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Pediatric PsychooncologyPsychological Perspectives on Children with Cancer$
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David J. Bearison and Raymond K. Mulhern

Print publication date: 1994

Print ISBN-13: 9780195079319

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780195079319.001.0001

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Bone Marrow Transplantation

Bone Marrow Transplantation

Chapter:
(p.143) 7 Bone Marrow Transplantation
Source:
Pediatric Psychooncology
Author(s):

David J. Bearison

Raymond K. Mulhern

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195079319.003.0008

An increasingly important means of treating many kinds of pediatric malignancies is the process of bone marrow transplantation (BMT), a particularly arduous and psychologically stressful procedure. Medical advances in this high-risk procedure have been so rapid that there is a gap in the current understanding of the psychological sequelae of the procedure. Psychological issues related to this method of treatment include patients' responses to aversive preparatory treatment regimens and the prolonged restrictions of protective isolation, unique compliance issues, behavioral reactions to pharmacological effects, special intervention techniques, evaluations of and interventions with sibling donors, stress among caregivers, informed consent, ethical and legal considerations, and late effects of BMT treatment. Given the paucity of published empirical data, this chapter provides an overview of the clinical issues related to transplantation, outlining the salient research questions raised and exploring ways in which these might lend themselves to empirical study in the future.

Keywords:   BMT treatment, pediatric malignancy, protective isolation, sibling donors, compliance issues

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