Psychiatric Assessment of Candidates for Bone Marrow Transplantation: A Psychodynamically-Oriented Approach

Abstract

This approach to assessment of candidates for bone marrow transplantation may identify individuals who require added, supportive measures, both medical and psychological. Furthermore, the results suggest possible leads in the search for how psychological factors might influence the physiologic response to a toxic stress.

Psychiatric evaluations prior to stem cell transplant – a survey of National Marrow Donor Programs

“…In general, three basic models for psychiatric evaluation in stem cell transplant recipients have developed [8][9][10]. The majority of programs utilized a 'gatekeeper' model (e.g., pre-screening evaluation by a social worker) to assess for psychosocial comorbidities prior to transplant.…”

Coping and survival in patients with leukemia undergoing allogeneic bone marrow transplantation—long-term follow-up of a prospective study

“…With respect to the homogeneity of the sample, we restricted our study to leukemia patients and allogeneic transplantation. Regarding psychosocial factors and survival in this circumscribed group of patients, no other prospectively designed study [27][28][29][30][31][32][33][34][35][36] includes a larger (sub-) sample or had a longer follow-up period. Furthermore, we paid special attention to the control for somatic variables by considering well-known hematological risk factors [24].…”

Potrauminio Streso Sindromas Bei Kiti Psichikos Sveikatos Sutrikimai Ir Organų Transplantacija

“…Netgi yra sukurti specialūs apklausos instrumentai, tokie kaip Kandidatų transplantacijai psichosocialinis įvertinimas ("Psychosocial Assessment of Candidates for Transplantation" -PACT) [6]. Taip pat esama ir kitų klausimynų, kurie yra dar labiau struktūrizuo-ti ir per trumpą laiką transplantacijos komandai pateikia svarbią informaciją apie pacientą [7,8].…”