We would like to thank Professor Salander for reading and commenting on our recently published paper. First, the authors would like to highlight that the design of this study was based on a previously established theoretical framework, that is, the Vulnerability Model of Organ Transplantation . This model proposes that situational symptoms (e.g. affective states) and personality-related traits exert independent influences on patients? physical and psychological outcomes post-transplantation. Thus, the measures in this study were chosen to represent the different constructs (i.e. state and trait variables).