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- Title
Group-Based Trajectory Modeling of Distress and Well-Being Among Caregivers of Children Undergoing Hematopoetic Stem Cell Transplant.
- Authors
Sands, Stephen A.; Mee, Laura; Bartell, Abraham; Manne, Sharon; Devine, Katie A.; Savone, Mirko; Kashy, Deborah A.
- Abstract
<bold>Objective: </bold>To examine the trajectories of caregiver psychological responses in the year following their child's hematopoetic stem cell transplant (HSCT), and whether cognitive and social processing strategies differentiated between trajectories.<bold>Method: </bold>One hundred and eight caregivers randomized to the control condition of a cognitive-behavioral intervention study completed measures of distress, coping, and social support at baseline, 1 month, 6 months, and 1 year post HSCT of their child.<bold>Results: </bold>The majority reported moderate or low anxiety, depression, or distress that decreased over time, but a small group demonstrated high anxiety, depression, or distress that persisted or increased over time. Maladaptive coping was highest among caregivers in the high-persistent distress subgroup compared with the moderate-decreasing and low-stable groups. Adaptive coping was minimally associated with trajectory subgroups.<bold>Conclusions: </bold>Screening HSCT caregivers for distress and maladaptive coping may be useful in identifying caregivers likely to experience persistently high distress who may benefit from psychological intervention.
- Subjects
PSYCHOLOGY of caregivers; HEMATOPOIETIC stem cell transplantation; TRANSPLANTATION of organs, tissues, etc. in children; PSYCHOLOGICAL well-being; PSYCHOLOGICAL distress; MENTAL depression; THERAPEUTICS; STEM cell transplantation; ANXIETY disorders treatment; ANXIETY disorders; ADAPTABILITY (Personality); COGNITIVE therapy; COMPARATIVE studies; HEALTH attitudes; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; PSYCHOLOGICAL stress; SOCIAL support; EVALUATION research; RANDOMIZED controlled trials; PSYCHOLOGICAL factors; PSYCHOLOGY
- Publication
Journal of Pediatric Psychology, 2017, Vol 42, Issue 3, p283
- ISSN
0146-8693
- Publication type
journal article
- DOI
10.1093/jpepsy/jsw064