric diagnosis. Psychological symptoms did not significantly change between the pre-donation screening and the post-donation study.Conclusions. We concluded that, with the appropriate screening, unspecified donation is a safe procedure from a psychological perspective. Statement of contributionWhat is already known on this subject?Among the majority of living related (non-anonymous) donors, mental health returns to baseline within 3 to 12 months after donation.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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