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Published in: Journal of Nephrology 3/2023

21-01-2023 | Kidney Transplantation | Original Article

Waiting for a kidney transplant, a source of unavoidable but reversible anxiety: a prospective pilot study investigating a psychological intervention

Authors: Emmanuelle Courtillié, Benoit Fromage, Jean-François Augusto, Patrick Saulnier, Jean-François Subra, Angélique Bonnaud-Antignac

Published in: Journal of Nephrology | Issue 3/2023

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Abstract

Background

Kidney transplantation is the treatment of choice for end-stage renal disease. Psychological problems and the presence of high anxiety have been described at various times over the course of transplantation, starting early at inclusion on the waiting-list. The objective of this study was to investigate anxiety symptoms among patients waiting for a transplant and the efficacy of a psychological intervention in the management of the anxiety.

Methods

In this prospective trial, 30 patients waiting for a first kidney transplantation were included. Medico-psycho-sociodemographic data were collected. Anxiety symptoms were assessed at inclusion using the State-Trait Anxiety Inventory self-assessment questionnaire for state anxiety (Spielberger and Vagg in Inventaire d’anxiété état-trait, forme Y (STAI-Y) Paris, 1993). A second assessment was carried out after the psychological intervention, which consisted of three sessions conducted by a clinical psychologist.

Results

Anxiety scores were considerably higher in females compared to males (47.5 versus 33.0, p < 0.023) and among those who had a psychological treatment history (60 versus 37, p = 0.003). We found a correlation between the level of anxiety and the length of time spent on the waiting-list (r = 0.552, p = 0.002). Importantly, anxiety scores decreased significantly (44 versus 32, p < 0.0001) after the psychological intervention.

Conclusion

This study suggests that early psychological support allows improving anxiety symptoms in patients wait-listed for a kidney transplant.

Trial registration

Clinical trial NCT02690272.

Graphical abstract

Appendix
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Metadata
Title
Waiting for a kidney transplant, a source of unavoidable but reversible anxiety: a prospective pilot study investigating a psychological intervention
Authors
Emmanuelle Courtillié
Benoit Fromage
Jean-François Augusto
Patrick Saulnier
Jean-François Subra
Angélique Bonnaud-Antignac
Publication date
21-01-2023
Publisher
Springer International Publishing
Published in
Journal of Nephrology / Issue 3/2023
Print ISSN: 1121-8428
Electronic ISSN: 1724-6059
DOI
https://doi.org/10.1007/s40620-022-01535-2

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