Patients' psychosocial concerns following stem cell transplantation

被引:43
作者
Andrykowski, MA [1 ]
Cordova, MJ
Hann, DM
Jacobsen, PB
Fields, KK
Phillips, G
机构
[1] Univ Kentucky, Coll Med, Dept Behav Sci, Lexington, KY 40536 USA
[2] Amer Canc Soc, Behav Res Ctr, Atlanta, GA USA
[3] H Lee Moffit Canc Ctr & Res Inst, Psychosocial Oncol Program, Tampa, FL USA
[4] H Lee Moffit Canc Ctr & Res Inst, Blood & Marrow Transplantat Program, Tampa, FL USA
[5] Univ Kentucky, Coll Med, Dept Med, Lexington, KY USA
[6] Univ Kentucky, Blood & Marrow Transplantat Program, Lexington, KY USA
关键词
quality of life; behavior adjustment; psychosocial; intervention;
D O I
10.1038/sj.bmt.1702022
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Information regarding the nature, frequency, correlates and temporal trajectory of concerns of stem cell transplantation (SCT) recipients is critical to the development of interventions to enhance quality of life (QOL) in these individuals. This study examined psychosocial concerns in 110 SCT (87% autologous) recipients drawn from two SCT centers. Participants were a mean of 46 years of age and 17 months post-SCT (range 3-62 months). Information regarding current and past SCT-related concerns, performance status, and demographic characteristics was collected by telephone interview or questionnaire, Recipients reported a wide variety of psychosocial concerns following SCT, Recipients who were younger, female and evidenced a poorer performance status reported a larger number of post-SCT concerns. Examination of the temporal trajectory of concerns suggests that some concerns are salient throughout the course of post-SCT recovery (eg disease recurrence, energy level,'returning to normal'), some are salient early in the course of recovery (eg quality of medical care, overprotectiveness by others), and others emerge later in the course of recovery (leg feeling tense or anxious, sexual life, sleep, relationship with spouse/partner, ability to be affectionate). Implications for the development of interventions to enhance post-SCT QOL are identified.
引用
收藏
页码:1121 / 1129
页数:9
相关论文
共 28 条
[1]  
Amato JJ, 1998, PSYCHO-ONCOL, V7, P121, DOI 10.1002/(SICI)1099-1611(199803/04)7:2<121::AID-PON287>3.0.CO
[2]  
2-8
[3]   Energy level and sleep quality following bone marrow transplantation [J].
Andrykowski, MA ;
Carpenter, JS ;
Greiner, CB ;
Altmaier, EM ;
Burish, TG ;
Antin, JH ;
Gingrich, R ;
Cordova, MJ ;
HensleeDowney, PJ .
BONE MARROW TRANSPLANTATION, 1997, 20 (08) :669-679
[4]  
ANDRYKOWSKI MA, 1995, BONE MARROW TRANSPL, V15, P573
[5]  
ANDRYKOWSKI MA, 1994, BONE MARROW TRANSPL, V13, P357
[6]  
ANDRYKOWSKI MA, 1998, PSYCHO-ONCOLOGY, P289
[7]   High-dose chemotherapy with autologous hematopoietic stem-cell support for breast cancer in North America [J].
Antman, KH ;
Rowlings, PA ;
Vaughan, WP ;
Pelz, CJ ;
Fay, JW ;
Fields, KK ;
Freytes, CO ;
Gale, RP ;
Hillner, BE ;
Holland, HK ;
Kennedy, MJ ;
Klein, JP ;
Lazarus, HM ;
McCarthy, PL ;
Saez, R ;
Spitzer, G ;
Stadtmauer, EA ;
Williams, SF ;
Wolff, S ;
Sobocinski, KA ;
Armitage, JO ;
Horowitz, MM .
JOURNAL OF CLINICAL ONCOLOGY, 1997, 15 (05) :1870-1879
[8]   STAGES OF BONE-MARROW TRANSPLANTATION - PSYCHIATRIC PERSPECTIVE [J].
BROWN, HN ;
KELLY, MJ .
PSYCHOSOMATIC MEDICINE, 1976, 38 (06) :439-446
[9]  
Bryant LH, 1997, CANCER PRACT, V5, P234
[10]   QUALITY-OF-LIFE IN CANCER - DEFINITION, PURPOSE, AND METHOD OF MEASUREMENT [J].
CELLA, DF ;
TULSKY, DS .
CANCER INVESTIGATION, 1993, 11 (03) :327-336