Browse > Article
http://dx.doi.org/10.22722/KJPM.2019.27.1.42

Psychological Characteristics of Living Liver Transplantation Donors using MMPI-2 Profiles  

Lee, Jin Hyeok (Department of Psychiatry, Catholic University of Daegu School of Medicine)
Choi, Tae Young (Department of Psychiatry, Catholic University of Daegu School of Medicine)
Yoon, Seoyoung (Department of Psychiatry, Catholic University of Daegu School of Medicine)
Publication Information
Korean Journal of Psychosomatic Medicine / v.27, no.1, 2019 , pp. 42-49 More about this Journal
Abstract
Objectives : Living donor liver transplantation (LDLT) is a life-saving therapy for patients with terminal liver disease. Many studies have focused on recipients rather than donors. The aim of this study was to assess the emotional status and personality characteristics of LDLT donors. Methods : We evaluated 218 subjects (126 male, 92 female) who visited Daegu Catholic University Medical Center from August 2012 to July 2018. A retrospective review of their preoperative psychological evaluation was done. We investigated epidemiological data and the Minnesota Multiphasic Personality Inventory-2 questionnaire. Subanalysis was done depending on whether subjects actually underwent surgery, relationship with the recipient, and their gender. Results : Mean age of subjects was $32.19{\pm}10.91years$. 187 subjects received LDLT surgery (actual donors) while 31 subjects didn't (potential donors). Donor-recipient relationship included husband-wife, parent-children, brother-sister etc. Subjects had statistical significance on validity scale L, F, K and all clinical scales compared to the control group. Potential donors had significant difference in F(b), F(p), K, S, Pa, AGGR, PSYC, DISC and NEGE scales compared to actual donors. F, D and NEGE scales were found to be predictive for actual donation. Subanalysis on donor-recipient relationship and gender also showed significant difference in certain scales. Conclusions : Under-reporting of psychological problems should be considered when evaluating living-liver donors. Information about the donor's overall psychosocial background, mental status and donation process should also be acquired.
Keywords
Living donor; Donor selection; Liver transplantation; MMPI;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 KONOS org [homepage on the Internet]. Korea: Center for Disease Control and prevention; c2012-14 [updated 2019 Feb 13;cited 2019 Feb 15]. Available from: https://www.konos.go.kr/konosis/common/bizlogic.jsp.
2 Kirste G. Living-donor kidney transplantation. Langenbecks Arch Surg 1999;384:523-527.   DOI
3 Chang SM, Lee S. Psychiatric preparation of surgery. Korean J Psychosom Med 2009;17:3-7.
4 Olbrisch ME, Benedict SM, Haller DL, Levenson JL. Psychosocial assessment of living organ donors: clinical and ethical considerations. Prog Transplant 2001;11:40-49.   DOI
5 Schroder NM, McDonald LA, Etringer G, Snyders M. Consideration of psychosocial factors in the evaluation of living donors. Prog Transplant 2008;18:41-49.   DOI
6 Sterneck MR, Fischer L, Nischwitz U, Burdelski M, Kjer S, Latta A, Malago M, Petersen J, Pothmann W, Rogiers X. Selection of the living liver donor. Transplantation 1995;60:667-671.   DOI
7 Surman OS, Fukunishi I, Allen T, Hertl M. Live organ donation: social context, clinical encounter, and the psychology of communication. Psychosomatics 2005;46:1-6.   DOI
8 Department of Health & Human Services [homepage on the Internet]. USA: Organ Procurement and Transplantation Network; c1994-2018 [updated 2019 Feb 7;cited 2019 Feb 15]. Available from: https://optn.transplant.hrsa.gov/governance/about-the-optn/history-nota/.
9 University of Barcelona [homepage on the Internet]. Organ Donation European Quality System; c2010-2013 [updated 2013 December 1;cited 2019 May 15]. Available from: https://www.odequs.eu/.
10 National Law Information Center [homepage on the Internet]. Korea: Ministry of Government Legislation; c1997- 2019 [updated 2018 Dec 11;cited 2019 Feb 15]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=205644&efYd=20181211#0000.
