The feeling of gratitude, satisfaction with life, and the level of empathy: an analysis of a comparative study of variables in kidney transplant recipients and healthy people

Authors

  • Ewelina Pustkowska SWPS University, Faculty of Psychology and Law in Poznan, Kutrzeby 10, 61-719 Poznań, Poland
  • Dagmara Szypulska-Koziarska Pomeranian Medical University in Szczecin, Department of Histology and Embryology, Powstańców Wlkp. 72, 70-111 Szczecin, Poland
  • Jacek Różański Pomeranian Medical University in Szczecin, Clinical Department of Nephrology, Transplantology and Internal Medicine, Powstańców Wlkp. 72, 70-111 Szczecin, Poland
  • Joanna Stępniewska Pomeranian Medical University in Szczecin, Clinical Department of Nephrology, Transplantology and Internal Medicine, Powstańców Wlkp. 72, 70-111 Szczecin, Poland
  • Malwina Szpitalak Jagiellonian University, Institute of Psychology, Ingardena 6, 33-332 Kraków, Poland
  • Aleksandra Wilk Pomeranian Medical University in Szczecin, Department of Histology and Embryology, Powstańców Wlkp. 72, 70-111 Szczecin, Poland

DOI:

https://doi.org/10.21164/pomjlifesci.1157

Keywords:

transplantation, thankfulness, life satisfaction, compassion, psychotransplantology

Abstract

Introduction: The study aimed to perform a comparative analysis of the level of the following variables: sense of gratitude, life satisfaction, and empathy in its 3 subscales: empathic care, personal discomfort, and taking perspective. 
Materials and methods: The analysis was performed in 2 independent groups among patients after kidney transplantation (n = 46) and healthy people (n = 46). The following psychometric tools were used in the survey: Polish adaptation of the Gratitude Questionnaire GQ-6, Satisfaction with Life Scale, and SWE Questionnaire. 
Results: People after kidney transplantation experience statistically significantly higher levels of personal discomfort (M = 23.74; SD = 4.69) than healthy individuals (M = 21.59; SD = 6.37, U = 1008.50; p = 0.024), respectively. Analysis of the Mann–Whitney U-test for independent samples showed that the means of the studied variable, gratitude, did not differ statistically significantly between groups of people after kidney transplantation (M = 30.78; SD = 5.57) and healthy people (M = 32.89; SD = 5.21, U = 855.00; p = 0.944), respectively. There were also no statistically significant differences between the kidney-transplant recipients and healthy people for the satisfaction with life (M = 21.17; SD = 5.39 and M = 24.50; SD = 6.13, U = 818.00; p = 0.061), respectively.
Conclusions: Since personal discomfort is a negative feeling directed towards ourselves at the sight of another person’s suffering, people after kidney transplantation, spending numerous days in the hospital with other patients, may be particularly susceptible to experiencing unpleasant affect at the sight of suffering in others. 

References

Garcia GG, Harden P, Chapman J. The global role of kidney transplantation. Lancet 2012;379(9820):e36-8. doi: 10.1016/S0140-6736(12)60202-5.

INS – Global Kidney Health Atlas. International Society of Nephrology. 2023. www.theisn.org/global-atlas (22.04.2025).

Wałaszewski J, Lao M, Szmidt J, Stryjecka-Rowińska D, Gradowska L, Szczerbań J, et al. Pierwszy przeszczep nerki w Polsce. Magazyn PULS 2013.

Wiśniewska L, Paczkowska B, Białobrzeska B. Zapotrzebowanie na wsparcie emocjonalne wśród pacjentów leczonych nerkozastępczo. Forum Nefrol 2010;3:64-7.

Lindqvist R, Carlsson M, Sjödén P. Coping strategies of people with kidney transplants. J Adv Nurs 2004;45(1):47-52. doi: 10.1046/j.1365-2648.2003.02859.x.

De Pasquale C. Psychopathological aspects of kidney transplantation: Efficacy of a multidisciplinary team. World J Transplant 2014;4(4):267. doi: 10.5500/wjt.v4.i4.267.

