[Coping with bone marrow transplantation. A contribution to adaptive vs. maladaptive coping].
The coping strategies of 36 adult leukemia patients admitted for bone marrow transplantation have been investigated systematically by trained raters using audio-taped material from semi-structured interviews. So-called long term survivors with a median survival time of 978 days after BMT displayed significantly lower passive-stoic acceptance and resignation than non-survivors who died within a median time of 229 days after BMT. These copings were of high prognostic value prior to all treatment regimes in strong correlation with a negative hematological prognosis and age. Non-survivors showed significantly higher passive-stoic acceptance and resignation coping. Form of leukemia and other sociodemographic variables or stress had neither a significant impact on coping intensity nor on coping quality. Consequences for further coping research and possible treatment interventions prior to or immediately after BMT are being discussed.
Abteilungen für Psychotherapie, Universität Ulm.
V
V
Tschuschke
K
K
Pfleiderer
R
R
Denzinger
B
B
Hertenstein
H
H
Kächele
R
R
Arnold
D000223:Adaptation, Psychological; D000328:Adult; D016026:Bone Marrow Transplantation / Q000401:mortality / Q000523:psychology*; D003674:Defense Mechanisms; D005260:Female; D006086:Graft vs Host Disease / Q000401:mortality / Q000523:psychology; D006801:Humans; D007938:Leukemia / Q000401:mortality / Q000523:psychology* / Q000628:therapy; D008297:Male; D012803:Sick Role; D015996:Survival Rate
Coping bei Knochenmarktransplantation. Ein Beitrag zur Frage des "geeigneten" vs. "ungeeigneten Copings".