Prevalence of Mental Disorders in a German Kidney Transplant Population: Results of a KTx360°-Substudy.

Autor: Birkefeld K; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany.; Institute of Legal Medicine and Forensic Sciences, Charité-Universiätsmedizin, Berlin, Germany., Bauer-Hohmann M; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany., Klewitz F; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany., Kyaw Tha Tun EM; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany.; Department of Psychosomatic Medicine and Psychotherapy, University of Göttingen Medical Centre, Göttingen, Germany., Tegtbur U; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany.; Department of Sports Medicine, Hannover Medical School, Hannover, Germany., Pape L; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany.; Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany.; Department of Pediatrics II, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany., Schiffer L; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany.; Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany., Schiffer M; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany.; Department of Nephrology and Hypertension, University Hospital Erlangen, Erlangen, Germany.; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany., de Zwaan M; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany., Nöhre M; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. noehre.mariel@mh-hannover.de.; Project Kidney Transplantation 360° (NTx360°), Hannover Medical School, Hannover, Germany. noehre.mariel@mh-hannover.de.
Jazyk: angličtina
Zdroj: Journal of clinical psychology in medical settings [J Clin Psychol Med Settings] 2022 Dec; Vol. 29 (4), pp. 963-976. Date of Electronic Publication: 2022 Feb 23.
DOI: 10.1007/s10880-022-09861-0
Abstrakt: In patients after kidney transplantation (KTx) an increased rate of affective and anxiety disorders has been observed. Repeatedly, a relationship between mental health issues and increased morbidity and mortality in KTx recipients has been reported. However, information on the prevalence of mental disorders in KTx patients is scarce. As part of the structured multimodal follow-up program (KTx360°), mental disorders were examined in 726 patients after KTx through structured diagnostic interviews using the Mini-DIPS Open Access. Overall, 27.5% had a current and 49.2% a lifetime mental disorder. Only 14.5% with a current mental disorder reported to be in treatment. Affected patients were younger, more often female, reported more symptoms of anxiety and depression and less perceived social support. While comparable to the rate in general population samples, the prevalence of mental disorders should attract attention. The low treatment rate requires an improved identification of afflicted patients and provision of specialist treatment.ISRCTN registry, https://doi.org/10.1186/ISRCTN29416382 , date of registry: 03.05.2017.
(© 2022. The Author(s).)
Databáze: MEDLINE
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