Psychosocial sequelae of bone marrow transplantation

Bone marrow transplantation is a particularly arduous treatment and a source of considerable stress for patients and their families. Psychological sequelae include psychological distress, concern about loss of control, physical complications, sexual dysfunction, difficulties in social relationships, occupational disability, and financial consequences. Patient education that can help BMT recipients and their families know what to expect at the different stages of treatment may help alleviate anxiety and fear of the unknown. Communication should be individualized according to the needs of the particular patient and family. The patient's ability to use information should be considered in deciding what to convey to him or her. To be most effective, patient education should take place throughout the BMT process and should be multidisciplinary.