Psychosocial factors in bone marrow transplantation: a review and recommendations for research.
The evolution of bone marrow transplantation (BMT) from an experimental to a conventional form of therapy has been accompanied by an evolution in BMT-related research. While biomedically-related research continues to be most prominent, research investigating various psychosocial issues raised in the BMT setting has increased in recent years. Three major areas of BMT-related psychosocial research are identified: (1) pre-BMT decision-making, (2) post-BMT outcomes (including issues regarding coping and adaptation, compliance and quality of life, and (3) bone marrow donation. Within each area, the existing literature regarding psychosocial aspects of BMT is reviewed and recommendations for further psychosocial research are advanced.
Department of Behavioral Science, University of Kentucky College of Medicine, Lexington 40536-0086.
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Andrykowski
D000208:Acute Disease; D000223:Adaptation, Psychological; D000328:Adult; D016026:Bone Marrow Transplantation / Q000009:adverse effects / Q000401:mortality / Q000523:psychology*; D002648:Child; D003657:Decision Making; D006801:Humans; D007258:Informed Consent; D008137:Longitudinal Studies; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D011446:Prospective Studies; D011788:Quality of Life; D012017:Referral and Consultation; D012189:Retrospective Studies; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology; D014019:Tissue Donors / Q000523:psychology; D009927:Tissue and Organ Procurement