Related Experiment Videos
[Coping with bone marrow transplantation. A contribution to adaptive vs. maladaptive coping]
V Tschuschke1, K Pfleiderer, R Denzinger
1Abteilungen für Psychotherapie, Universität Ulm.
Psychotherapie, Psychosomatik, Medizinische Psychologie
|September 1, 1994
Summary
Adult leukemia patients who used less passive coping strategies, such as acceptance and resignation, had better long-term survival rates after bone marrow transplantation (BMT). This suggests coping mechanisms significantly impact BMT outcomes.
Area of Science:
- Hematology
- Psychology
- Oncology
Context:
- Bone marrow transplantation (BMT) is a critical treatment for adult leukemia.
- Patient coping strategies are increasingly recognized as potential factors influencing treatment outcomes.
- Understanding these strategies can inform supportive care interventions.
Purpose:
- To investigate the relationship between patient coping strategies and survival following bone marrow transplantation in adult leukemia patients.
- To identify specific coping mechanisms associated with better or worse prognoses post-BMT.
Summary:
- This study analyzed coping strategies of 36 adult leukemia patients undergoing BMT using semi-structured interviews.
- Long-term survivors (median 978 days) exhibited significantly less passive-stoic acceptance and resignation compared to non-survivors (median 229 days).
- Passive coping was a strong predictor of negative hematological prognosis and age, independent of leukemia type or sociodemographic factors.
Impact:
- Findings highlight the prognostic value of coping strategies in BMT for leukemia.
- Suggests potential for pre- or post-BMT interventions to modify maladaptive coping.
- Informs future research directions in psycho-oncology and supportive care for transplant patients.