[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.
Tschuschke
V
V
Abteilungen für Psychotherapie, Universität Ulm.
Pfleiderer
K
K
Denzinger
R
R
Hertenstein
B
B
Kächele
H
H
Arnold
R
R
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".