Skip to main content

Severe Psychiatric Disorder in Dialysis—Transplant Patients

The Low Incidence of Psychiatric Hospitalization

  • Chapter
Psychonephrology 1

Abstract

Chronic hemodialysis and renal transplantation have become increasingly common modes of treatment for end-stage renal disease (ESRD). This increase has led to many reports about the psychological impact of these highly stressful treatment modalities. Abram and Buchanan1 reviewed seven studies of transplantation patients, and found a wide range and a varying incidence of psychiatric syndromes. Penn and co-workers2 reported that 32% of their 292 renal transplant patients had “significant psychopathology.” Anxiety, depression, and delirium were the more common diagnoses in their population, of whom seven attempted suicide (2.3%). In a more recent study, Blazer et al.3 found a 4.2% incidence of affective psychoses in 215 transplant patients, but did not report on any other psychiatric syndromes.

This work was supported in part by NIMH Training Grant MH No. 08052. This paper was presented, in part, at the Annual Meeting of the American Psychosomatic Society, Washington, D.C., March 31, 1978.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Abram, H. S., and Buchanan, D. C. The gift of life: a review of the psychological aspects of transplantation. International Journal of Psychiatric Medicine, 1976–1977, 7, 153–164.

    Article  CAS  Google Scholar 

  2. Penn, I., Bunch, D., Olenik, D., and Abouna, G. Psychiatric experience with patients receiving renal and hepatic transplant. In P. Castelnuovo-Tedesco (Ed.), Psychiatric aspects of organ transplantation. New York: Grune and Stratton, 1971.

    Google Scholar 

  3. Blazer, D. G., Petrie, W. M., and Wilson, W. P. Affective psychoses following renal transplant. Disorders of the Nervous System 1976, 37, 663–667.

    Google Scholar 

  4. Abram, H. S., Moore, G. L. and Westervelt, F. D. Suicidal behavior in chronic dialysis patients. American Journal of Psychiatry 1971 127, 1199–1207.

    PubMed  CAS  Google Scholar 

  5. Kaplan De-Nour, A., and Czaczkes, J. W. The influence of patients’ personality on adjustment to chronic dialysis. Journal of Nervous and Mental Disorders, 1976, 162, 323–333.

    Article  Google Scholar 

  6. McKegney, F. P. The patient’s role in beginning and continuing maintenance hemodialysis. Proceedings of the 5th International Congress on Nephrology (Mexico, 1972), Vol. 3, Karger-Basel: 1974, 220–225.

    Google Scholar 

  7. Streltzer, J., Markoff, R. A., and Yano, B. Maintenance hemodialysis in patients with severe pre-existing psychiatric disorders. Journal of Nervous and Mental Disorders, 1977, 164, 414–418.

    Article  CAS  Google Scholar 

  8. Rotter, J. B. Generalized expectancies for internal versus external control of reinforcement. Psychology Monographs, 1966, 80, 1–28.

    CAS  Google Scholar 

  9. Brodman, K., Erdman, S. J., and Wolff, H. G. The Cornell medical index health questionnaire, Manual. New York: Cornell University Medical College, 1956.

    Google Scholar 

  10. Milatt, S. R., and Allain, A. Personal correlates of renal dialysis patients and their spouses. Southern Medical Journal 1974, 67, 941–944.

    Article  Google Scholar 

  11. Editorial: dialysis dementia. British Medical Journal, 6046, 1976, 1213-1214.

    Google Scholar 

  12. Kaplan De-Nour, A., and Czaczkes, J. W. Emotional problems and reactions of the medical team in a chronic hemodialysis unit. Lancet, 1968, 2, 987–991.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1981 Springer Science+Business Media New York

About this chapter

Cite this chapter

McKegney, F.P., Runge, C., Bernstein, R., Willmuth, R. (1981). Severe Psychiatric Disorder in Dialysis—Transplant Patients. In: Levy, N.B. (eds) Psychonephrology 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0357-0_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0357-0_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0359-4

  • Online ISBN: 978-1-4899-0357-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics