Discrepancy in Psychological Attitudes Toward Living Donor Liver Transplantation Between Recipients and Donors. Issue 12 (December 2015)

• Record Type: Journal Article
• Authors: Hayashi, Kosuke; Uchida, Hiroyuki; Takaoka, Chie; Izawa, Yuka; Shinoda, Masahiro; Obara, Hideaki; Itano, Osamu; Shirahase, Joichiro; Tanabe, Minoru; Kitagawa, Yuko; Mimura, Masaru
• Is Part Of: Transplantation. Volume 99:Issue 12(2015)
• Publication Date: 2015-12
• Subjects: Transplantation of organs, tissues, etc -- Periodicals; Transplantation immunology -- Periodicals; 617.95
• DOI: 10.1097/TP.0000000000000800
• Languages: English
• ISSNs: 0041-1337

Abstract

Abstract : Background: Mutual understanding between recipients and donors is indispensable when living donor liver transplantation (LDLT) is performed, which, however, has gained little attention and remains unaddressed in the literature. Methods: Fifty-seven pairs, a recipient (mean ± SD age at the operation, 48.3 ± 10.6 years; mean ± SD years after the operation, 6.2 ± 4.7 years) and his or her donor, who underwent LDLT completed a 13-item questionnaire on a 7-point Likert scale (1: strongly agree to 7: strongly disagree) that was designed to assess for their psychological attitudes toward transplantation. They were also asked to estimate their donor's or recipient's response to the questionnaire, respectively. Values of interest were compared between groups, using paired t tests. Following Bonferroni correction, a P value less than 0.0038 (0.05/13) was considered statistically significant. Results: Significant differences were observed between actually answered and estimated responses in 7 of the 13 items in the questionnaire for donors. For example, donors did not feel pressure to become a donor to the same degree as their recipients estimated (4.6 ± 1.9 vs 3.4 ± 1.8). In contrast, only 1 item showed a significant difference between actually answered and estimated responses in the questionnaire for recipients; recipients did not worry about the transplanted liver compared to their donors' estimation (3.1 ± 1.9 vs 2.1 ± 0.8). Conclusions: Recipients did not fully understand the donors' feelings toward LDLT, whereas donors almost correctly understood their recipients' attitudes. Our findings clearly revealed the gap in their mutual understanding and emphasize the need of psychological education to bridge the gap. Abstract : After a mean time of 6.2 years, the authors assessed psychological attitudes in both liver living donors and their recipients using a 13-item questionnaire on a 7-point Likert scale, donors estimating recipients' answers and vice versa. There are strong discrepancies in donors between estimated and actual answers in 7 out of 13 questions. In contrast in recipients, only 1 item (worry about the liver) was significantly different. This highlights different psychological approaches between donors and their paired recipients.