Lieke Wirken ThesisThe studies presented in this dissertation focused on optimizing psychosocial care of living kidney donors. A systematic review and meta-analysis of previous studies, presented in this thesis, described that the quality of life of kidney donors was only to a limited extent influenced by the donation, although persistent fatigue levels occurred in a subgroup of donors. A prospective study in 230 kidney donors from seven Dutch transplantation centers indicated that the clinical judgment of transplant professionals during donor screening was predictive of longer-term donor functioning. However, the addition of donor self-report measurements (particularly physical and emotional functioning before donation) strongly improved the quality of these predictions. With this screening, donors who could benefit from additional psychosocial interventions during the donation procedure could be identified. For donors at risk, a psychosocial treatment via the internet was developed, which was evaluated positively in a pilot study.
These results showed that a systematic care protocol containing screening and guidance for donors at risk could have an added value in psychosocial care for living kidney donors.
Date, time and location PhD defense
- Date: 18 April 2018
- Time: 14.30. hrs
- Location: Radboud Universiteit, Academiezaal Aula, Comeniuslaan 2
Lieke Wirken (1985) graduated from Radboud University in 2009 (Clinical Psychology). She carried out the above doctoral research at the Departments of Medical Psychology and Nephrology of Radboud university medical center within the Radboud Institute for Health Sciences, and the Health, Medical and Neuropsychology Unit of Leiden University. The study was conducted in collaboration with the departments of Nephrology of the following transplantation centres: Academic Medical Center Amsterdam, Leiden University Medical Center, University Medical Center Groningen, VU University Medical Center, Maastricht University Medical Center, and University Medical Center Utrecht and was sponsored by the Dutch Kidney Foundation. Currently, she is working as a researcher and teacher at the Health, Medical and Neuropsychology Unit of Leiden University.
- Promotor(s): prof. Andrea Evers, prof. Luuk Hilbrands, prof. Andries Hoitsma
- Co-promotor(s): dr. Henriët van Middendorp