Psychological costs of bone marrow transplantation in children.

Patenaude, Andrea Farkas; Szymanski, Ludwik S.; Rappeport, Joel M.

doi:10.1111/j.1939-0025.1979.tb02623.x

Cited by 58 publications

(34 citation statements)

References 9 publications

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“…28,29 In the months following transplantation, 40% of children experience significant increases in anxiety, depression and aggression, and 35% 1 year later. 29,30 Childhood BMT survivors also experience declines in social competence and self-concept. 31 Their peers describe them as 'less athletic, less likely to be chosen as a best friend, and less attractive'.…”

Section: Psychological Healthmentioning

confidence: 99%

Childhood to adult transition and long-term follow-up after blood and marrow transplantation

Cupit

Duncan

Savani

et al. 2015

Bone Marrow Transplant

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The use of hematopoietic stem cell transplantation or blood and marrow transplantation (BMT) is on the increase worldwide. With BMT's increasing utilization and increasing success, the number of BMT survivors in the United States alone is expected to surpass 500 000 by the year 2030. BMT survivors are susceptible to a host of long-term side effects and complications. The pediatric and adolescent and young adult (AYA) populations comprise an increasing proportion of BMT survivors. Though these populations are both at risk of a specific set of sequelae and faced with the additional challenge of transitioning to adult care, no previous literature has addressed their specific challenges. In this review, we illustrate with clinical vignettes the need for focused and specific survivorship clinics for pediatric/AYA BMT survivors. We then focus on the following areas pertaining to pediatric BMT survivorship and care: (1) psychological health, (2) neurocognition, (3) endocrine health, (4) infertility resources, (5) issues in transition from pediatric to adult clinicians, (6) preventative services and (7) cost of care issues.

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Section: Psychological Healthmentioning

confidence: 99%

Childhood to adult transition and long-term follow-up after blood and marrow transplantation

Cupit

Duncan

Savani

et al. 2015

Bone Marrow Transplant

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“…3 In the days and weeks before the transplant, when the child is hospitalized and undergoes many procedures, increased anxiety is apparent. 4 Children enter the hospital with already high levels of emotional distress, which continues to escalate until 1-week post-HSCT.…”

Section: Pediatric Patientsmentioning

confidence: 99%

“…4,6 Extended hospital stays are particularly associated with worsening depressive symptoms and withdrawal. 3 Researchers suggest that physical isolation contributes to increased depressive symptoms during hospitalization. Often children, particularly those aged 5-16 years experience isolation protocol as a loss of freedom and control and an intrusion on their privacy.…”

Section: Pediatric Patientsmentioning

confidence: 99%

“…Reactions to this include depression, anger, frustration and attempts to over-control areas of life such as visitors, food and hygiene. 3,6 Age, specifically o7 years, and severity of the illness influence the level of emotional reaction. Children under the age of 5 are likely to withdraw, lose their self-help skills and some even lose their mobility and speech skills.…”

Section: Pediatric Patientsmentioning

confidence: 99%

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Psychological effects of hematopoietic SCT on pediatric patients, siblings and parents: a review

Packman

Weber

Wallace

et al. 2010

Bone Marrow Transplant

148

189

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“…[18][19][20] During the pretransplant stage, the family makes the decision to proceed with BMT. This decision is often made against a backdrop of diminished treatment options and involves a great deal of anxiety.…”

Section: Psychosocial Stages Of Bone Marrow Transplantationmentioning

confidence: 99%

Psychosocial impact of pediatric BMT on siblings

Packman

1999

Bone Marrow Transplant

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Summary:Although bone marrow transplantation (BMT) has become standard therapy for many life-threatening disorders of childhood, there is little research on the psychosocial impact of BMT on siblings of children undergoing BMT. Such siblings face issues common to any family with a chronic illness. However, the psychological impact on the family is intensified because two family members, usually children, are subjected to intrusive medical procedures. Investigators had earlier noted that sibling donors may be at risk for behavioral problems and anxiety, while nondonors may experience ambivalent feelings of disappointment and relief. It was suggested that psychosocial stages of BMT may parallel the medical transplant process, with high levels of stress experienced pre-BMT, during hospitalization, and postdischarge. Our own group has recently conducted more systematic investigations on the psychosocial effects of BMT on donor vs nondonor siblings of surviving pediatric BMT patients. We found that sibling donors showed significantly more anxiety, lower self-esteem, and more adaptive skills in school than nondonors. Nondonors, on the other hand, showed significantly more school problems. One third of the siblings in each group reported a moderate level of post-traumatic stress. Taken together, our research indicates that BMT affects the life of the child at home and at school and that posttraumatic stress symptomatology is a component of the psychological reaction in siblings. The psychosocial adjustment of siblings is a critical area of investigation in BMT populations. Parents need to know that the BMT process affects every member of the family system, and both parents and professionals need to direct more emotional support and attention to siblings. Studies are needed that focus on interventions designed to reduce levels of sibling psychosocial maladjustment. The psychosocial developmental model of posttraumatic stress disorder is a viable theoretical model that may be used to guide future research.

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Psychological costs of bone marrow transplantation in children.

Cited by 58 publications

References 9 publications

Childhood to adult transition and long-term follow-up after blood and marrow transplantation

Childhood to adult transition and long-term follow-up after blood and marrow transplantation

Psychological effects of hematopoietic SCT on pediatric patients, siblings and parents: a review

Psychosocial impact of pediatric BMT on siblings

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