Pediatric Living Lung Donor Transplant Candidates: Psychiatric Status of Utilized and Non-Utilized Donors

Living donor lung (lobar) transplantation has greatly decreased in the past decade due to the success of the lung allocation score (LAS) system, instituted in 2005 by the Organ Procurement and Transplantation Network (OPTN). Between 1993 and 2006, 460 living lung donor transplants were performed in the United States with 369 donations occurring at the University of Southern California and Washington University in St. Louis. These two centers accounted for over 80% of all living donor lung transplants between 1994 and 2006. All potential donors received a psychological/psychiatric evaluation as part of the donor selection process, which is standard practice in the United States, Europe, and Asia. Utilized and non-utilized lung donors were compared in terms of their psychiatric history and present status. Results indicated that 31% (N?=?54) of the total sample had a lifetime prevalence of a psychiatric disorder, which is less than that the 46% lifetime rate for the general population (Kessler in Arch Gen Psychiatry 62:593–602, 2005). This study did find that psychiatric history or status was not exclusion factor for transplant surgery in either group. This observation about psychiatric issues in potential living lung donors should be useful to transplant centers who utilize adult live donors of any solid organ type for pediatric recipients and in Japan where live donor lung transplants still represent a significant proportion of lung transplants (Date in J Thorac Dis 8: S631–S636, 2016).

     

Depressive personality disorder: rates of comorbidity with personality disorders and relations to the five-factor model of personality

Depressive personality disorder (DPD) is listed in the DSM-IV as one of the "Disorders for Further Study." In this investigation we examined (1) the rates of comorbidity of DPD with the 10 personality disorders (PDs) in the main text of DSM-IV, and (2) the convergent and discriminant validity of DPD in its relation to the 30 facet traits of the Five-Factor Model of personality (FFM). One hundred and sixty-nine participants with psychiatric diagnoses were interviewed with the Structured Clinical Interview for DSM-IV Personality Disorders Questionnaire (SCID-II) and completed the Revised NEO Personality Inventory (NEO PI-R). A total of 26 (15%) of the participants met diagnostic criteria for at least one of the 10 main text PDs, and 15 (9%) met criteria for DPD. Of those who met criteria for DPD, 10 (59%) of the participants also met criteria for one or more of the 10 main text PDs. Regression analyses indicated a four-facet trait set derived from the NEO PI-R thought to be uniquely associated with DPD accounted for a significant amount of variance in DPD SCID-II PD scores and was significantly larger for DPD than it was for the 9 of the 10 main text PDs; the sole exception was for avoidant PD. Diagnostically, DPD overlaps significantly with other PDs but is distinguishable in its unique relation with traits from the FFM.     

Tie strength and family formation: Which personal relationships are influential?

On the basis of the analysis of qualitative interviews in Western Germany, it has been argued that personal relationships have a strong impact on individuals' family formation processes and childbearing intentions. Persons who influence individuals' childbearing choices were identified. Strong ties, such as among core family members (i.e., parents and siblings), are an important contributing factor, but the authors are also able to show that weak ties, such as those among colleagues and acquaintances, need to be considered when examining social influence on family formation processes. Apart from single network partners, influential groups of persons have been identified. Such groups serve as a comparative standard regarding the timing of having one's first child and subsequent children.     

The Impact of Expert Testimony on Jurors’ Decisions: Gender of the Expert and Testimony Complexity1

The present study investigated whether people used the gender of an expert witness as a heuristic cue to evaluate the evidence presented by the expert. Specifically, the gender of the expert and the complexity of the expert's testimony (low, high) were varied systematically within a simulated civil trial involving an antitrust price‐fixing agreement. It was expected that the male expert would be more persuasive than the female expert, but only when the testimony presented was complex. As predicted, this interaction was revealed across a range of dependent measures. Somewhat unexpected was the finding of a female expert advantage in the low‐complexity condition. The implications of these findings are discussed.     

Perceptions of Sexual Assault: The Expression of Gender Differences and the Impact of Target Alcohol Consumption1

This research examined the impact of defendant/complainant alcohol consumption and prior sexual history evidence on mock jurors' evaluations of a sexual assault trial. Participants (N = 196) were provided with a simulated trial in which the beverage consumption of both targets and the sexual history between them was manipulated. The results displayed a complex interplay between target beverage consumption and gender of participant. Typically observed gender effects—that is, women, compared to men, were more supportive of the complainant and less supportive of the defendant—was contingent upon target beverage consumption. Depending on how aggressive participants perceived the defendant to be, women were more sympathetic to the complainant, with this being contingent upon complainants' and defendants' beverage consumption.