Physical, psychological, and social sequelae following hematopoietic stem cell transplantation: A review of the literature Journal Article


Authors: Mosher, C. E.; Redd, W. H.; Rini, C. M.; Burkhalter, J. E.; Duhamel, K. N.
Article Title: Physical, psychological, and social sequelae following hematopoietic stem cell transplantation: A review of the literature
Abstract: Objective: This article reviews recent literature on adults' quality of life following hematopoietic stem cell transplantation (HSCT). Methods: We identified 22 prospective reports with at least 20 participants at baseline through a search of databases (Medline and PsycInfo) and handsearching of articles published from 2002 to October 2007. If longitudinal data were not available or were scarce for a particular topic or time point, cross-sectional studies were reviewed. Results: Although physical, psychological, and social aspects of quality of life tend to improve during the years following transplantation, a significant proportion of HSCT survivors experience persistent anxiety and depressive symptoms, fatigue, sexual dysfunction, and fertility concerns. Despite ongoing treatment side effects, the majority of HSCT survivors resume their work, school, or household activities. Conclusion: We conclude that theory-driven research with larger samples is needed to identify subgroups of HSCT survivors with adjustment difficulties. Such research would examine survivors' evolving standards and definitions of quality of life to improve the accuracy and meaningfulness of assessment and incorporate biological, psychological, and contextual factors that may contribute to positive adjustment. Copyright © 2008 John Wiley & Sons, Ltd.
Keywords: treatment response; clinical trial; fatigue; review; antineoplastic agent; quality of life; bone marrow; hematopoietic stem cell transplantation; oncology; infertility; survivor; survivors; adaptive behavior; psychological aspect; adaptation, psychological; depression; sexual dysfunction; health status; anxiety disorder; cancer fatigue; distress syndrome; posttraumatic stress disorder; physical activity; social aspect; psychological well being; graft recipient; psychological adjustment; household; school reentry; work resumption
Journal Title: Psycho-Oncology
Volume: 18
Issue: 2
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2009-02-01
Start Page: 113
End Page: 127
Language: English
DOI: 10.1002/pon.1399
PUBMED: 18677717
PROVIDER: scopus
PMCID: PMC3618954
DOI/URL:
Notes: --- - "Cited By (since 1996): 5" - "Export Date: 30 November 2010" - "CODEN: POJCE" - "Source: Scopus"
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  1. Katherine N Duhamel
    99 Duhamel
  2. Catherine E Mosher
    23 Mosher