Depression and Quality of Life in Transplant Recipients During the COVID-19 Pandemic

• Published in: Transplantation proceedings 2024-10, Vol.56 (8), p.1885-1889
• Main Authors: Tanaka, Satomi, Fujita, Kimie, Yakushiji, Kanako, Bekki, Yuki, Toshima, Takeo, Okabe, Yasuhiro
• Format: Article
• Language: English
• Subjects: Adult; Aged; COVID-19 - epidemiology; COVID-19 - psychology; Cross-Sectional Studies; Depression - epidemiology; Female; Humans; Kidney Transplantation; Liver Transplantation - psychology; Male; Middle Aged; Pandemics; Quality of Life; SARS-CoV-2; Transplant Recipients - psychology
• ISSN: 0041-1345; 1873-2623; 1873-2623
• DOI: 10.1016/j.transproceed.2024.08.034

•Depressive symptoms were present in 30% of liver and kidney transplant patients.•Post-transplant 8.3% of patients were moderately or severely depressed.•Depression was related to a lower mental QOL.•Long post-transplant period was an independent factor in poor physical QOL. Depression prevention is crucial for maintaining both physical and mental health and enhancing individuals’ quality of life (QOL) post-transplantation. Despite the heightened susceptibility of post-transplant patients to COVID-19 infection, the relationship between depression and QOL during the pandemic remains unclear. This study aimed to (1) identify depression and QOL during the pandemic in kidney and liver transplant patients, and (2) explore the relationship between QOL and depression. This cross-sectional study involved patients aged 20 years or older who were at least 6 months post-transplantation. Depression and QOL were assessed using the Patient Health Questionnaire-9 and the 8-item Short-Form Health Survey, respectively. Logistic regression analysis was conducted to examine the relationship between QOL and depression. The study included 204 participants comprising 68 postkidney transplant and 136 postliver transplant patients. Among all participants, depressive symptoms were present 30% of the time, with 8.3% experiencing moderate or severe depression. Logistic regression analysis revealed that depression (mental component summary; OR = 2.419, P < .001, 95% CI: 1.862–2.915) and postoperative period (physical component summary; OR = 1.397, P = .008, 95% CI: 1.094–1.733) significantly influenced QOL. This study suggests that the prevention of depression in emerging infectious disease pandemics may contribute to maintaining the mental QOL of transplant recipients.