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

Although hematopoietic SCT (HSCT) has become standard therapy for many life-threatening disorders of childhood, there is little research on the psychosocial ramifications of HSCT on patients, siblings and parents. Pediatric patients experience numerous psychological reactions throughout hospitalizat...

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Bibliographic Details
Published in:	Bone marrow transplantation (Basingstoke) Vol. 45; no. 7; pp. 1134 - 1146
Main Authors:	Packman, W, Weber, S, Wallace, J, Bugescu, N
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 01-07-2010 Nature Publishing Group
Subjects:	631/477 692/700/1720 692/700/565/545/576/1955 Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anxiety Biological and medical sciences Bone marrow Bone marrow, stem cells transplantation. Graft versus host reaction Cancer Care and treatment Cell Biology Child Children Chronic illnesses Cognitive ability Emotions Family - psychology Family Relations Hematology Hematopoietic Stem Cell Transplantation - psychology Hematopoietic stem cells Humans Internal Medicine Leukemia in children Medical sciences Medicine Medicine & Public Health Mental depression Parents Parents & parenting Patients Pediatrics Post traumatic stress disorder Psychological aspects Psychological effects Psychological factors Psychological stress Public Health review Risk factors Siblings Social conditions Social interactions Social problems Stem cell transplantation Stem Cells Stress, Psychological - etiology Stress, Psychological - therapy Tissue Donors - psychology Transfusions. Complications. Transfusion reactions. Cell and gene therapy Transplantation United States HSCT psychological effects pediatric patients Human Pediatrics Hematology Parent Review Sibling Psychological effect Child Bibliographic review Hematopoietic stem cell transplantation
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Summary:	Although hematopoietic SCT (HSCT) has become standard therapy for many life-threatening disorders of childhood, there is little research on the psychosocial ramifications of HSCT on patients, siblings and parents. Pediatric patients experience numerous psychological reactions throughout hospitalization, the procedure and recovery process: anxiety, depression, behavioral and social problems, and post-traumatic stress reactions. Similarly, sibling donors are at risk of developing emotional disturbances such as post-traumatic stress reactions, anxiety and low self-esteem. Parental distress, anxiety and depression levels are often increased as a result of their child undergoing the HSCT process. The distress and anxiety may be even greater for parents whose healthy child also becomes part of the HSCT process through donating their marrow. Thus, it is critical to develop interventions for pediatric patients and their families. There is, however, minimal research of interventions aimed at decreasing distress and improving emotional and psychosocial functioning for children undergoing HSCT, siblings and parents. Cognitive-behavioral interventions are the most researched treatment approaches for children with cancer and chronic illness and these are promising in improving emotional distress, compliance with treatment and behavioral problems associated with HSCT. Appropriate arenas in which pediatric patient interventions may focus include social skills and emotional well-being. Familial interventions that aim to enhance protective factors, improve communication, and decrease parental anxiety and depression are crucial, and cancer-specific interventions may serve as a template for the development of HSCT-specific interventions.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	0268-3369 1476-5365
DOI:	10.1038/bmt.2010.74