Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation · 2026
Psychosocial and Sleep Outcomes in Living Kidney Donors: Preliminary Results From a Monocentric North African Study.
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Dahmane Rihem, Chniti Nada, Sahtout Wissal, Loghmari Ahmed, Zguem Asma, Ben Aicha Narjess, Thabet Nesrine, Guedri Yosra, Azzabi Awatef, Zellama Dorsaf
Аннотация
OBJECTIVES: Living kidney donation provides substantial therapeutic benefit to recipients but may have lasting psychosocial consequences for donors. Sleep quality, which is closely linked to psychological well -being, remains insufficiently studied in North African populations. This study aimed to evaluate quality of life, self -esteem, body image, and sleep quality among living kidney donors in Tunisia.
MATERIALS AND METHODS: We conducted a cross -sectional, monocentric descriptive study at the Nephrology Department of Sahloul University Teaching Hospital, Sousse, Tunisia, for the period 2007 -2024. Data were collected from medical records and standardized interviews. Quality of life was assessed via the 12 -Item Short Form Health Survey, self -esteem via the Rosenberg Self -Esteem Scale, body image via the Body Image Scale, and sleep quality via the Pittsburgh Sleep Quality Index. The study remains ongoing.
RESULTS: Preliminary data from 15 living kidney donors were analyzed. The mean age was 55 years, and the female -to -male ratio was 2. The mean time since donation was 7.9 years. The mean physical and mental component scores of the 12 -Item Short Form Health Survey were 48.5 and 33.7, respectively, with approximately 30 %of donors demonstrating clinically relevant psychological distress. Self -esteem was low in 25 %, moderate in 50 %, and high in 25 % of participants. Body image impairment was moderate to severe in 70 % of donors. The mean Pittsburgh Sleep Quality Index score was 4.6; however, 27 %of participants had scores >5, indicating poor sleep quality. High follow -up dropout was observed, largely due to limited access to structured health care resources.
CONCLUSIONS: Living kidney donation may be associated with persistent psychosocial vulnerability and sleep disturbances in a subset of donors. These findings highlight the importance of structured long -term psychosocial and sleep monitoring programs in resource -constrained settings.
MATERIALS AND METHODS: We conducted a cross -sectional, monocentric descriptive study at the Nephrology Department of Sahloul University Teaching Hospital, Sousse, Tunisia, for the period 2007 -2024. Data were collected from medical records and standardized interviews. Quality of life was assessed via the 12 -Item Short Form Health Survey, self -esteem via the Rosenberg Self -Esteem Scale, body image via the Body Image Scale, and sleep quality via the Pittsburgh Sleep Quality Index. The study remains ongoing.
RESULTS: Preliminary data from 15 living kidney donors were analyzed. The mean age was 55 years, and the female -to -male ratio was 2. The mean time since donation was 7.9 years. The mean physical and mental component scores of the 12 -Item Short Form Health Survey were 48.5 and 33.7, respectively, with approximately 30 %of donors demonstrating clinically relevant psychological distress. Self -esteem was low in 25 %, moderate in 50 %, and high in 25 % of participants. Body image impairment was moderate to severe in 70 % of donors. The mean Pittsburgh Sleep Quality Index score was 4.6; however, 27 %of participants had scores >5, indicating poor sleep quality. High follow -up dropout was observed, largely due to limited access to structured health care resources.
CONCLUSIONS: Living kidney donation may be associated with persistent psychosocial vulnerability and sleep disturbances in a subset of donors. These findings highlight the importance of structured long -term psychosocial and sleep monitoring programs in resource -constrained settings.