Assessment of psychosocial adjustment in Chinese unrelated bone marrow donors

This descriptive study assessed the experiences of unrelated bone marrow donation in 27 Chinese donors and compared their mood states with a random sample of 78 Chinese adult non-donors using four scales. The donors demonstrated better mood states in terms of anger- hostility and fatigue compared to non-donors. However, their self-esteem was low (similarly to the non-donors), they did not see themselves as a better person as a result of the donation and they thought they did an act somewhat more generously than usual. This is possibly attributed to the cultural influences of normative obligation. The majority (57.9%) believed that they were not prepared well for the donation, and 40% found the experience emotionally less positive than they expected. Some found the experience physically stressful (10.5%) and some others were worried that their future health may be affected as a result of the donation (15.8%). Although a quarter of the donors was unsure whether they would donate again or whether they would encourage others to donate, the majority would donate again. Such results demonstrate that donors need careful and individualised attention in order to gain a more positive overall experience of the donation. Furthermore, services should be more vigilant in assessing donor needs and intervening when donors experience difficulties due to the donation process.