Mental Distress Symptoms and Level of Contentment with Life among Living Kidney Donors: Frequency and Association with Subjective Evaluations

• Published in: Journal of psychosomatic research Vol. 109; p. 105
• Main Authors: Göde Öğüten, E., Barlas, S.
• Format: Journal Article
• Language: English
• Published: London Elsevier Inc 01-06-2018; Elsevier Science Ltd
• Subjects: Anxiety; Attention deficit hyperactivity disorder; Children; Correlation analysis; Diagnosis; Donors; Economic depression; Emotional disorders; Fibromyalgia; Health status; Hyperactivity; Living donors; Meaning; Medical diagnosis; Mental depression; Mental disorders; Nitric-oxide synthase; Organ donors; Pain; Psychological distress; Psychopathology; Questionnaires; Rheumatology; Separation anxiety; Severity; Sleep; Sleep disorders
• ISSN: 0022-3999; 1879-1360
• DOI: 10.1016/j.jpsychores.2018.03.062

Aims: The aims of the study are to (1) evaluate psychological disturbances in fibromyalgia patients, (2) identify psychopathology of their children and (3) investigate both their effects on FM pain severity and health status. Methods:! 6 patients (all female) diagnosed with fibromyalgia according to the American College of Rheumatology (ACR) 2010 criteria and their 22 children were recruited in the study. Adults were evaluated by self-repoted scales that are Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Pittsburg Sleep Quality Index (PSQ1), Visual Analog Scale (VAS), Widespread Pain Index (WPI) and Fibromyalgia Impact Questionnaire (FIQ). Children were clinically evaluated by an experienced Child Psychiatrist according to DSM-V criteria. Mann Whitney U test and correlation analysis were applied to analayze data retrieved. Results: 62.5% (n=10) of the patients scored high on the BAI (M=21.44, SD=9.5) meaning moderate to severe anxiety; 56.2% (n=9) of the patients scored high on the BDI (M=16.37, SD=6.8) meaning moderate to severe depression; 75% (n=12) of patients had bad quality of sleep on PSQI (M= 10.00, SD=6.1). Psychopathology was diagnosed in 68.2 % (N=15) of the children and frequency of multiple diagnosis was 36.3% (n=8). The most prevalent diagnosis were Attention-Deficit/Hyperactivity Disorder (ADHD) (n=9; 40.9%), separation anxiety disorder (SAD) (n=6; 27.2%), anxiety disorder not otherwise specified (NOS) (n=4; 18.2%). There were no association between psychological distress of patients and psychopathology in children with VAS, WPI and FIQ scores. On the other hand patients with ADHD diagnosed children have higher WPI scores and patients with SAD diagnosed children have higher WPI and FIQ scores. Conclusion: Rates of anxiety, depression and sleep disturbances in FM patients were higher than normal population, but have no relationship with pain experience, intensity and the impact of the syndrome. Higher frequency of ADHD and seperation anxiety disorder among the children of FM patients and effects on pain scores warrants more specific evaluation of frequency, possible causes and effects of psychiatric disorders in children on FM patients.