Patient-rated emotional and physical functioning among hematologic cancer patients during hospitalization for stem-cell transplantation.
In this 3-year prospective inpatient study, 220 patients received stem-cell transplantation (SCT) for hematologic cancer at a single institution. The objective of the study is to provide data on patient-rated emotional (depression and anxiety) and physical (overall physical status, energy level, and systemic symptomatology) functioning during hospitalization for SCT and to compare whether these differ between autologous and allogeneic SCT. Patients were assessed at hospital admission (T1), day of SCT (T2), and 7 days (T3) and 14 days (T4) after SCT, yielding a total of 852 evaluations. For the overall sample, anxiety was highest at T1 and decreased afterwards; a marked worsening in physical health status variables corresponded with a sharp increase in depression from T1 to T3, and was followed by an improvement in physical health and a reduction of depression. Compared to allogeneic SCT, a better physical outcome for autologous SCT was demonstrated by the significant group effect for systemic symptomatology and by the significant group x time interaction for overall physical status and energy level; there were no significant differences in depression or anxiety between SCT groups. These findings have implications for treatment decision making, coping with the transplantation process, and improving prevention and treatment strategies.
Prieto
J M
JM
Department of Psychiatry, Clinical Institute of Psychiatry and Psychology, IDIBAPS, Hospital Clínic, University of Barcelona, Barcelona, Spain. jmprieto@comg.es
Atala
J
J
Blanch
J
J
Carreras
E
E
Rovira
M
M
Cirera
E
E
Gastó
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology; D003863:Depression / Q000209:etiology; D004644:Emotions; D005260:Female; D019337:Hematologic Neoplasms / Q000503:physiopathology* / Q000523:psychology* / Q000628:therapy; D018380:Hematopoietic Stem Cell Transplantation; D006760:Hospitalization; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010807:Physical Endurance; D010809:Physical Fitness; D011446:Prospective Studies; D011788:Quality of Life; D013997:Time Factors; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous