Psychological problems and changes in intensive care medicine as exemplified by bone marrow transplantation

Author(s): Weis, J., Ramm, G., Linhart, D., Birmele, M., Zander, A. R., Hasenbring, M.

Journal/Book: Psychother Psychosom Med Psyc. 1998; 48: P O Box 30 11 20, D-70451 Stuttgart, Germany. Georg Thieme Verlag. 390-397.

Abstract: Bone Marrow resp. Peripheral Blood Stem Cell Transplantation (BMT/PBSCT) represents the only chance of cure for many patients with haematological diseases. Treatment and convalescence place significant stress not only on patients but on partners, siblings (who are frequently donors) and medical staff. Stressors are the high risk of mortality and chronic disabilities, acute treatment side-effects and multiple psychological and social demands. This requires support during long-term psychosocial sequelae. We present problems and possible interventions in an acute and a rehabilitative medical setting, discussing recent findings in respect of donors' motivations, social support and quality of life, Psychosocial support in BMT should be given in a process perspective systematically combining and assessing in- and outpatient interventions.

Note: Article SchulzKindermann F, Univ Hamburg, Hosp Eppendorf, Einrichtung Knochenmarktransplantat, Martinistr 52, D-20246 Hamburg, GERMANY

Keyword(s): bone marrow transplantation; psychosocial sequelae; psychological interventions; rehabilitation; PSYCHOSOCIAL FACTORS; CANCER-TREATMENT; SURVIVORS; LEUKEMIA; SUPPORT; IMPACT; FAMILY; DONORS; PAIN

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