Document Type




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7 p.

Publication Date



John Wiley and Sons

Source Publication

Clinical Transplantation

Source ISSN



Many healthcare providers have been concerned about the extent to which potential kidney donors use impression management or concealment of important information regarding their medical history, current functioning, or other circumstances that could affect whether they are accepted as donors. To date, however, there has been very little empirical examination of these questions. It is also not known whether donors' use of impression management pre-donation is related to their reactions and adjustment post-donation.


This study surveyed 76 individuals who had donated a kidney one to six yr previously regarding their use of impression management and their concealing of information during their psychological evaluations. They were also asked about their reactions to the donation and whether they would make the same decision again. In addition, 21 of these donors participated in focus groups that explored these questions in depth.


Many of the kidney donors reported that they possessed very strong motivation to donate and consequently used impression management in their interactions with medical professionals pre-donation. Very few donors, however, indicated that they concealed information during their pre-donation evaluations. The donors' psychological reactions post-donation were generally positive, and nearly all indicated that they would make the same decision again.


Accepted version. Clinical Transplantation, Vol. 28, No. 8 (August 2014): 855-861. DOI. © 2014 Wiley. Used with permission.

This is the peer reviewed version of the following article: Clinical Transplantation, Vol 28, No. 8 (August 2014): 855-861, which has been published in final form here DOI. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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