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The psychological impact of end-stage lung disease
H K Singer1, R A Ruchinskas, K C Riley
1Department of Physical Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Study Objectives:
End-stage lung disease is associated with poor quality of life and increased risk for psychological distress. Despite the significant number of individuals with end-stage lung diseases, the emotional health of these patients, as compared with those with other chronic organ diseases, is not well-known. The purpose of this article is to elucidate personality styles and the presence of psychopathology in a clinical sample of patients with end-stage lung disease presenting for possible lung transplantation.
Design:
Cross-sectional survey.
Setting:
Two academic medical center transplant programs.
Participants:
Two hundred forty-three consecutively referred transplant candidates.
Results:
Cluster analysis of the Minnesota Multiphasic Personality Inventory (MMPI)-2 indicated five different personality styles. The majority of patients evidenced mild somatic and depressive symptoms. Approximately one fourth of the sample exhibited marked anxiety and mood disturbances. A small cluster also evidenced features consistent with an antisocial personality style.
Conclusions:
Separate and distinct personality styles that could affect quality of life, the need for adjunct treatments, and medical compliance emerged from this sample of individuals with end-stage lung disease. Results are discussed in light of prior research on other end-stage organ conditions and in relation to personality and coping theories.
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