Psychological distress in long-term survivors of hematopoietic stem cell transplantation Journal Article


Authors: Rusiewiczu, A.; Duhamel, K. N.; Burkhalter, J.; Ostroff, J.; Winkel, G.; Scigliano, E.; Papadopoulos, E.; Moskowitz, C.; Redd, W.
Article Title: Psychological distress in long-term survivors of hematopoietic stem cell transplantation
Abstract: The prevalence of psychological distress is higher in cancers with poorer prognoses and speculated as higher in those receiving more aversive treatments. Since hematopoietic stem cell transplant (HSCT) is one of the most taxing cancer treatments to endure and is therefore likely to have more long-term sequelae, this study examined psychological distress symptoms in long-term HSCT survivors who were at least 1 year post-transplant. Participants in this cross-sectional study were recruited from urban medical centers as part of a larger study of HSCT survivors. The sample comprised 236 adults who were on average 3.4 years since transplant. Psychological distress was measured by a commonly used self-report questionnaire, the Brief Symptom Inventory. Clinically elevated psychological distress caseness was present in 43% of long-term HSCT survivors. Elevations were highest on clinical subscales of obsessive-compulsiveness, somatization, and psychoticism. However, item-level analyses revealed that the content of the most frequently reported symptoms included trouble with memory and feelings of loneliness. Results of this study suggest that HSCT survivors may experience memory and existential concerns and that such symptoms may not represent psychiatric sequelae. Copyright © 2007 John Wiley & Sons, Ltd.
Keywords: cancer survival; controlled study; leukemia; major clinical study; follow-up studies; neoplasm; neoplasms; quality of life; prevalence; hematopoietic stem cell transplantation; oncology; cancer therapy; self report; survivors; adaptation, psychological; lymphoma; long term care; distress syndrome; psychosocial care; sick role; brief symptom inventory; cognitive defect; cross-sectional study; memory; psychosis; memory disorders; loneliness; psychometrics; urban population; psychological distress; stress disorders, post-traumatic; personality inventory; somatization; obsessive compulsive disorder; affective symptoms; hematopoietic stem cell transplant; long-term survivorship
Journal Title: Psycho-Oncology
Volume: 17
Issue: 4
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2008-04-01
Start Page: 329
End Page: 337
Language: English
DOI: 10.1002/pon.1221
PUBMED: 17621377
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 12" - "Export Date: 17 November 2011" - "CODEN: POJCE" - "Source: Scopus"
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MSK Authors
  1. Jamie S Ostroff
    344 Ostroff
  2. Craig Moskowitz
    407 Moskowitz
  3. Katherine N Duhamel
    99 Duhamel