Psychological distress and associated factors among kidney transplant recipients and living kidney donors during COVID-19

BMC Nephrology

Jing Hua Yong¹  Sobhana Thangaraju¹  Terence Kee¹  York Moi Lu¹  Shannon Baey¹  Ian Tatt Liew¹  Eleanor Ng¹  Ping Sing Tee¹  Constance Lee¹  Quan Yao Ho¹  Fiona Foo¹  Xia He¹  Jenny Leong¹  Natelie Kwan¹  Judy Tan¹  Tazeen Hasan Jafar²  Yeli Wang³  Rupesh Madhukar Shirore³ 

[1] Department of Renal Medicine, Singapore General Hospital, Singapore, Singapore;SingHealth Duke-NUS Transplant Centre, Singapore, Singapore;Department of Renal Medicine, Singapore General Hospital, Singapore, Singapore;SingHealth Duke-NUS Transplant Centre, Singapore, Singapore;Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore;Duke Global Health Institute, Duke University, Durham, NC, USA;Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore;

关键词: COVID-19;    Anxiety;    Depression;    Psychological distress;    Kidney transplant;   

DOI  :  10.1186/s12882-022-02698-7

来源: Springer

【 摘 要 】

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has caused significant psychological distress globally. Our study assessed the prevalence of psychological distress and associated factors during COVID-19 pandemic among kidney transplant recipients and kidney donors.MethodsA cross-sectional survey of 497 participants (325 recipients and 172 donors) was conducted from 1st May to 30th June 2020 in Singapore. The survey questionnaire assessed knowledge levels of COVID-19, socio-demographic data, health status, psychosocial impact of COVID-19, and precautionary behaviors during the pandemic. Psychological distress was defined as having anxiety, depression, or stress measured by the validated Depression, Anxiety and Stress Scale-21. Linear regression analyses were used to assess factors associated with higher psychological distress.ResultsThe prevalence of psychological distress was 14.3% (95% confidence interval: 11.5–17.6%) in the overall population; it was 12.8% (9.79–16.6%) in recipients and 13.4% (9.08–19.6%) in donors with no significant difference (P = 0.67). Younger age (21–49 vs. ≥50 years), unmarried status, non-Singapore citizen, worse health conditions, and worrying about physical and mental health were associated with higher psychological distress. Malays (versus Chinese), taking precautionary measures (hand sanitization), and receiving enough information about COVID-19 were associated with lower psychological distress. No interactions were observed between recipients and donors.ConclusionsAt least one in ten recipients and donors suffer from psychological distress during COVID-19 pandemic. Focused health education to younger adults, unmarried individuals, non-Singapore citizens, and those with poor health status could potentially prevent psychological distress in recipients and donors.

【 授权许可】

CC BY