AFFECTIVE SPHERE CHARACTERISTICS OF PATIENTS WITH CHRONIC RENAL FAILURE WHO ENDURED KIDNEY TRANSPLANTATION
Abstract
The purpose of this study is to investigate disorders of anxiety-depression and aggressive
spectrum in patients with chronic renal failure (CRF) after allotransplantation. Subjects (N = 93) aged 20 to 62 years (mean age 39,7 ± 1 year). Depending on the life period with transplant patients were divided into three groups: a group of patients who have lived with a transplant from 1 month to 1 year, a group of patients who have lived with a transplant from 1 up to 3 years and a group of patients who have lived with a transplanted kidney from 3 to 12 years.
Spielberger scale of reactive and personal anxiety was used to assess the level of anxiety and
anxiety in patients used. Zung Self-Rating Depression Scale was used to determine the degree of mood lowering. Projective Hand-Test was used to study the features of behavioral responses, in particular, the propensity for overt aggression.
According to the study the emotional sphere of patients endured kidney transplantation is
characterized by a significant rate and severity of anxiety disorders. In a situation of vital threat the anxiety level increase may be associated with the development of depressive affect. Moreover, increased anxiety in patients with end-stage renal disease that endured transplantation provides a commitment to maintaining a healthy lifestyle, and can indirectly help to maintain physical health. Under the conditions of life with kidney allograft aggression can be adaptive in nature, it can indicate a relatively satisfactory somatic and, consequently, emotional state. Patients with end-stage renal disease are characterized by the deterioration of mental and emotional state while living with a transplant, which is accompanied by a decrease in aggression and a greater need for emotional attachment, as well as the emergence of disposition to hysteroid reactions.
The results of this study can be used in development of programs of psychological care to
patients with chronic renal failure who endured kidney transplantation.
