Correlation between resilience, anxiety and depression among donors during pediatric living donor liver transplantation

Juan Li, Huanhuan Wang, Bingjie Tian, Shuyan Yu, Jiajia Zhou, Cong-huan Shen, Zhengxin Wang, Yanpei Cao
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Abstract

Objective To explore the postoperative psychological status of donors during pediatric living donor liver transplantation (LDLT) to elucidate the correlation between resilience, anxiety and depression. Methods Random sampling was employed for selecting 60 pediatric LDLT donors undergoing LDLT from September 2014 to February 2019. They were requested to answer a questionnaire. The questionnaire concluded general information, self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Chinese version of Resilience Scale. Results The score of anxiety was (46.06±10.06) and depression was (50.32±11.49). Both values were higher than those of Chinese norm. The score of resilience was (59.55±14.62). And the total score of resilience and the score of each dimension were negatively correlated with anxiety and depression (P<0.01). Conclusions The postoperative anxiety and depression level of donors during LDLT are higher than the ordinary. Resilience is negatively correlated with the level of anxiety and depression. The lower level of resilience, the higher anxiety and depression of donors during LDLT. For clinicians, appropriate intervention measures should be taken for improving the resilience, reducing negative emotions and boosting the quality-of-life of donors during LDLT. Key words: Liver transplantation; Living donor; Anxiety; Depression; Child
儿童活体肝移植供者心理弹性、焦虑和抑郁的相关性研究
目的探讨儿童活体肝移植(LDLT)术后供肝者的心理状态,探讨心理弹性与焦虑、抑郁的关系。方法随机抽取2014年9月至2019年2月接受LDLT治疗的60例儿童LDLT供体。他们被要求回答一份问卷。问卷包括一般信息、焦虑自评量表(SAS)、抑郁自评量表(SDS)和中文版弹性量表。结果焦虑得分为(46.06±10.06)分,抑郁得分为(50.32±11.49)分。两项指标均高于中国常模。心理弹性得分为(59.55±14.62)分。心理弹性总分和各维度得分与焦虑、抑郁呈显著负相关(P<0.01)。结论LDLT供者术后焦虑抑郁水平高于普通供者。弹性与焦虑和抑郁水平呈负相关。在LDLT过程中,供体的弹性水平越低,焦虑和抑郁程度越高。对于临床医生来说,应采取适当的干预措施,提高献血者在LDLT期间的适应能力,减少负面情绪,提高生活质量。关键词:肝移植;活体供;焦虑;抑郁症;孩子
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