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Supportive Care in Cancer

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Open Access 01-12-2009 | Review Article

Parental stress before, during, and after pediatric stem cell transplantation: a review article

Authors: C. M. J. Vrijmoet-Wiersma, R. M. Egeler, H. M. Koopman, A. Lindahl Norberg, M. A. Grootenhuis

Published in: Supportive Care in Cancer | Issue 12/2009

Abstract

Goals of work

Pediatric stem cell transplantation (SCT) is a stressful treatment for children with relapsed or high-risk malignancies, immune deficiencies and certain blood diseases. Parents of children undergoing SCT can experience ongoing stress related to the SCT period. The aim of this article was to present a literature review of articles on parental distress and adaptation before, during, and after SCT and to identify risk and protective factors.

Materials and methods

The review was conducted systematically by using PubMed, Web of Science, PsychInfo, and Picarta databases. Eighteen articles met our inclusion criteria: publishing date between January 1, 1990 and January 1, 2009; studies concerning parents of children undergoing SCT; studies examining the psychological adjustment and/or stress reactions of parents as primary outcomes and studies available in English.

Main results

Highest levels of parental stress are reported in the period preceding SCT and during the acute phase. Stress levels decrease steadily after discharge in most parents. However, in a subgroup of parents, stress levels still remain elevated post-SCT. Parents most at risk in the longer term display highest levels of stress during the acute phase of the SCT.

Conclusions

Psychosocial assessment before SCT, during the acute phase and in the longer term, is necessary to identify parents in need for support and follow-up care.

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Title: Parental stress before, during, and after pediatric stem cell transplantation: a review article
Authors: C. M. J. Vrijmoet-Wiersma
R. M. Egeler
H. M. Koopman
A. Lindahl Norberg
M. A. Grootenhuis
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: Supportive Care in Cancer / Issue 12/2009
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-009-0685-4

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Abstract

Goals of work

Materials and methods

Main results

Conclusions

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