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A personality profile of patients diagnosed with post-polio syndrome

Cognitive Neuroscience Section (K. Clark and Dr. Grafman) and the Neuromuscular Disease Section (Drs. Dinsmore and Dalakas), Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, Bethesda, MD.

Post-polio syndrome (PPS) refers to the late development of new neuromuscular symptoms in previously stable poliomyelitis patients. Whether psychological disturbance plays a role in the manifestation of symptoms in these patients is unclear. We examined 22 patients fulfilling the clinical criteria for PPS with the Minnesota Multiphasic Personality Inventory-II (MMPI-II), Beck Depression Inventory, Spielberger State-Trait Anxiety Scales, Chapman and Chapman Psychosis-Proneness Scales, Fatigue Scales, a neurobehavioral rating scale, and Cognitive Symptoms Self-Report Scales. The overwhelming majority of scale scores were within normal limits, and there was no indication that psychopathologic symptoms were associated with the development or severity of new muscle weakness in PPS patients. Women with PPS had significantly more somatic complaints, but were less socially isolated than men with PPS. This study confirms that the development or severity of new muscle weakness in carefully diagnosed PPS patients is not due to, or influenced by, underlying psychopathology.

Address correspondence and reprint requests to Dr. Jordan Grafman, Chief, Cognitive Neuroscience Section, Medical Neurology Branch, NINDS, NIH, Bldg. 10, Room 5S209, Bethesda, MD 20892.

Received December 6, 1993. Accepted in final form March 18, 1994.

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