Skip to main content
Top
Published in: Journal of General Internal Medicine 8/2020

Open Access 01-08-2020 | Anxiety | Original Research

Disgust Sensitivity and Support for Organ Donation: Time to Take Disgust Seriously

Authors: Lucas B. Mazur, PhD, Erik Gormsen, BSc

Published in: Journal of General Internal Medicine | Issue 8/2020

Login to get access

Abstract

Background

There are currently roughly 10,000 Germans on the organ waiting list, and that number is over 113,000 in the USA. There is a clear need to increase support for organ donation in general and to increase the number of registered donors in particular.

Objective

The current study examines the relationship between disgust sensitivity and attitudes towards organ donation and the possession of an organ donor card. The study also examines other important correlates of attitudes towards organ donation, such as fear, trust, and knowledge regarding organ donation.

Design

The study involved an online questionnaire.

Participants

Six hundred and eighteen Germans filled out an online questionnaire.

Main Measures

The questionnaire contained the following measures: attitude towards organ donation, disgust sensitivity, trust towards the medical community, fear of organ donation, and knowledge regarding organ donation, as well as such demographic information as age, biological sex, degree of formal education, religious affiliation and level of religiosity, political orientation, and possession of an organ donor card.

Key Results

The results replicated previous findings regarding the influence of trust and fear on attitudes towards organ donation, but only partially supported those regarding the importance of knowledge. Importantly, disgust sensitivity had a significant impact on attitudes towards organ donation, even after controlling for other variables hereto identified as important correlates in the literature (e.g., fear, trust, knowledge). What is more, there was a significant interaction between biological sex and disgust sensitivity indicating that the relationship between disgust sensitivity and attitudes towards organ donation was stronger among women than men.

