Patterns of toxic stress and trauma for pediatric Hematopoietic Stem Cell Transplantation (HSCT): creating a model of responsive intervention.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2024-01-01 Epub Date: 2023-10-30 DOI:10.1080/07347332.2023.2276966

Elizabeth Harman, Helen Shoemark

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引用次数: 0

Abstract

Background: It is well documented that invasive medical treatment, such as Hematopoietic Stem Cell Transplant (HSCT), can be stressful and potentially traumatic for children, leading to Post Traumatic Stress Disorder (PTSD) or Post Traumatic Stress Symptoms (PTSS) after treatment. Despite this evidence, little is known about the patterns of stress and trauma that develop throughout the HSCT admission.

Purpose: To examine patterns of toxic stress and trauma that develop throughout the pediatric HSCT admission and understand how music therapists, as members of the interdisciplinary psychosocial care team, may proactively intervene to mitigate the impact of traumatic experiences.

Method: A two-phase retrospective longitudinal multi-case design was used with a combination of time series and template analyses.

Sample: The sample included 14 pediatric patients (aged 0-17) undergoing HSCT at a large pediatric hospital in the Midwestern United States.

Findings: The results were identifiable patterns of toxic stress and trauma and a model of care for music therapy that is responsive to the identified patterns.

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儿童造血干细胞移植（HSCT）的毒性应激和创伤模式：建立反应性干预模型。

背景：有充分的证据表明，侵入性医疗治疗，如造血干细胞移植（HSCT），可能会给儿童带来压力和潜在的创伤，导致治疗后的创伤后应激障碍（PTSD）或创伤后应激症状（PTSS）。尽管有这些证据，但对HSCT入院期间产生的压力和创伤模式知之甚少。目的：研究在儿科HSCT入院过程中产生的毒性压力和创伤模式，并了解音乐治疗师作为跨学科心理社会护理团队的成员，如何积极干预以减轻创伤经历的影响。方法：采用时间序列和模板分析相结合的两阶段回顾性纵向多病例设计。样本：样本包括14名在美国中西部一家大型儿科医院接受HSCT的儿科患者（0-17岁）。研究结果：结果是可识别的有毒压力和创伤模式，以及对所识别模式有反应的音乐治疗护理模式。

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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.