Robiner WN, Petrik ML, Flaherty N, Fossum TA, Freese RL, Nevins TE. Depression, Quantified Medication Adherence, and Quality of Life in Renal Transplant Candidates and Recipients. J Clin Psychol Med Settings 2022;29(1):168-84. doi: 10.1007/s10880-021-09792-2.

Wojczyk A. Problemy codziennego życia hemodializowanych pacjentów. Piel Zdr Publ 2014;4(2):143-8.

Gętek M, Nowakowska-Zajdel E, Czech N, Białek A, Muc-Wierzgoń M, Kokot T. Jakość życia pacjentów dializowanych i po przeszczepie nerek. Ann Acad Med Siles 2010;64:23-30.

Zatorski M. Proces transplantacji a rola psychologa. 2015. https://swps.pl/uczelnia/blogosfera/1314-pomoc-psychologa-przy-pierwszym-w-polsce-przeszczepie-lancuchowym (22.04.2025).

Wood AM, Froh JJ, Geraghty AWA. Gratitude and well-being: A review and theoretical integration. Clin Psychol Rev 2010;30(7):890-905. doi: 10.1016/j.cpr.2010.03.005.

McCullough ME, Emmons RA, Tsang JA. Gratitude Questionnaire-6. PsycTESTS Dataset. 2002. doi: 10.1037/t01837-000.

Fagley NS. Appreciation (Including Gratitude) and Affective Well-

-Being: Appreciation Predicts Positive and Negative Affect Above the Big Five Personality Factors and Demographics. Sage Open 2018;8(4).doi: 10.1177/2158244018818621.

Watkins PC, Woodward K, Stone T, Kolts RL. Gratitude and happiness: Development of a measure of gratitude, and relationships with subjective well-being. Soc Behav Pers 2003;31:431-52. doi: 10.2224/SBP.2003.31.5.431.

Costa PT, McCrae RR. Domains and Facets: Hierarchical Personality Assessment Using the Revised NEO Personality Inventory. J Pers Assess 1995;64:21-50. doi: 10.1207/S15327752JPA6401_2.

Kossakowska M, Kwiatek, P. Polska adaptacja kwestionariusza do badania wdzięczności GQ-6 Przegl Psychol 2014;57(4):501-12.

Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess 1985;49:71-5. doi: 10.1207/s15327752jpa4901_13.

Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. Skala Satysfakcji z Życia. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego; 2001. p. 134-8.

Cohen S, Kamarck T, Mermelstein R. Perceived Stress Scale. PsycTESTS Dataset 2014. doi: 10.1037/t02889-000.

Kaźmierczak M, Plopa M, Retowski S. Skala Wrażliwości Empatycznej. Prz Psychol 2007;50:9-24.

Davis MH. Interpersonal Reactivity Index (IRI). JSAS Catalog of Selected Documents in Psychology 1980;10:40-6.

Heather EP, Cattell ADM. The Sixteen Personality Factor Questionnaire (16PF). people.wku.edu (23.04.2025).

Kucharski T. Wprowadzenie do Kwestionariusza 16 PF-5. Toruń: Wyd. Adam Marszałek; 2004. p. 1-170.

Nowacka M. Etyka transplantacji. Etyka Transplant 2008;4:227-8. doi: 10.26106/rpx8-9125.

Alkatheri A, Al Bekairy A, Aburuz S, Qandil A, Khalidi N, Abdullah K, et al. Exploring quality of life among renal and liver transplant recipients. Ann Saudi Med 2015;35(5):368-76. doi: 10.5144/0256-4947.2015.368.

Pistorio ML, Veroux M, Trigona C, Patanè M, Lo Bianco S, Cirincione G, et al. Psychological and Emotional Aspects in Living Donor Kidney Transplantation. Transplant Proc 2019;51(1):124-7. doi: 10.1016/J.TRANSPROCEED.2018.04.085.

Lipowska M, Lipowski M. Polish normalization of the Body Esteem Scale. Health Psychol Rep 2014;1(1):72-81. doi: 10.5114/hpr.2013.40471.

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Published

2026-03-27

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