Conclusions

While disgust is often disregarded as a “silly,” bairnish emotion and unbefitting of discussions of serious issues such as organ donation, in line with the “affective turn” in psychology, the results of the current study suggest that in order to improve attitudes towards organ donation, we should take feelings of disgust seriously.
Literature
3.
go back to reference Wesslau C, Grosse K, Krüger R, et al. Transplationsmedizin: Organspender-Potenzial ist nicht ausgeschöpft. Deutsches Arztblatt. 2006; 103(9): A-517. Wesslau C, Grosse K, Krüger R, et al. Transplationsmedizin: Organspender-Potenzial ist nicht ausgeschöpft. Deutsches Arztblatt. 2006; 103(9): A-517.
4.
go back to reference Cohen C. The case for presumed consent to transplant human organs after death. Transplantation Proceedings. 1992; 24(5): 2168–2172.PubMed Cohen C. The case for presumed consent to transplant human organs after death. Transplantation Proceedings. 1992; 24(5): 2168–2172.PubMed
5.
go back to reference Bharambe VK, Rathod H, Angadi K. Knowledge and attitude regarding organ donation among medical students. BANTO Journal. 2016; 14(1): 34–40. Bharambe VK, Rathod H, Angadi K. Knowledge and attitude regarding organ donation among medical students. BANTO Journal. 2016; 14(1): 34–40.
6.
go back to reference Figueroa CA, Mesfum ET, Acton NT, Kunst AE. Medical students’ knowledge and attitudes towards organ donation: Results of a Dutch survey. Transplantation Proceedings. 2013; 45: 2093–2097. Figueroa CA, Mesfum ET, Acton NT, Kunst AE. Medical students’ knowledge and attitudes towards organ donation: Results of a Dutch survey. Transplantation Proceedings. 2013; 45: 2093–2097.
7.
go back to reference Sander SL, Miller BK. Public knowledge and attitudes regarding organ and tissue donation: an analysis of the northwest Ohio community. Patient Education and Counseling, 2006; 58: 154–163. Sander SL, Miller BK. Public knowledge and attitudes regarding organ and tissue donation: an analysis of the northwest Ohio community. Patient Education and Counseling, 2006; 58: 154–163.
8.
go back to reference Saub EJ, Shapiro J, Radecki S. Do patients want to talk to their physicians about organ donation? Attitudes and knowledge about organ donation: A study of Orange County, California residents. Journal of Community Health. 1998; 23: 407–417.CrossRef Saub EJ, Shapiro J, Radecki S. Do patients want to talk to their physicians about organ donation? Attitudes and knowledge about organ donation: A study of Orange County, California residents. Journal of Community Health. 1998; 23: 407–417.CrossRef
9.
go back to reference Schaeffner ES, Windisch W, Freidel K, Breitenfeldt K, Winkelmayer WC. Knowledge and attitude regarding organ donation among medical students and physicians. Transplantation. 2004; 77(11): 1714–1718.CrossRef Schaeffner ES, Windisch W, Freidel K, Breitenfeldt K, Winkelmayer WC. Knowledge and attitude regarding organ donation among medical students and physicians. Transplantation. 2004; 77(11): 1714–1718.CrossRef
10.
go back to reference Shanteau J. Psychological and behavioral factors in organ donation. Organ Donation and Transplantation – an Interdisciplinary Approach. 2013; 91–104. Shanteau J. Psychological and behavioral factors in organ donation. Organ Donation and Transplantation – an Interdisciplinary Approach. 2013; 91–104.
11.
go back to reference Sebastian-Ruiz MJ, Guerra-Saenz EK, Vargas-Yamanaka AK, et al. Knowledge and attitude towards organ donation on medicine students of a Northeastern Mexico Public University. Gaceta Médica de México. 2017; 153: 395–404. Sebastian-Ruiz MJ, Guerra-Saenz EK, Vargas-Yamanaka AK, et al. Knowledge and attitude towards organ donation on medicine students of a Northeastern Mexico Public University. Gaceta Médica de México. 2017; 153: 395–404.
12.
go back to reference Terbonssen T, Settmacher U, Wurst C, Dirsch O, Dahmen, U. Attitude towards organ donation in German medical students. Langenbecks Archives of Surgery. 2016; 401: 1231–1239. Terbonssen T, Settmacher U, Wurst C, Dirsch O, Dahmen, U. Attitude towards organ donation in German medical students. Langenbecks Archives of Surgery. 2016; 401: 1231–1239.
13.
go back to reference Khoddami-Vishteh HR, Ghorbani F, Ghasemi AM, Shafaghi S, Najafizadeh K. Attitude towards organ donation: A survey on Iranian teachers. Transplantation Proceedings. 2011; 43(2): 407–409. Khoddami-Vishteh HR, Ghorbani F, Ghasemi AM, Shafaghi S, Najafizadeh K. Attitude towards organ donation: A survey on Iranian teachers. Transplantation Proceedings. 2011; 43(2): 407–409.
14.
go back to reference Teixeira RK, Goncalves TB, Silva JA. Is the intention to donate organs influenced by the public’s understanding of brain death? The Revista Brasileira de Terapia Intensiva. 2012; 24(3): 258–262. Teixeira RK, Goncalves TB, Silva JA. Is the intention to donate organs influenced by the public’s understanding of brain death? The Revista Brasileira de Terapia Intensiva. 2012; 24(3): 258–262.
15.
go back to reference Demir T, Selimen D, Yildirim M, Kucuk HF. Knowledge and attitudes towards organ/tissue donation and transplantation among health care professionals working in organ transplantation or dialysis units. Transplantation Proceedings. 2011; 43:1425–1428. Demir T, Selimen D, Yildirim M, Kucuk HF. Knowledge and attitudes towards organ/tissue donation and transplantation among health care professionals working in organ transplantation or dialysis units. Transplantation Proceedings. 2011; 43:1425–1428.
16.
go back to reference Uhlig CE, Koch R, Promesberger J, et al. Attitudes towards postmortem cornea donation in Germany: A multicenter survey. Graefe’s Archive for Clinical and Experimental Ophthalmology. 2014; 252(12): 1955–1962. Uhlig CE, Koch R, Promesberger J, et al. Attitudes towards postmortem cornea donation in Germany: A multicenter survey. Graefe’s Archive for Clinical and Experimental Ophthalmology. 2014; 252(12): 1955–1962.
