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Clinical Investigations: COPD |

The Psychological Impact of End-Stage Lung Disease*

Hedy K. Singer, PhD; Robert A. Ruchinskas, PsyD; Kevin C. Riley, PhD; Donna K. Broshek, PhD; Jeffrey T. Barth, PhD
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*From the Departments of Physical Medicine and Rehabilitation (Drs. Singer and Ruchinskas) and Psychiatry (Dr. Riley), Temple University School of Medicine, Philadelphia, PA; and Department of Psychiatry (Dr. Broshek and Barth), University of Virginia School of Medicine, Charlottesville, VA.

Correspondence to: Robert Ruchinskas, PsyD, Department of Physical Medicine and Rehabilitation, Temple University Hospital, Philadelphia, PA 19140; e-mail: rruchins@nimbus.ocis.temple.edu



Chest. 2001;120(4):1246-1252. doi:10.1378/chest.120.4.1246
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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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