General Hospital Psychiatry
Volume 27, Issue 2 , Pages 113-118 , March 2005

Personality characteristics among cardiothoracic transplant recipients

  • Carol S. Stilley, Ph.D., R.N.

      Affiliations

    • School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, USA
    • Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15261, USA
    • Corresponding Author InformationCorresponding author. University of Pittsburgh, Pittsburgh, PA 15261, USA. Tel.: +1 412 383 7284; fax: +1 412 624 1508.
  • ,
  • Mary Amanda Dew, Ph.D.

      Affiliations

    • Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15261, USA
    • Department of Psychology, University of Pittsburgh, Pittsburgh, PA 15261, USA
    • Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA 15261, USA
  • ,
  • Paul Pilkonis, Ph.D.

      Affiliations

    • Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15261, USA
  • ,
  • Ann Bender, Ph.D.

      Affiliations

    • School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, USA
  • ,
  • Mary McNulty, M.L.S.

      Affiliations

    • Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA 15261, USA
  • ,
  • Alan Christensen, Ph.D.

      Affiliations

    • Department of Psychology, University of Iowa, IA 52242, USA
  • ,
  • Kenneth R. McCurry, M.D.

      Affiliations

    • Department of Medicine and Surgery (Cardiothoracic Transplant Program), University of Pittsburgh School of Medicine and Medical Center, Pittsburgh, PA 15213, USA
  • ,
  • Robert L. Kormos, M.D.

      Affiliations

    • Department of Medicine and Surgery (Cardiothoracic Transplant Program), University of Pittsburgh School of Medicine and Medical Center, Pittsburgh, PA 15213, USA

Received 30 August 2004 ,Accepted 30 November 2004.

