Mental health aspects in the context of organ transplantation in the Republic of Moldova

Abstract

Transplant medicine in the Republic of Moldova involves numerous psychological challenges for patients, involving significant risks of depression, anxiety and post-traumatic stress, which influence psychosocial adaptation and therapeutic outcomes with the need for specialized psychological support. The study purpose is to evaluate psychological problems in transplant patients from the Republic of Moldova and determine their impact on therapeutic adherence and post-operation quality of life. The analysis is based on the specialized literature of mental health and on the available information on patients who have benefited from kidney and liver transplantation in the Republic of Moldova. The parameters included the prevalence of depression, anxiety and cognitive disorders. The analysis was performed using descriptive statistics. A detailed review of the literature revealed that depression is a significant challenge, manifested by loss of interest in daily activities and feelings of worthlessness. The anxiety is manifested by persistent fear of rejections of the transplanted organ and excessive concerns about health. Cognitive disorders, such as difficulty concentrating, impaired memory, and periodic confusion, have been identified as factors that compromise the appropriate management of postoperative treatment. All of these psychological problems negatively influence therapeutic adherence, social integration, and overall quality of life. The hypothesis regarding the negative influence of psychological disorders on transplant outcomes and treatment adherence was validated. It is imperative to integrate organized psychological support into current medical practice for transplant patients in the Republic of Moldova.