Anxiety Disorders and Related Sociodemographic and Clinical Characteristics in Kidney Transplant Candidates: A Cross-Sectional Study from a Transplant Center in Turkey.

IF 0.7 4区医学 Q4 TRANSPLANTATION

Experimental and Clinical Transplantation Pub Date : 2025-07-01 DOI:10.6002/ect.2025.0029

Selvi Ceran, Gonca Aşut, Yasemin Hoşgören Alıcı, Jamal Hasanlı, Gamze Özçürümez Bilgili, Cihat Burak Sayın, Mehmet Haberal

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引用次数: 0

Abstract

Objectives: Patients with chronic kidney disease frequently face psychological challenges and emo-tional strain, increasing the risk of psychiatric conditions like anxiety and depression. This study aimed to assess the prevalence of anxiety disorders in kidney transplant candidates across different stages of chronic kidney disease and to explore related sociodemographic and clinical factors.

Materials and methods: We reviewed 5 years of medical records from a transplant center, including 802 adult patients with chronic kidney disease who were referred for transplant evaluations and received at least 1 psychiatric assessment. Sociodemographic and clinical characteristics were compared between patients with and without anxiety disorders.

Results: Average age of included patients was 48 ± 14 years, with 76% being male and 74% living in urban areas. Anxiety disorders were identified in 18% of patients, with 5.6% also diagnosed with depression. Independent risk factors for anxiety disorders included being female (odds ratio = 1.96; 95% CI, 1.27-3.01), unemployment (odds ratio = 1.70; 95% CI, 1.045-2.76), history of failed kidney transplant (odds ratio = 24.07; 95% CI, 10.78-53.70), and prior psychiatric history (odds ratio = 2.07; 95% CI, 1.18-3.62).

Conclusions: Anxiety disorders are common in patients with chronic kidney disease and can significantly impair quality of life and daily functioning. The results emphasize the need for comprehensive psychosocial evaluations in this group, focusing on factors like sex, employment status, psychiatric background, and previous transplant outcomes.

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肾移植候选人的焦虑障碍和相关的社会人口学和临床特征：来自土耳其移植中心的横断面研究。

目的：慢性肾脏疾病患者经常面临心理挑战和情绪紧张，增加了焦虑和抑郁等精神疾病的风险。本研究旨在评估慢性肾脏疾病不同阶段肾移植候选人中焦虑障碍的患病率，并探讨相关的社会人口统计学和临床因素。材料和方法：我们回顾了一家移植中心5年的医疗记录，包括802名被转诊进行移植评估并接受至少1次精神评估的慢性肾脏疾病成年患者。比较有和无焦虑症患者的社会人口学和临床特征。结果：纳入的患者平均年龄为48±14岁，76%为男性，74%为城市居民。18%的患者被诊断患有焦虑症，5.6%的患者被诊断患有抑郁症。焦虑障碍的独立危险因素包括女性（优势比= 1.96;95% CI, 1.27-3.01）、失业（优势比= 1.70;95% CI, 1.045-2.76）、肾移植失败史（优势比= 24.07;95% CI, 10.78-53.70）和既往精神病史（优势比= 2.07;95% CI, 1.18-3.62）。结论：焦虑障碍在慢性肾脏疾病患者中很常见，并可显著影响生活质量和日常功能。结果强调需要对这一群体进行全面的社会心理评估，重点关注性别、就业状况、精神病学背景和以前的移植结果等因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Experimental and Clinical Transplantation 医学-移植

CiteScore

1.40

自引率

11.10%

发文量

258

审稿时长

6-12 weeks

期刊介绍： The scope of the journal includes the following: Surgical techniques, innovations, and novelties; Immunobiology and immunosuppression; Clinical results; Complications; Infection; Malignancies; Organ donation; Organ and tissue procurement and preservation; Sociological and ethical issues; Xenotransplantation.