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Post-Traumatic Stress Disorder and Post-Traumatic Growth following Kidney Transplantation.
Rebekah P Nash1, Marci M Loiselle2, Jessica L Stahl3
1Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kidney360
|October 17, 2022
Summary
Post-traumatic growth (PTG) and resilience in kidney transplant recipients (KT) can improve quality of life and reduce graft failure. These positive psychological factors may mitigate the risk of post-traumatic stress disorder (PTSD).
Area of Science:
- Psychological impact of organ transplantation
- Mental health in chronic disease management
- Health outcomes in kidney transplant recipients
Background:
- Kidney transplantation (KT) is a vital treatment for kidney failure.
- KT recipients face risks of depression, PTSD, and suicide.
- Post-traumatic growth (PTG) is understudied in KT patients.
Purpose of the Study:
- To determine the prevalence of PTSD and PTG in KT recipients.
- To identify predictors of PTSD and PTG.
- To assess the impact of PTSD and PTG on post-KT outcomes, including benefit finding and resilience.
Main Methods:
- Conducted a literature review of studies on PTSD, PTG, benefit finding, and resilience in KT recipients.
- Excluded case reports and first-person narratives.
- Performed data abstraction and descriptive analysis on 39 selected publications.
Main Results:
- PTSD affects up to 21% of adult and 42% of pediatric KT recipients, linked to lower quality of life (QOL) and sleep impairment.
- PTG is associated with improved QOL, kidney function, and reduced organ rejection.
- Resilience and benefit finding correlate with lower psychological distress, better adherence, and increased confidence in the healthcare team.
Conclusions:
- PTG, resilience, and benefit finding may reduce PTSD risk and improve well-being and graft survival in KT recipients.
- Further research is needed to develop interventions promoting these positive psychological factors.
- Interventions could enhance adherence and reduce organ rejection post-transplant.
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