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Psychosocial Studies

Adaptation of family caregivers during the acute phase of adult BMT

Bone Marrow Transplantation volume 43, pages 959–966 (2009)Cite this article

Abstract

This study examined the course of adaptation as indicated by the level of emotional distress for family caregivers of adult BM recipients across the acute phase of the transplant trajectory. Factors influencing caregivers’ adaptation that could be potential markers of vulnerability to psychological and social morbidity were identified. The sample included 192 caregivers of either an autologous or allogeneic BMT recipient. Data were collected by self-report questionnaires at three time points in the trajectory: pre-transplant/pre-hospitalization (T1); during hospitalization, post-infusion (T2); 1 month post-discharge (T3). There was a decline in emotional distress from T1 to T3, and bivariate correlations indicated significant association of distress with variables hypothesized to be theoretically relevant. Specifically, greater personal control, a greater sense of spiritual connectedness, less disruption in the life of the caregiver and less use of avoidance coping were the strongest factors associated with lower emotional distress. In conclusion (1) levels of personal control and spirituality remained stable across time and were negatively associated with emotional distress. Therefore, they may provide an indication of caregiver resilience pre-transplant; (2) level of recipient symptomatology rather than BMT type appears to influence caregiver distress; (3) there are indications of the need for post-hospitalization follow-up with caregivers by the BMT team.

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Acknowledgements

We thank the American Cancer Society for the grant that made this study possible (RSGB-05-012-01-CPPB). Thank you to Sherif Farag, MD, Medical Director of the Bone Marrow and Stem Cell Transplant Program of the Indiana University Cancer Center for his support. Thank you to Mohammad Temkit, MA, for his assistance with the data analysis, and to project managers, Jennifer Davis, RN, Connie Krier and Linda Scott, MS, for their meticulous attention to detail. We greatly appreciate the time taken by caregiver participants to share their experiences with us.

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Authors and Affiliations

  1. Indiana University Simon Cancer Center, Indianapolis, IN, USA

    B L Fife

  2. Indiana School of Nursing, Indianapolis, IN, USA

    B L Fife

  3. Division of Bio-Statistics, Indiana University School of Medicine, Indianapolis, IN, USA

    P O Monahan & T E Stump

  4. Multiple Myeloma Program, Indiana University School of Medicine, Indianapolis, IN, USA

    R Abonour

  5. Bone Marrow and Stem Cell Transplantation Program, Indiana University Cancer Center, Indianapolis, IN, USA

    L L Wood

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  1. B L Fife
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  2. P O Monahan
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  3. R Abonour
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  4. L L Wood
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Correspondence to B L Fife.

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Fife, B., Monahan, P., Abonour, R. et al. Adaptation of family caregivers during the acute phase of adult BMT. Bone Marrow Transplant 43, 959–966 (2009). https://doi.org/10.1038/bmt.2008.405

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