Association between positive affect, flourishing, quality of life, and psychological distress in allogeneic hematopoietic stem cell transplantation.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2024-10-07 DOI:10.1080/07347332.2024.2410929

Hermioni L Amonoo, Elizabeth Daskalakis, Jeffrey A Lam, Emma D Wolfe, Michelle Guo, Henry K Onyeaka, Richard A Newcomb, Anna Barata, Pia Maria Ghanime, Emma P Keane, Annabella C Boardman, Corey Cutler, William F Pirl, John R Peteet, Lisa M Gudenkauf, Stephanie J Lee, Jeff C Huffman, Areej El-Jawahri

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Abstract

Purpose: To examine the associations between state positive psychological well-being (PPWB) constructs, mood, and quality of life (QOL) in hematopoietic stem cell transplantation (HSCT) survivors.

Design: The study was a secondary analysis of cross-sectional data.

Sample/methods: We analyzed self-report data assessing positive affect, flourishing, QOL, depression and anxiety, and PTSD symptoms from 158 allogeneic HSCT recipients at day-100 post-transplant enrolled in supportive care studies.

Findings: Univariate analysis showed that factors associated with greater levels of various state PPWB constructs include older age, disability status, greater social support, and presence of graft-versus-host disease. Multivariate analysis showed that state PPWB constructs-greater levels of positive affect and flourishing-were significantly associated with better QOL and lower PTSD, anxiety, and depression symptomatology.

Implications: Our findings suggest that longitudinal studies are needed to examine the links between state PPWB constructs and HSCT outcomes, which may inform population specific interventions and opportunities to improve outcomes.

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同种异体造血干细胞移植中积极情绪、蓬勃发展、生活质量和心理困扰之间的关系。

目的：研究造血干细胞移植（HSCT）幸存者的积极心理状态（PPWB）、情绪和生活质量（QOL）之间的关联：设计：本研究是对横断面数据的二次分析：我们分析了参加支持性护理研究的158名异体造血干细胞移植受者在移植后第100天的自我报告数据，这些数据评估了积极情绪、蓬勃发展、QOL、抑郁和焦虑以及创伤后应激障碍症状：单变量分析表明，与PPWB各种状态结构水平较高相关的因素包括年龄较大、残疾状况、社会支持较多以及存在移植物抗宿主疾病。多变量分析表明，状态 PPWB 构建--更高水平的积极情绪和蓬勃发展--与更好的 QOL 以及更低的创伤后应激障碍、焦虑和抑郁症状明显相关：我们的研究结果表明，有必要开展纵向研究，以检查PPWB状态结构与造血干细胞移植结果之间的联系，从而为特定人群的干预措施和改善结果的机会提供信息。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.