References 

  1. Boehnert CE, Popkin MK. Psychological issues of severely noncompliant diabetics. Psychosomatics. 1986;27(1):11–20
  2. Christensen AJ. Patient by treatment context interaction in chronic disease: a conceptual framework for the study of patient adherence. Psychosom. Med. 2000;62(3):435–443
  3. Hershberger PJ, Robertson KB, Markert RJ. Personality and appointment keeping adherence in cardiac rehabilitation. J. Cardiopulm. Rehabil. 1999;19(2):106–111
  4. Sanderson WC, Beck AT, McGinn LK. Cognitive therapy for generalized anxiety disorder: significance of comorbid personality disorders. In:  Leahy RL,  Dowd ET editor. Clinical advances in cognitive psychotherapy: theory and application. New York: Springer Publishing Co.; 2002;p. 287–293
  5. Wiebe JS, Christensen AJ. Health beliefs, personality, and adherence in hemodialysis patients: an interactive perspective. Ann. Behav. Med. 1997;19:30–35
  6. Crone CC, Wise TN. Psychiatric aspects of transplantation III: postoperative issues. Crit. Care Nurse. 1999;19(4):28–38
  7. Freeman AM, Folks DC, Sokol RS, et al. Cardiac transplantation: clinical correlates of psychiatric outcome. J. Pers. 1988;64(4):429–437
  8. House RM. Does a personality disorder contraindicate solid organ transplantation?. Curr. Opin. Organ Transpl. 1999;4:160–163
  9. Coffman KL, Brandwin M. The Millon Behavioral Health Inventory life threat reactivity scale as a predictor of mortality in patients awaiting heart transplantation. Psychosomatics. 1999;40(1):44–49
  10. Brandwin M, Trask PC, Schwartz SM, et al. Personality predictors of mortality in cardiac transplant candidates and recipients. J. Psychosom. Res. 2000;49:141–147
  11. Chako RC, Harper RG, Gotto J, et al. Psychiatric interview and psychometric predictors of cardiac transplant survival. Am. J. Psychiatry. 1996;153(12):k1607–k1612
  12. Gish RG, Lee A, Brooks L, et al. Long-term follow-up of patients diagnosed with alcohol dependence or alcohol abuse who were evaluated for liver transplantation. Liver Transpl. 2001;7(7):581–587
  13. Shapiro PA, Williams DL, Foray AT, et al. Psychosocial evaluation and prediction of compliance problems and morbidity after heart transplantation. Transplant. 1995;60:1462–1466
  14. Smith TW, Williams PG. Personality and health: advantages and limitations of the five-factor model. J. Pers. 1992;60(2):395–423
  15. Horsburgh ME, Beanlands H, Locking-Cusolitto H, et al. Personality and self care in adults awaiting renal transplantation. West. J. Nurs. Res. 2000;22(4):407–437
  16. Marshall GN, Wortman CB, Vickers RR, et al. The five-factor model of personality as a framework for personality–health research. J. Pers. Soc. Psychol. 1994;67(2):278–286
  17. Zanarini Mc, Frankenburg FR, Dubo ED, et al. Axis I comorbidity of borderline personality disorder. Am. J. Psychiatry. 1998;155(12):1733–1739
  18. Dew MA, Roth LH, Schulberg HC, et al. Prevalence and predictors of depression and anxiety-related disorders during the year after heart transplantation. Gen. Hosp. Psychiatry. 1996;18:48S–61S
  19. Dew MA, Kormos RL, Roth LH, et al. Early medical compliance and mental health predict physical morbidity and mortality one to three years after heart transplantation. J. Heart Lung Transplant. 1999;18:549–562
  20. Stilley CS, Dew MA, Stukas A, et al. Psychological symptom levels and their correlates in lung and heart-lung recipients. Psychosomatics. 1999;40:1–7
  21. Chacko RC, Harper RG, et al. Relationship of psychiatric morbidity and psychosocial factors in organ transplant candidates. Psychosomatics. 1996;37:100–107
  22. Dobbels F, Put C, Vanhaecke J. Personality disorders: a challenge for transplantation. Prog. Transplant. 2000;10(4):226–232
  23. Phipps L. Psychiatric aspects of heart transplantation. Can. J. Psychiatry. 1991;36:563–568
  24. Dew MA, Kormos RL, DiMartini AF, et al. Differential vulnerability to psychiatric distress after lung vs. heart transplantation. J. Heart Lung Transplant. 2003;22:S128
  25. Taylor DO, Edwards LB, Mohacsi PJ, et al. The registry of the International Society for Heart and Lung Transplantation: 20th official adult heart transplant report. J. Heart Lung Transplant. 2003;22(6):616–624
  26. Trulock EP, Edwards LB, Taylor DO, et al. The registry of the International Society for Heart and Lung Transplantation: 20th official adult lung and heart-lung transplant report. J. Heart Lung Transplant. 2003;22(6):625–635
  27. UNOS (United Network for Organ Sharing). http://www.unos.org/2003;
  28. Spitzer RL, Williams JBW, Gibbon M, et al. The structured clinical interview for DSM-IIIR (SCID-I). Arch. Gen. Psychiatry. 1992;49:624–649
  29. First MB, Spitzer RL, Gibbon M, et al. The structured clinical interview for DSM-IV personality disorders (SCID-II). Part II: Multi-site test–retest reliability study. J. Personal. Disord. 1995;9(2):92–104
  30. Costa PT, McCrae RR. Personality disorders and the five-factor model of personality. J. Personal. Disord. 1990;4:362–371
  31. Costa PT, McCrae RR. Professional manual revised NEO Personality Inventory (NEO-PI-R and NEO Five Factor Inventory (NEO-FFI). Lutz (Fla): Psychological Assessment Resources Inc; 1992;
  32. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed.. Washington (DC): Author; 1994;
  33. Lenszenweger MF, Loranger AW, Korfine L, et al. Detecting personality disorders in a nonclinical population. Arch. Gen. Psychiatry. 1997;54:345–351
  34. Maier W, Lichtermann D, Klingler T, et al. Prevalences of personality disorders (DSM-III-R) in the community. J. Personal. Disord. 1992;6(3):187–196
  35. Torgesen S, Kringlen E, Cramer V. The prevalence of personality disorders in a community sample. Arch. Gen. Psychiatry. 2001;59(6):590–596
  36. Reich J, Yates W, Nduaguba M. Prevalence of DSM-III personality disorders in the community. Soc. Psychiatry Psychiatr. Epidemiol. 1989;24(1):12–16
  37. Yates WR, LaBrecque DR, Pfab D. Personality disorder as a contraindication for liver transplantation in alcoholic cirrhosis. Psychosomatics. 1998;39(6):501–511
  38. Miller L. Predicting relapse and recovery in alcoholism and addiction: neuropsychology, personality, and cognitive style. J. Subst. Abuse Treat. 1991;8(4):277–291
  39. Yeager RJ, DiGiuseppe R, Resweber PJ, et al. Comparison of Millon personality profiles of chronic residential substance abusers and a general outpatient population. Psychol. Rep. 1992;71(1):71–79
  40. Trzepacz P, DiMartini A. Alcoholism and organ transplantation. In:  Trzepacz P,  DiMartini A editor. The transplant patient. Cambridge: University Press; 2000;p. 214–238
  41. Berge JM, Patterson JM. Cystic fibrosis and the family: a review and critique of the literature. Fam. Syst. Health. 2004;22(1):74–100
  42. Denollet J, Vaes J, Brutssaert D. Inadequate response to treatment in coronary heart disease: adverse effects of type D personality and younger age on 5-year prognosis and quality of life. Circulation. 2000;102(6):630–635
  43. Kop W. Chronic and acute psychological risk factors for clinical manifestations of coronary heart disease. Psychosom. Med. 1999;61(4):476–487
  44. Yellowlees PM, Alpers JH, Bowden JJ, Bryant GD, Ruffin RE. Psychiatric morbidity in patients with chronic airflow obstruction. Med. J. Aust. 1987;146(6):305–307
  45. Levenson JL, Olbrisch ME. Psychosocial screening and selection of candidates for organ transplantation. In:  Trzepacz P,  DiMartini A editor. The transplant patient. Cambridge: University Press; 2000;p. 21–41
  46. Olbrisch ME, Benedict SM, Ashe K, et al. Psychological assessment and care of organ transplant patients. J. Consult. Clin. Psychol. 2002;70(3):771–783
  47. Clark LA, Livesley WJ, Schroeder ML, et al. Convergence of two systems for assessing specific traits of personality disorder. Psychol. Assess. 1996;8(3):294–303
  48. Saulsman LM, Page AC. The five-factor model and personality disorder empirical literature: a meta-analytic review. Clin. Psychol. Rev. 2004;23:1055–1085

 This research is supported by: NIH NINR1 P30 NR03924-09, NIMH R03 MH62435 (CS Stilley), 1R01MH059229 (MA Dew).

PII: S0163-8343(04)00143-4

doi: 10.1016/j.genhosppsych.2004.11.005

General Hospital Psychiatry
Volume 27, Issue 2 , Pages 113-118 , March 2005