الفهرس 
Introduction and aim of the work
Psychosocial impact of end-stage renal diseaseOnly 14 pages are availabe for public view
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Abstract
Introduction: Chronic mitral regurgitation eventually causes left ventricular dysfunction and heart failure if left uncorrected, in this regard earlier rather than later, restoration of valvular competence is beneficial in preventing permanent left ventricular damage. Preservation of the mitral subvalvular apparatus has been demonstrated in several studies to improve postoperative left ventricular performance in patients with mitral valve replacement (MVR). Patients and Methods: The practical part included 120 Adult Endstage renal disease ESRD patients undergoing hemodialysis and successful renal transplantation at Mansoura Urology and Nephrology center, Mansoura University, Mansoura, Egypt who attend the clinic at the period from June, 1997 to December, 1999. The sample was classified to Results: anxiety disorders and adjustment disorder ars more prevalent among dialysi patients than transplant patients.the total percentage of Somatization disorder is about 56.7% , with more prevalent in dialysis patients than renal transplant pstients.Sleep disorders percentage is more in dialysis group, (43.3%) than in transplantation group, (33.3%).The total percentage of sexual disorders is 20 %. dialysis group has slightly more sexualdysfunction than transplant group. The percentage of drug abuse is 10%.Depressive disorders are more prevalent in all groups, with total percentage of (84.4%), and it was higher in dialysis group than transplantation group.Cognitive impairment is more prevalent in dialysis group than transplantation group (40% Vs 6.7%), with total percentage in all group 16.6%. The total psychotic symptoms and past history of psychiatric disorders were found in11.1% and 6.6% of total sample.Dislysis group a poor4 Quality of life score than transplantation group. There is a significant effect of dialysis period on Quality of life score.Female has lower quality of than male , but it is not statistically significant.Depressive disorders, cognitive impairment, and somatization disorder have a significant effect and impact on QOL, ( i.e. have bad QOL).,Sleep disorders , anxiety disorders, , and sexual disorders have effect on quality of life , but it is not statistically significant.Depressive disorders has a poor quality of life. Elderly patients has a good quality of life, high educational level has low quality of life score.Transplantation group have a good quality of life compared to dialysis group . Conclusions:?On the light of this study we can conclude that sychiatric illness is common in ESRD population treated with dialysis, the true prevalence of such disorders in ESRD, their relationship to the underlying renal disease, their contribution to mortality, and their proper identification and treatment should be investigated more thoroughly.