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The Basic Documentation for Psycho-Oncology in Pediatric Stem Cell Transplantation Recipients: Ratings of Parents and Staff and the Profile of Salivary α-Amylase.
- Source :
- European Journal of Cancer Care; 5/22/2023, p1-11, 11p
- Publication Year :
- 2023
-
Abstract
- Background. Hematopoietic stem cell transplantation (HSCT) is a curative treatment option for malignant and nonmalignant diseases that is highly distressing, especially for children. A valid assessment of pediatric patients' distress that is independent from their language skills would be beneficial. Research regarding HSCT-specific self-reporting or rater-reporting instruments is scarce. Method. In this single-center prospective study, pediatric patients and young adolescents undergoing HSCT were screened for mental and somatic distress using PO-Bado (Basic Documentation for Psycho-Oncology) ratings from parents and medical caregivers on eight observations days before, during, and up to 200 days after HSCT. Additionally, the stress biomarkers cortisol and α-amylase were monitored on the same observation days. Results. A total of 39 pediatric and young adult patients with a median age of 9.3 years (range 0.5–19.0), with 18 females (46%) and 21 males, were enrolled. The perceptions of the patients' somatic and mental distress of parents and medical caregivers of patients were significantly correlated (mental subscale ((r(276) = 0.31, p < 0.001., 95% CI of the correlation: (0.20, 0.41)) and somatic subscale ((r(284) = 0.46, p < 0.001., 95% CI of the correlation: 0.36, 0.54)). The time period between the days of transplantation until day +10 was rated as the most mentally and somatically distressing. Conclusions. While the somatic burden declined over time, the mental distress in the patients remained at a stable level, emphasizing the importance of further psychological and psycho-oncological support in these patients. The use of salivary α-amylase as a suitable distress detection marker in pediatric patients undergoing HSCT should be further investigated. [ABSTRACT FROM AUTHOR]
- Subjects :
- DOCUMENTATION standards
BIOMARKERS
RESEARCH
PSYCHOLOGY of parents
SOCIAL support
PSYCHO-oncology
SELF-evaluation
PATIENTS
MEDICAL personnel
PEDIATRICS
AMYLASES
COMPARATIVE studies
PEDIATRIC nursing
PSYCHOSOCIAL factors
PSYCHOLOGY of caregivers
QUESTIONNAIRES
DESCRIPTIVE statistics
RESEARCH funding
HEMATOPOIETIC stem cell transplantation
TUMORS
STATISTICAL correlation
TRANSPLANTATION of organs, tissues, etc.
LONGITUDINAL method
PSYCHOLOGICAL stress
Subjects
Details
- Language :
- English
- ISSN :
- 09615423
- Database :
- Complementary Index
- Journal :
- European Journal of Cancer Care
- Publication Type :
- Academic Journal
- Accession number :
- 164481367
- Full Text :
- https://doi.org/10.1155/2023/9955216