title: Could psychiatric assessment before hematopoietic stem cell transplantation predict the need for psychiatric consultation during transplantation period?
abstract: Psychiatric morbidity seems to be a significant concern associated with all stages of hematopoietic stem cell transplantation (HSCT). We aimed to understand whether psychiatric consultation before HSCT procedure could predict the need for psychiatric support during isolation period. Seventy-eight patients undergoing HSCT were included in the study. Patients were diagnosed according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). Standard anxiety and depression scores were performed. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and State and Trait Anxiety Inventory (STAI) were performed. Psychiatric consultation was required for 45 (58%) patients during hospitalization. Only pre-HSCT STAI trait scores were higher in patients who were found to have psychopathology at consultation during hospitalization compared to patients without established psychopathology. Sixteen (76%) and 29 (51%) patients needed consultation with and without pre-HSCT psychopathology, respectively. Our study showed that the psychiatric consultation request rate during the transplantation process was higher for cases previously diagnosed with psychopathology and who had high trait anxiety scale scores before HSCT.
authors.affiliation: Ankara Oncology Education and Research Hospital, Psychiatry Clinic, Ankara, Turkey. Electronic address: hdyalvac@hotmail.com.
authors.forename: Hayriye Dilek
authors.initials: HD
authors.lastname: Yalvaç
authors.affiliation: Ankara Oncology Education and Research Hospital, Psychiatry Clinic, Ankara, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Kotan
authors.affiliation: Ankara Oncology Education and Research Hospital, Hematology and Stem Cell Transplantation Clinic, Ankara, Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Tekgündüz
authors.affiliation: Yıldırım Beyazıt University Medical Faculty, Department of Internal Medicine, Division of Hematology, Ankara, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Çayköylü
authors.affiliation: Ankara Oncology Education and Research Hospital, Hematology and Stem Cell Transplantation Clinic, Ankara, Turkey.
authors.forename: Fevzi
authors.initials: F
authors.lastname: Altuntaş
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012017:Referral and Consultation; D055815:Young Adult
keywords: Hematopoietic stem cell transplantation; Psychiatric consultation; Psychopathology