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ptsd and bmt

Areej El-Jawahri, Lara Traeger, Joseph A Greer, Harry VanDusen, Sarah R Fishman, Thomas W LeBlanc, William F Pirl, Vicki A Jackson, Jason Telles, Alison Rhodes, Zhigang Li, Thomas R Spitzer, Steven McAfee, Yi-Bin A Chen, Jennifer S Temel
Purpose Inpatient palliative care integrated with transplant care improves patients' quality of life (QOL) and symptom burden during hematopoietic stem-cell transplant (HCT). We assessed patients' mood, post-traumatic stress disorder (PTSD) symptoms, and QOL 6 months post-transplant. Methods We randomly assigned 160 patients with hematologic malignancies who underwent autologous or allogeneic HCT to inpatient palliative care integrated with transplant care (n = 81) or transplant care alone (n = 79). At baseline and 6 months post-transplant, we assessed mood, PTSD symptoms, and QOL with the Hospital Anxiety and Depression Scale and Patient Health Questionnaire, PTSD checklist, and Functional Assessment of Cancer Therapy-Bone Marrow Transplant...
November 10, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Özge Gizli Çoban, Aslı Sürer Adanır, Esin Özatalay
Although BMT is lifesaving in many childhood diseases, it was found to be related to anxiety, depression, and PTSD in parents, and PTSD, anxiety and overall low self-esteem in siblings. Research on siblings' HRQoL is limited. The aim of this study was to investigate PTSD and HRQoL in siblings (donor and non-donor) of pediatric BMT survivors and PTSD in their mothers, compared to the healthy controls. Thirty-five siblings and their mothers and 35 healthy peers and their mothers were recruited as the study group and as the comparison group, respectively...
September 2017: Pediatric Transplantation
Gülseren Taskıran, Aslı Sürer Adanır, Esin Özatalay
Bone marrow transplantation (BMT) is used to treat children with various hematologic, oncologic, and metabolic diseases. Although the treatment can be lifesaving, it is also physically and psychologically demanding for both the child and caregivers. In previous studies, BMT is found to be related with anxiety, posttraumatic stress disorder (PTSD), depression, and psychosocial problems both in children and parents. The aim of this study was to investigate PTSD in pediatric BMT survivors and their mothers compared with the healthy controls...
April 2016: Pediatric Hematology and Oncology
Areej R El-Jawahri, Harry B Vandusen, Lara N Traeger, Joel N Fishbein, Tanya Keenan, Emily R Gallagher, Joseph A Greer, William F Pirl, Vicki A Jackson, Thomas R Spitzer, Yi-Bin A Chen, Jennifer S Temel
BACKGROUND: During hospitalization for hematopoietic stem cell transplantation (HCT), patients experience a steep deterioration in quality of life (QOL) and mood. To our knowledge, the impact of this deterioration on patients' QOL and posttraumatic stress disorder (PTSD) symptoms after HCT is unknown. METHODS: We conducted a prospective longitudinal study of patients hospitalized for HCT. They assessed QOL using the Functional Assessment of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT) and depression and anxiety symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) at the time of admission for HCT, during hospitalization, and 6 months after HCT...
March 1, 2016: Cancer
Kyle Possemato, Dessa Bergen-Cico, Scott Treatman, Christy Allen, Michael Wade, Wilfred Pigeon
OBJECTIVES: Primary care (PC) patients typically do not receive adequate posttraumatic stress disorder (PTSD) treatment. This study tested if a brief mindfulness training (BMT) offered in PC can decrease PTSD severity. METHOD: VA PC patients with PTSD (N = 62) were recruited for a randomized clinical trial comparing PCBMT with PC treatment as usual. PCBMT is a 4-session program adapted from mindfulness-based stress reduction. RESULTS: PTSD severity decreased in both conditions, although PCBMT completers reported significantly larger decreases in PTSD and depression from pre- to posttreatment and maintained gains at the 8-week follow-up compared with the control group...
March 2016: Journal of Clinical Psychology
Lisa M Ingerski, Kimberly Shaw, Wendy N Gray, David M Janicke
OBJECTIVE: Researchers have recently used a framework of traumatic stress to describe the psychological functioning of children experiencing a chronic illness and their families; however, few studies are available directly comparing symptoms across disease groups. This study compared traumatic stress symptoms of youth being considered for solid organ and bone marrow transplantation, youth diagnosed with human immunodeficiency virus, youth diagnosed with sickle cell disease and their parents...
