Yonsei Med J.  1984 Dec;25(2):122-132. 10.3349/ymj.1984.25.2.122.

Psychiatric Aspects of Hemodialysis and Kidney Transplantation

• Min SK
• Kim KH
• Shin JH
• Han JO
• Lee KY
• Kang WR

• KMID: 692980
• DOI: http://doi.org/10.3349/ymj.1984.25.2.122

Abstract

A series of clinical studies on the psychiatric aspects of hemodialysis and kidney transplantation were done with Korean patients, kidney donors, their families and unit nurses. All subjects were interviewed and evaluated for their psychiatric reactions and symptoms and for the underlying causes. Depression was the most common reaction, although the clinical features were somewhat different between groups studied. In addition, a unique and episodic psychotic syndrome was found in four patients. Depression and psychotic episodes seemed to reflect the psychodynamic components such as instinctual frustration, physical, familial and financial loss, dependency on a machine, sensory deprivation and the so-called fear of death and fear of life. These seemed to follow the unique features of hemodialysis and transplantation. The main defense mechanism seemed to be denial. The possible role of psychiatrists was discussed for evaluation, treatment, and prevention of these reactions and for the support of the family and the treatment team.

Keyword

hemodialysis; kidney transplantation; donors; psychiatric reactions; the family; nurses in hemodialysis unit; Koreans

MeSH Terms

dult
Aged
Female
Human
Kidney Transplantation*
Korea
Male
Middle Age
Renal Dialysis/psychology*
Transplantation, Homologous/psychology*