Detecting problems of adjustment in people with cancer being treated with bone marrow transplant
Abstract
Although success rates for bone marrow transplantation (BMT) continue to improve, there is still a high level of morbidity and distressing physical and emotional effects associated with BMT that can cause significant stress for patients faced with the procedure. To date, limited research has focused on the assessment of and screening for psychiatric disorders of patients faced with this treatment, especially with regard to identifying adjustment disorder (AD). AD is the most prevalent psychiatric diagnosis in cancer patients. A sample of 95 BMT patients completed a semi-structured interview and several self-report instruments to determine if screening instruments could be used to identify patients with adjustment disorder in need of further assessment and intervention. The pre-existing instruments used and the two novel screens developed for the study were not found to be predictive of AD. However, the results of a regression analysis showed that only the first item from the Stressful Event Questionnaire (R2 Δ = .08, F = 7.74, p < .01) and the Social Subscale of the Functional Assessment of Cancer TherapyGeneral (R2 Δ = .04, F = 4.30, p < .05) were significant predictors of adjustment disorder.
Degree
Ph.D.
Advisors
McGrew, Purdue University.
Subject Area
Oncology|Psychotherapy
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