November 2010: Journal of Developmental and Behavioral Pediatrics: JDBP
Ya-Ling Lee, Sheila Judge Santacroce
BACKGROUND: Posttraumatic stress is one of many psychological late effects in young adult survivors of childhood cancer and needs to be explored thoroughly. OBJECTIVE: The purpose of this study was to examine the characteristics and correlates of posttraumatic stress symptoms in a sample of young adult survivors of childhood cancer. DESIGN: Cross-sectional and correlational descriptive design was used. Data was collected by a mailed survey...
November 2007: International Journal of Nursing Studies
Katherine N DuHamel, Jamie Ostrof, Teresa Ashman, Gary Winkel, Elizabeth A Mundy, Terence M Keane, Benjamin J Morasco, Suzanne M J Vickberg, Karen Hurley, Jack Burkhalter, Rosy Chhabra, Eileen Scigliano, Esperanza Papadopoulos, Craig Moskowitz, William Redd
The measurement of posttraumatic stress disorder (PTSD) is critically important for the identification and treatment of this disorder. The PTSD Checklist (PCL; F. W. Weathers and J. Ford, 1996) is a self-report measure that is increasingly used. In this study, the authors investigated the factorial validity of the PCL with data from 236 cancer survivors who received a bone marrow or stem cell transplantation. The authors examined the fit of these data with the clinical model of 3 symptom clusters for PTSD, as proposed in the Diagnostic and Statistical Manual of Mental Disorders, and alternative models tested in prior research...
September 2004: Psychological Assessment
Olivier Taïeb, Marie Rose Moro, Thierry Baubet, Anne Revah-Lévy, Martine F Flament
The posttraumatic stress model has recently been applied to understand the impact of life-threatening illness in adults and in children. From 1991 to 2001, 20 studies have reported posttraumatic stress symptoms and/or posttraumatic stress disorder (PTSD) in childhood cancer survivors and/or their parents. A review of these studies is proposed. Prevalence of posttraumatic stress symptoms and/or PTSD in children and in their parents has been estimated, across studies, between 2 and 20 % in survivors and between 10 and 30 % in their parents, even many years after the end of cancer treatment...
December 2003: European Child & Adolescent Psychiatry
Sharon Manne, Katherine DuHamel, Nancy Nereo, Jamie Ostroff, Susan Parsons, Richard Martini, Sharon Williams, Laura Mee, Sandra Sexson, Lisa Wu, Joanne Difede, William H Redd
OBJECTIVE: To investigate the role of cognitive and social processing in posttraumatic stress symptoms and disorder (PTSD) among mothers of children undergoing bone marrow and hematopoietic stem-cell transplantation (BMT/SCT). METHOD: Questionnaires assessing emotional distress, BMT-related fears, and negative responses of family and friends were completed by 90 mothers at the time of the BMT infusion and 3 and 6 months post-BMT. PTSD symptoms were measured 6 months post-BMT by both paper-and-pencil and structured interview methods...
October 2002: Journal of Pediatric Psychology
Paul B Jacobsen, Ian J Sadler, Margaret Booth-Jones, Elizabeth Soety, Michael A Weitzner, Karen K Fields
This study examined the prevalence and predictors of posttraumatic stress disorder (PTSD) symptoms in 70 men and women treated with bone marrow transplantation for cancer. Findings indicated that the number of symptoms present ranged from 0 to a possible high of 17 (M = 3.0, SD = 3.9). As predicted. lower social support and higher avoidance coping I month pretransplant predicted greater PTSD symptom severity an average of 7 months posttransplant. These variables remained significant predictors of symptom severity even after accounting for pretransplant levels of psychological distress...
February 2002: Journal of Consulting and Clinical Psychology
S M Johnson Vickberg, K N Duhamel, M Y Smith, S L Manne, G Winkel, E B Papadopoulos, W H Redd
The purpose of the present study was to examine global meaning (i.e. the belief that life has purpose and coherence) and psychological adjustment in survivors of bone marrow transplantation (BMT). Eighty-five survivors of BMT participated in a telephone interview. Regression analyses demonstrated that after controlling for physical functioning, stressor severity, and gender, global meaning was inversely related to global psychological distress and BMT-related psychological distress (i.e. posttraumatic stress disorder-like symptoms related to the cancer treatment)...
