Resilience in patients after allogeneic stem cell transplantation

Schumacher, Andrea; Sauerland, Cristina; Silling, Gerda; Berdel, Wolfgang E.; Stelljes, Matthias

doi:10.1007/s00520-013-2001-6

Cited by 53 publications

(64 citation statements)

References 20 publications

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“…We found higher TSO and resilience were both associated with better overall quality of life, which is in line with previous research on both TSO [22, 24] and resilience [11, 15] in patients with cancer undergoing treatment and cancer survivors. We can report neither a significant association of social support and quality of life nor a quadratic effect (i.e., no additional benefits for the patient past a threshold level of social support).…”

Section: Discussionsupporting

confidence: 92%

Relationship among symptom clusters, quality of life, and treatment-specific optimism in patients with cancer

Matzka

Köck‐Hódi

Jahn

et al. 2018

Support Care Cancer

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PurposeThere is increasing evidence that disease and therapy-related symptoms frequently co-occur in so-called symptom clusters (SCs), which may significantly impair quality of life in patients with cancer. Although psychosocial resources may play pivotal roles in maintaining or improving quality of life, they have been neglected in SC research. Therefore, we aim to identify SCs and their relative impact on quality of life when psychosocial resources are accounted for.MethodsPatients with cancer (n = 304) undergoing chemotherapy or chemo-radiation therapy participated in a cross-sectional survey consisting of measures assessing symptoms, quality of life, resilience, treatment-specific optimism (TSO), and social support. Exploratory factor analyses and multiple regression analyses were used to identify SCs and significant explanatory variables of overall quality of life.ResultsFatigue-pain, anxiety-depression, cancer therapy-related toxicity, and nausea-vomiting clusters were identified. In our final model, the fatigue-pain cluster (β = − 0.41, p < 0.001), nausea-vomiting cluster (β = − 0.28, p < 0.001), TSO (β = 0.21, p < 0.001), and receiving chemo-radiation treatment (β = − 0.11, p = 0.03) accounted for 44% of variance in overall quality of life. However, the identified SCs explained quality of life in patients with varying levels of TSO to a different extent.ConclusionsOur findings indicate that the TSO of patients may be a major factor to consider in managing SCs, because—depending on its level—different SCs and even clusters encompassing comparatively less distressing symptoms (i.e., cancer therapy-related toxicities) may strongly affect quality of life.

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Section: Discussionsupporting

confidence: 92%

Relationship among symptom clusters, quality of life, and treatment-specific optimism in patients with cancer

Matzka

Köck‐Hódi

Jahn

et al. 2018

Support Care Cancer

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“…If protective factors outnumber risk factors (factors increasing the possibility of incompatible outcomes), it is predicted that the individual, in dealing with problems, displays more resilient behavior, copes with problems, and does not experience mental health disorders (22,65). Self-efficacy, social support, occupation, higher education, self-esteem, positive social orientation, asking for help, stress management, locus of control, coping, and older age are the most important protective factors that play a key role in the demonstration of compatible behavior and protection of mental health in difficult situations (66)(67)(68)(69)(70)(71)(72)(73)(74)(75).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Mental Health and Resilience: A Systematic Review and Meta-Analysis

Gheshlagh

Sayehmiri

Ebadi

et al. 2017

Iran Red Crescent Med J

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Context: Considering the stressful conditions of life and social difficulties, an important question is why are some people can show positive adaptation and avoid mental health disorders, while others cannot? The present study aimed at reviewing the national studies on the correlation between resilience and mental health.Evidence Acquisition: In this systematic review, all national articles published in international and national databases were searched without restrictions, using the following keywords: "Resilience OR Resiliency" AND "Mental health" OR "General Health" and their combinations. The Persian equivalents of these words were also used in Persian language sites. Finally, based on PRISMA guidelines, 15 studies were selected. The results of these studies were combined using the random effects model of meta-analysis. Results:In the present research, 16 correlation studies were examined without time limits, and with a sample size of 3157. Overall, a positive correlation was found between resilience and mental health in the national studies (r = 0.48). The results showed that the correlation between resilience and mental health was lower in the population of school and university students than among other populations (r = 0.39, compared to r = 0.54). The analysis based on geographical division indicated that the highest correlation between resilience and mental health existed in the fifth area (r = 0.83), and the lowest correlation was found in the fourth area (r = 0.35).Conclusions: By providing cognitive, behavioral and emotional responses in stressful situations, resilience can maintain and improve mental health.

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“…However, patients view the health/illness process in different ways, meaning that some patients face reality with greater empowerment than others (22) . In this sense, the (nursing) team should be prepared to provide guidelines regarding doubts and fears throughout outpatient follow-up, minimizing the suffering related to the treatment.…”

Section: Discussionmentioning

confidence: 99%

Quality of life of patients with graft-versus-host disease (GvHD) post-hematopoietic stem cell transplantation

Proença

Machado

Coelho

et al. 2016

Rev. esc. enferm. USP

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Objective: Assessing the quality of life of adult patients with hematological cancer in the 100 days after transplantation of hematopoietic stem cells and verifying whether the variable graft-versus-host disease (GvHD) is predictive of worse results. Method: An observational correlational and quantitative study with 36 adult participants diagnosed with hematologic cancer who underwent hematopoietic stem cell transplantation from September 2013 to June 2015. Result: The mean age was 37 years, 52.78% were female, and 61.11% were diagnosed with leukemia. Quality of life scores showed a significant impact between pre-transplantation and pre-hospital discharge, and also within the 100 days post-transplantation. The statistical analysis between the scores for the groups with and without GvHD showed a significant difference between the presence of the complication and worse results. Conclusion: Quality of life is altered as a result of hematopoietic stem cells transplantation, especially in patients who have graft-versushost disease. DESCRIPTORS

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Resilience in patients after allogeneic stem cell transplantation

Abstract: Resilience should be considered as a protective psychosocial factor for patients after alloSCT. A high degree of resilience can help patients to adapt to their situation and to resume their everyday life.

Cited by 53 publications

References 20 publications

Relationship among symptom clusters, quality of life, and treatment-specific optimism in patients with cancer

Relationship among symptom clusters, quality of life, and treatment-specific optimism in patients with cancer

The Relationship Between Mental Health and Resilience: A Systematic Review and Meta-Analysis

Quality of life of patients with graft-versus-host disease (GvHD) post-hematopoietic stem cell transplantation

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