Journal of Pediatric Psychology, Vol. 25, No. 5, 2000, pp. 331-337
© 2000 Society of Pediatric Psychology
Brief Report : Parents of Children Undergoing Bone Marrow Transplantation : Documenting Stress and Piloting a Pschological Intervention Program
University of Florida
All correspondence should be sent to Randi Streisand, who is now at Children's National Medical Center, Department of Psychology, 111 Michigan Ave., NW, Washington, D.C. 20010. E-mail : rstreis{at}cnmc.org
Objective : To document levels of stress in parents of children undergoing bone marrow transplantation (BMT) over the course of hospitalization and to pilot a psychological intervention program designed to teach parents techniques for managing stress associated with their child's illness and hospitalization.
Methods : Twenty-two mothers of children (ages 2-16) undergoing BMT were followed prospectively from preadmission to three weeks posttransplant. Eleven mothers, randomly assigned to participate in a pilot intervention program, were compared with 11 control mothers receiving standard care preparation of their child's BMT.
Results : Repeated measures ANOVAs detected significant changes in stress over time, with most stress reported preadmission. Mothers in the intervention condition reported using more stress management techniques than mothers in the standard care condition, though the majority of analyses revealed no significant differences in stress between groups.
Conclusions : Increased levels of parenting distress may occur pretransplant, suggesting the need for additional psychological intervention at that time.
Key words: bone marrow transplant; parental adjustment; psychological intervention; stress..
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