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Related Experiment Videos

Pediatric bone marrow transplants: psychological aspects.

B J McConville1, P Steichen-Asch, R Harris

  • 1Department of Psychiatry, University of Cincinnati, College of Medicine, Ohio 45267-0559.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|December 1, 1990
PubMed
Summary

Many children and families cope well with pediatric bone marrow transplantation (BMT), contrary to initial assumptions. A supportive, consultative approach aids child patients, parents, and staff throughout the BMT process.

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Area of Science:

  • Pediatric Hematology-Oncology
  • Child and Adolescent Psychiatry
  • Psychosocial Oncology

Background:

  • Pediatric bone marrow transplantation (BMT) involves complex medical care for children and adolescents with life-threatening cancers.
  • The psychosocial impact on children, parents, and families during BMT is significant, requiring specialized support.
  • Initial assumptions suggested widespread difficulties, but many families demonstrate effective coping mechanisms.

Purpose of the Study:

  • To evaluate the psychosocial adjustment of children and families undergoing pediatric BMT.
  • To identify effective therapeutic interventions and support strategies for the BMT team.
  • To present findings from a retrospective study of children treated over seven years.

Main Methods:

  • Retrospective analysis of psychosocial data from children treated on a pediatric bone marrow transplant unit over seven years.

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  • Assessment of child, parent, and family psychopathology levels.
  • Observation of coping mechanisms and support dynamics within the treatment team.

    • Main Results:

    • Contrary to expectations, many children and families coped well, particularly in cases with favorable outcomes.
    • Psychopathology levels were generally mild to moderate, with variations among patients.
    • Mothers demonstrated greater support than fathers during the stressful BMT experience.

    Conclusions:

    • A supportive, consultative approach is beneficial for child patients, parents, and staff throughout the BMT process.
    • A stress disorder model effectively explains family reactions to BMT.
    • Further prospective longitudinal studies are needed to establish causal relationships and optimize interventions.