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Open Access 01-04-2019

Fluctuation in physical symptoms, coping, and mood in patients following hematopoietic stem cell transplantation: assessing mediation effects using a daily diary approach

Authors: Aleksandra Kroemeke, Zuzanna Kwissa-Gajewska, Małgorzata Sobczyk-Kruszelnicka

Published in: Journal of Behavioral Medicine | Issue 2/2019

Abstract

This study examines the indirect effect between parallel fluctuation in daily physical symptoms, symptom-related coping, and mood in patients following hematopoietic stem cell transplantation. Two models were analyzed with a within-person mediating role of coping and mood, respectively. Physical symptoms, coping (brooding, reflection, co-rumination, positive reframing, venting, acceptance, and active coping), and positive (PA) and negative affect (NA) were reported by 229 patients for 28 consecutive evenings after post-transplant hospital discharge. The mediating role of coping fluctuation was partially supported since a competitive model assuming coping reactivity was more reliable. Fluctuation in daily PA and NA mediated relationship of physical symptoms with brooding, co-rumination and venting. Daily changes in positive reframing, acceptance and reflection, partially mediated the association between changes in physical symptoms and mood. The study results indicate the usefulness of intervention addressed to the management of daily mood and stimulation of positive reframing and acceptance in post-HSCT patients.

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We tested all mediation models with baseline depressive symptoms (before HSCT) and daily stress level as covariates. However, the inclusion of these variables did not alter study findings.

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Title: Fluctuation in physical symptoms, coping, and mood in patients following hematopoietic stem cell transplantation: assessing mediation effects using a daily diary approach
Authors: Aleksandra Kroemeke
Zuzanna Kwissa-Gajewska
Małgorzata Sobczyk-Kruszelnicka
Publication date: 01-04-2019
Publisher: Springer US
Published in: Journal of Behavioral Medicine / Issue 2/2019
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-018-9968-x

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Fluctuation in physical symptoms, coping, and mood in patients following hematopoietic stem cell transplantation: assessing mediation effects using a daily diary approach

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