Living kidney transplantation: preoperative assessment in the donor and recipient 

Galletta D., Lauria I., Confuorto M., Mastrola A.M., Suarato V., Micanti F.


Background: The study aimed to demonstrate the importance ofthe assessment of psychological profile for the evaluation of the beingready to take on the operation.

Methods: It’s evaluated another pair of brothers, using the following tests: SCL-90R, IRI, graphics test, Raven’s ProgressiveMatrices and Rorschach test.

Results: In the donor there’s a search of security in the past, tendency to coarctation and defensive attitude. He has a strong self but difficulties to act in the future, showing anxiety, stress and difficult to manage. The receiving’s an immature self, exposing traits of obsessive-compulsive behaviour, negative mood and traits of anxiety. He tends to excessive adherence to reality, blockage in affections, defensive attitude seeking security in the past. Compared to donor, he seems to have the capacity to manage the difficulty.

Conclusions: Living donor kidney transplantation didn’t affect the lives of donors and improved many aspects of the lives of recipients. However, psychological and social aspects may be impaired by living donation. Therefore, it’s important an appropriate multidisciplinary approach, knowing the psychological status of both patients.

Keywords: kidney transplantation; multi-disciplinary approach;psychological assessment; the degree of awareness, psycho-diagnosis