11 Erim Y, Beckmann M, Valentin-Gamazo C, Malago M, Frilling A, Schlaak J, Gerken G, Broelsch CE, Senf W. Selection of donors for adult living-donor liver donation: results of the assessment of the first 205 donor candidates. Psychosomatics 2008;49:143-151.   DOI
12 Adcock L, Macleod C, Dubay D, Greig PD, Cattral MS, McGilvray I, Lilly L, Girgrah N, Renner EL, Selzner M, Selzner N. Adult living liver donors have excellent long-term medical outcomes: the University of Toronto liver transplant experience. Am J Transplant 2010;10:364-371.   DOI
13 Schulz KH, Kroencke S, Beckmann M, Nadalin S, Paul A, Fischer L, Nashan B, Senf W, Erim Y. Mental and physical quality of life in actual living liver donors versus potential living liver donors: a prospective, controlled, multicenter study. Liver Transpl 2009;12:1676-1687.
14 Harkness AR, McNulty JL, Finn JA, Reynolds SM, Shields SM, Arbisi P. The MMPI-2-RF personality psychopathology five (PSY-5-RF) scales: development and validity research. J Pers Assess 2014;96:140-150.   DOI
15 Connaughton DM, Harmon G, Cooney A, Williams Y, O'regan J, O'neill D, Cunningham P, Counihan A, O'kelly P, McHale S, Denton M, O'seaghdha CM, Magee C, Conlon P, Little D, Keogan M, de Freitas DG. The Irish living kidney donor program-why potential donors do not proceed to live kidney donation? Clin Transplant 2016;1:17-25.
16 Biller-Andorno N. Gender imbalance in living organ donation. Med Health Care Philos 2002;2:199-203.   DOI
17 Han K, Lim J, Min B, Lee J, Moon K, Kim Z. Korean MMPI-2 Standardization Study. Kor J Clin Psychol 2006;2:533-564.
18 John RG. MMPI-2: Assessing personality and psychopathology, 5th edition. New York: Oxford University Press;2011. p.21-40.
19 Zimmerman D, Donnelly S, Miller J, Stewart D, Albert SE. Gender disparity in living renal transplant donation. Am J Kidney Dis 2000;36:534-540.   DOI
20 Achille M, Soos J, Fortin MC, Paquet M, Hebert MJ. Differences in psychosocial profiles between men and women living kidney donors. Clin Transplant 2007;21:314-320.   DOI
21 Jendrisak MD, Hong B, Shenoy S, Lowell J, Desai N, Chapman W, Vijayan A, Wetzel RD, Smith M, Wagner J, Brennan S, Brockmeier D, Kappel D. Altruistic Living Donors: Evaluation for Nondirected Kidney or Liver Donation. Am J Transplant 2006;1:115-120.   DOI
22 Klock SC, Covington SN. Minnesota Multiphasic Personality Inventory (MMPI-2) profiles in the assessment of ovum donors. Fertil Steril 2010;94:1684-1688.   DOI
23 Intaraprasong P, Sobhonslidsuk A, Tongprasert S. Donor outcomes after living donor liver transplantation (LDLT). J Med Assoc Thai 2010;93:1340-1343.
24 Wutzler U, Venner M, Villmann T, Decker O, Ott U, Steiner T, Gumz A. Recording of dissimulation and denial in the context of the psychosomatic evaluation at living kidney transplantation using the Minnesota Multiphasic. Personality Inventory (MMPI). Psychosoc Med 2009;13:6.
25 Kim YH, Moon SB, Hong SH. Psychological Testing: theory and practice. Seoul: Hakjisa;2010. p.291-315.
26 Irving MJ, Tong A, Jan S, Cass A, Rose J, Chadban S, Allen RD, Craig JC, Wong G, Howard K. Factors that influence the decision to be an organ donor: a systematic review of the qualitative literature. Nephrol Dial Transplant 2011;27:2526-2533.   DOI
27 Nadalin S, Malago M, Radtke A, Erim Y, Saner F, Valentin-Gamazo C, Schroder T, Schaffer R, Sotiropoulos GC, Li J, Frilling A. Current trends in live liver donation. Transpl Int 2007;20:312-330.   DOI
28 Simmons RG, Klein SD, Thornton K. The family member's decision to be a kidney transplant donor. J Comp Fam Stud 1973:88-115.