Psychiatric aspects of renal transplantation. 1985

S K Chaturvedi, and V L Pant
Lecturer, Department of Psychiatry, National Institute of Mental Health & NeuroSciences, PB No. 2900, Bangalore 560 029, Karnataka, India.

This report pertains to the psychiatric problems in renal transplant recipients and its socio-demographic correlations.50 male recipient subjects with a post-transplant period ranging from six months to six years were evaluated through tape recorded interviews to study their pre and post-operative emotional reactions. A psychiatric examination was performed by two psychiatrists and a diagnosis given wherever necessary. On examination 46% of cases had identifiable psychiatric problems, mainly Anxiety Neurosis (18%), Depressive Neurosis (18%), Adjustment Reactions (10%). Non-organic (Psychogenic) pain, excessive somatic concern and personality changes were also noticed in some. The psychiatric illness was significantly more amongst unmarried (P < .05) and higher education group (P < .02). Other variables had no significant correlation with the psychiatric illness. None had psychoses or a major depressive disorder. Thus, psychiatric problems are present in particular groups of transplant recipients and are usually neurotic in nature and would require psychiatric help regarding these.

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