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Relationship Between Stress Coping Mechanisms and Depression in Kidney Transplant Recipients
R Suzuki1, Y Nakamiya2, M Watanabe3
1Department of Psychiatry, National Defense Medical College, Tokorozawa, Saitama, Japan; Department of Transplantation Surgery, National Hospital Organization Mito Medical Center, Higashiibaraki, Ibaraki, Japan; Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan; Department of Advanced Technology for Transplantation, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Transplantation Proceedings
|April 14, 2019
Summary
Kidney transplant recipients experiencing stress may develop depression. Directly confronting problems reduces depression, while avoiding stress increases it, highlighting the need for early intervention and coping education.
Area of Science:
- Nephrology
- Psychiatry
- Transplantation Medicine
Background:
- Kidney transplant recipients face significant physical and psychosocial stress post-surgery.
- These stresses can lead to psychological disorders, notably depression.
Purpose of the Study:
- To investigate stress-coping mechanisms in kidney transplant recipients.
- To examine the relationship between stress coping and depression in this population.
- To identify effective countermeasures for depression.
Main Methods:
- A questionnaire survey was administered to 109 kidney transplant recipients.
- Data collected included personal attributes, medical information, depression levels, and stress-coping styles.
- Statistical analyses involved factor analysis and multiple regression analysis.
Main Results:
- 13.8% of recipients were identified as high-risk for depression.
- Two primary stress-coping factors were identified: 'Directly coping with the problem' and 'Stress-release while avoiding the problem'.
- Direct coping was associated with reduced depression, while avoidance coping correlated with increased depression.
Conclusions:
- Early assessment of depression and stress-coping types is crucial for kidney transplant recipients.
- Educational interventions focusing on problem-resolution strategies are recommended to improve mental health.
- Targeted support can mitigate depression and enhance well-being in transplant patients.
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