17.
go back to reference Horberg EJ, Oveis C, Keltner D, Cohen AB. Disgust and the moralization of purity. Journal of Personality and Social Psychology. 2009; 97(6): 963–976. Horberg EJ, Oveis C, Keltner D, Cohen AB. Disgust and the moralization of purity. Journal of Personality and Social Psychology. 2009; 97(6): 963–976.
18.
go back to reference May J. Does disgust influence moral judgment. Australasian Journal of Philosophy. 2014; 92(1): 125–141. May J. Does disgust influence moral judgment. Australasian Journal of Philosophy. 2014; 92(1): 125–141.
19.
go back to reference Shook NJ, Oosterhoff B, Terrizzi Jr. JA, Brady KM. “Dirty politics”: The role of disgust sensitivity in voting. Translational Issues in Psychological Science. 2017; 3(3): 284–297. Shook NJ, Oosterhoff B, Terrizzi Jr. JA, Brady KM. “Dirty politics”: The role of disgust sensitivity in voting. Translational Issues in Psychological Science. 2017; 3(3): 284–297.
20.
go back to reference Van Leeuwen F, Dukes A, Tybur JM, Park JH. Disgust sensitivity relates to moral foundations independent of political ideology. Evolutionary Behavioral Sciences. 2017; 11(1): 92–98. Van Leeuwen F, Dukes A, Tybur JM, Park JH. Disgust sensitivity relates to moral foundations independent of political ideology. Evolutionary Behavioral Sciences. 2017; 11(1): 92–98.
21.
go back to reference Inbar Y, Pizarro D, Iyer R, Haidt J. Disgust sensitivity, political conservatism, and voting. Social Psychological and Personality Science. 2011; 3(5): 537–544. Inbar Y, Pizarro D, Iyer R, Haidt J. Disgust sensitivity, political conservatism, and voting. Social Psychological and Personality Science. 2011; 3(5): 537–544.
22.
go back to reference Volt AA, Atkinson JA. Infant and child death in the human environment of evolutionary adaptation. Evolution and Human Behavior. 2013; 34(3): 182–192. Volt AA, Atkinson JA. Infant and child death in the human environment of evolutionary adaptation. Evolution and Human Behavior. 2013; 34(3): 182–192.
23.
go back to reference Strohminger N. Disgust talked about. Philosophy Compass. 2014; 9(7): 478–493. Strohminger N. Disgust talked about. Philosophy Compass. 2014; 9(7): 478–493.
24.
go back to reference Sherman NC, Sherman MF, Smith RJ, Rickert-Wilbur P. Disgust sensitivity and attitudes towards organ donation among African-American college students. Psychological Reports. 2001; 89: 11–23. Sherman NC, Sherman MF, Smith RJ, Rickert-Wilbur P. Disgust sensitivity and attitudes towards organ donation among African-American college students. Psychological Reports. 2001; 89: 11–23.
25.
go back to reference O’Carroll RE, Foster C, McGeechan G, Sanford K. The “ick” factor, anticipated regret, and willingness to become an organ donor. Health Psychology. 2011; 30: 236–245. O’Carroll RE, Foster C, McGeechan G, Sanford K. The “ick” factor, anticipated regret, and willingness to become an organ donor. Health Psychology. 2011; 30: 236–245.
26.
go back to reference Morgan SE, Stephenson MT, Harrison TR, Afifi WA, Long SD. Facts versus “feelings”: How rational is the decision to become an organ donor? Journal of Health Psychology. 2008; 13: 644–658.CrossRef Morgan SE, Stephenson MT, Harrison TR, Afifi WA, Long SD. Facts versus “feelings”: How rational is the decision to become an organ donor? Journal of Health Psychology. 2008; 13: 644–658.CrossRef
27.
go back to reference Schienle A, Walter B, Stark J, Vaitl D. Ein Fragebogen zur Erfassung der Ekelempfindlichkeit (FEE). Zeitschrift für Klinische Psychologie und Psychotherapie: Forschung und Praxis. 2002; 31: 110–120. Schienle A, Walter B, Stark J, Vaitl D. Ein Fragebogen zur Erfassung der Ekelempfindlichkeit (FEE). Zeitschrift für Klinische Psychologie und Psychotherapie: Forschung und Praxis. 2002; 31: 110–120.
28.
go back to reference Sharpe E, Moloney G, Sutherland M, Judd A. The power of an immediate donor registration opportunity: Translating organ donation attitudes into registration behavior. Basic and Applied Social Psychology. 2017; 39(1): 49–59.CrossRef Sharpe E, Moloney G, Sutherland M, Judd A. The power of an immediate donor registration opportunity: Translating organ donation attitudes into registration behavior. Basic and Applied Social Psychology. 2017; 39(1): 49–59.CrossRef
29.
go back to reference Parisi N, Katz I. Attitudes towards posthumous organ donation and commitment to donate. Health Psychology. 1986; 5(6): 565–580. Parisi N, Katz I. Attitudes towards posthumous organ donation and commitment to donate. Health Psychology. 1986; 5(6): 565–580.
30.
go back to reference Bassett JF. Disgust sensitivity accounts for some but not all gender differences in death attitudes. OMEGA-Journal of Death and Dying. 2017; 75(1): 26–46.CrossRef Bassett JF. Disgust sensitivity accounts for some but not all gender differences in death attitudes. OMEGA-Journal of Death and Dying. 2017; 75(1): 26–46.CrossRef
31.
go back to reference Olatunji BO, Sawchuk CN, Arrindell WA, Lohr JM. Disgust sensitivity as a mediator of the sex differences in contamination fears. Personality and Individual Differences. 2004; 38: 713–722.CrossRef Olatunji BO, Sawchuk CN, Arrindell WA, Lohr JM. Disgust sensitivity as a mediator of the sex differences in contamination fears. Personality and Individual Differences. 2004; 38: 713–722.CrossRef
Metadata
Title
Disgust Sensitivity and Support for Organ Donation: Time to Take Disgust Seriously
Authors
Lucas B. Mazur, PhD
Erik Gormsen, BSc
Publication date
01-08-2020
Publisher
Springer International Publishing
Keyword
Anxiety
Published in
Journal of General Internal Medicine / Issue 8/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-020-05734-0

Other articles of this Issue 8/2020

Journal of General Internal Medicine 8/2020 Go to the issue

Clinical Image

Beau’s Toes