title: Influence of coping style on symptom interference among adult recipients of hematopoietic stem cell transplantation.
abstract: OBJECTIVE
  To investigate the influence of coping style on interference caused by a variety of common post-treatment symptoms after hematopoietic stem cell transplantation.
  
  
  METHODS
  Longitudinal; secondary analysis of data from the original study that examined health-related quality-of-life variables (e.g., depression, well-being) in adult patients treated with conventional bone marrow transplantation or depleted T-cell bone marrow transplantation.
  
  
  METHODS
  Fifteen university medical centers in the United States.
  
  
  METHODS
  105 adult recipients of hematopoietic stem cell transplantation.
  
  
  METHODS
  Patients were assessed via telephone-based interviews for coping style at baseline and for symptom interference in daily living six months post-treatment.
  
  
  METHODS
  Coping style and symptom interference.
  
  
  RESULTS
  Neither age nor gender predicted symptom interference, with the exception of chronic graft-versus-host disease, where older patients experienced more interference at six months, and breathing symptoms, for which women experienced more interference than men at six months. Avoidant coping style at baseline predicted increased interference from symptoms, but emotion-focused and instrumental coping styles did not predict decreased interference.
  
  
  CONCLUSIONS
  A generalized avoidant coping style before treatment increased interference from common cancer symptoms six months after hematopoietic stem cell transplantation.
  
  
  CONCLUSIONS
  An intervention to teach alternate coping strategies should be implemented prior to treatment and tested for prevention of symptom-related life interference.
authors.affiliation: Department of Psychological and Quantitative Foundations, University of Iowa, Iowa City, USA.
authors.forename: Joleen C
authors.initials: JC
authors.lastname: Schoulte
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Lohnberg
authors.forename: Benjamin
authors.initials: B
authors.lastname: Tallman
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Altmaier
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006086:Graft vs Host Disease / Q000517:prevention & control; D018380:Hematopoietic Stem Cell Transplantation / Q000523:psychology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D016896:Treatment Outcome