January 2001: Psycho-oncology
M R Widows, P B Jacobsen, K K Fields
OBJECTIVE: Prior research suggests that the diagnosis and treatment of cancer can result in the development of symptoms of posttraumatic stress disorder (PTSD). Based on Lazarus and Folkman's model of stress, the current study examined whether trauma appraisals, coping, social support, and social constraint were associated with the severity of PTSD symptoms in cancer patients who had undergone bone marrow transplantation (BMT). METHODS: Participants were 23 males and 79 females treated with BMT an average of 20 months previously (range = 3-62 months)...
November 2000: Psychosomatic Medicine
E A Mundy, E B Blanchard, E Cirenza, J Gargiulo, B Maloy, C G Blanchard
We assessed 17 women who had undergone autologous bone marrow transplants (BMT) for their breast cancer and 20 other women who had been treated for breast cancer (but not with BMT) by structured clinical interviews examining each stage of the breast cancer experience (e.g. initial diagnosis, initial treatment, recurrence of cancer (if applicable) and BMT (if applicable)) and at follow-up points; 3, 6 and 12 months (if applicable) posttreatment. The two groups did not differ on incidence of posttraumatic stress disorder (PTSD), major depressive disorder (MDD) or generalized anxiety disorder at any stage...
October 2000: Behaviour Research and Therapy
M Y Smith, W Redd, K DuHamel, S J Vickberg, P Ricketts
Life-threatening illness now qualifies as a precipitating stessor for posttraumatic stress disorder (PTSD). We examined the validity of the PTSD Checklist-Civilian Version (PCL-C; Weathers, Litz, Herman, Juska, & Keane, 1993), a brief 17-item inventory of PTSD-like symptoms, in a sample of 111 adults who had undergone bone marrow transplantation an average of 4.04 years previously. Exploratory factor analysis of the PCL-C identified four distinct patterns of symptom responses: Numbing-Hyperarousal, Dreams-Memories of the Cancer Treatment, General Hyperarousal, Responses to Cancer-Related Reminders and Avoidance-Numbing...
July 1999: Journal of Traumatic Stress
P B Jacobsen, M R Widows, D M Hann, M A Andrykowski, L E Kronish, K K Fields
OBJECTIVE: On the basis of revisions of DSM criteria, questions have been raised concerning the occurrence of posttraumatic stress disorder (PTSD) symptoms among adults who have been diagnosed and treated for life-threatening illnesses. The present study examined the prevalence and correlates of PTSD symptoms among women who had undergone autologous bone marrow transplantation (ABMT) for breast cancer. METHODS: Participants were 43 women who had undergone ABMT for breast cancer an average of 19 months previously (range = 2 to 62 months) and had no clinical evidence of disease at their most recent follow-up visit...
May 1998: Psychosomatic Medicine
R W Butler, L P Rizzi, B A Handwerger
Investigated the incidence and severity of Posttraumatic Stress Disorder (PTSD) in childhood cancer using informant methodology. The parents of pediatric cancer patients (n = 30) and off-treatment survivors (n = 42) completed a modified version of the Posttraumatic Stress Disorder Symptom Scale (PSS) on their children (M age = 8.8: SD = 4.0), in addition to the Child Behavior Checklist (CBCL) and the Personality Inventory for Children (PIC). Medical treatment and demographic data were also collected for each child...
August 1996: Journal of Pediatric Psychology
S P Heiney, R W Neuberg, D Myers, L H Bergman
PURPOSE/OBJECTIVES: To describe the characteristics of a child's bone marrow transplant (BMT) experience that may precipitate a post-traumatic stress disorder (PTSD) in the parent. DATA SOURCES: Published articles, books, and the authors' clinical experience. DATA SYNTHESIS: When viewed from the PTSD framework, parental reactions to a child's BMT offer striking parallels that include assessment of the event as traumatic, re-experiencing the event, intrusive thoughts, and a variety of emotional and cognitive responses...
June 1994: Oncology Nursing Forum
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