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.
Two academic medical center transplant programs.
Participants: Two hundred forty-three consecutively
referred transplant candidates.
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
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.