Psychological interventions on primary care healthcare providers of patients with hematopoietic cells transplantation: Descriptive revision
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Published:
Dec 18, 2020
Keywords:
Caregivers,
hematopoietic progenitor cell transplantation,
mental health,
psychological interventions,
psychotherapy,
Mexico,
Main Article Content
Abstract
Introduction: Being an informal primary healthcare provider of a patient who undergoes hematopoietic progeny cells transplantation can have adverse consequences on mental health and the quality of life.
Objective: To describe the available psychological interventions for the primary healthcare provider of patients undergoing hematopoietic cells transplantations.
Methodology: A systematized search of the last 10 years using the MeSH terms psychotherapy AND caregiver AND stem cell transplantation was conducted on the main medical and psychological databases. The analysis strategy followed the PICO scheme (Problem, Intervention, Comparison, Outcomes).
Results: 122 articles were identified, and 10 of them fulfilled the inclusion criteria. The interventions were related to nursing or social work professionals. 50% described patient-healthcare provider dyads with short interventions focused on the post-transplantation period.
Discussion: According to what has been observed in the publications and due to its positive impact on mental health, the implementation of psychological interventions is recommended in caregivers of patients who underwent hematopoietic stem cell transplantation.
Conclusion: The psychological support provided to the caregiver comes mainly from health professionals who do not belong to the area of psychology, with favorable clinical results in the most critical periods for their mental state.
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MÉTRICAS
References
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2. Kaushasky K, Lichtman MA, Prchal JT, Levi MM, Press OW, Burns LJ, et al. Williams Hematology. 9th ed. EE. UU.: McGraw-Hill; 2016.
3. World Health Organization. Geneva, Switzerland: Haematopoietic Stem Cell Transplantation HSCtx; c2020. https://bit.ly/31sRbW7
4. Territo MC, Casciato DA. Manual de Oncología Clínica. 7th ed. Pensilvania, EUA: Wolters Kluwer/ Lippincott Williams y Wilkins; 2013.
5. National Cancer Institute. EE.UU.: Stem cell transplants in cancer treatment; 2015. https://bit.ly/3jhxKW9
6. Applebaum AJ, Bevans M, Son T, Evans K, Hernandez M, Giralt S, et al. A scoping review of caregiver burden during allogeneic HSCT: Lessons learned and future directions. Bone Marrow Transplant. 2016; 51(11): 1416-22. https://doi.org/10.1038/bmt.2016.164
7. Díaz-Rubio E, García-Conde J. Oncología Clínica Básica. España: Arán Ediciones; 2000.
8. Majhail NS, Rizzo JD, Hahn T, Lee SJ, McCarthy PL, Ammi M, et al. Pilot study of patient and caregiver out-of-pocket costs of allogeneic hematopoietic cell transplantation. Bone Marrow Transplant. 2013; 48(6): 865-71. https://doi.org/10.1038/bmt.2012.248
9. Aslan O, Kav S, Meral C, Tekin F, Yesil H, Ozturk U, et al. Needs of lay caregivers of bone marrow transplant patients in Turkey: A multicenter study. Cancer Nurs. 2006; 29(6): E1-7. https://doi.org/10.1097/00002820-200611000-00014
10. Beattie S, Lebel S.The experience of caregivers of hematological cancer patients undergoing a hematopoietic stem cell transplant: a comprehensive literature review. Psychooncology. 2011; 20(11): 1137-50. http://doi.org/10.1002/pon.1962
11. Rivera-Fong L, Landa-Ramírez E, Valero-Saldaña LM, Riveros-Rosas A. Efectos de una intervención cognitivo conductual y actividad física sobre variables médicas y psicológicas en pacientes sometidos a trasplante hematopoyético de células madre. Psicooncología. 2014; 11(2-3): 217-31. https://doi.org/10.5209/rev_PSIC.2014.v11.n2-3.47384
12. Bevans M, Wehrlen L, Prachenko O, Soeken K, Zabora J, Wallen GR. Distress screening in allogeneic hematopoietic stem cell (HSCT) caregivers and patients. Psychooncology. 2011; 20(6): 615-22. https://doi.org/10.1002/pon.1906
13. Hoffman LH, Szkrumelak N, Sullivan AK. Psychiatric assessment of candidates for bone marrow transplantation: a psychodynamically-oriented approach. Int J Psychiatry Med. 1999; 29(1): 13-28. https://doi.org/10.2190/1c24-h366-cgc9-v1pw
14. Rodrigue JR, Windows MR, Baz MA. Caregivers of lung transplant candidates: Do they benefit when the patient is receiving psychological services? Prog Trasnplant. 2006; 16(4): 336-42. https://bit.ly/36NtH1m
15. Ross A, Yang L, Klagholz SD, Wehrlen L, Bevans MF. The relationship of health behaviors with sleep and fatigue in transplant caregivers. Psychooncology. 2016; 25(5): 506–12. https://doi.org/10.1002/pon.3860
16. Simoneau TL, Kilbourn K, Spradley J, Laudenslager ML. An evidence-based stress management intervention for allogeneic hematopoietic stem cell transplant caregivers: Development, feasibility and acceptability. Support Care Cancer. 2017; 25(8): 2515-23 https://doi.org/10.1007/s00520-017-3660-5
17. Wei L, Li J, Cao Y, Xu J, Qin W, Lu H. Quiality of life and care burden in primary caregivers of liver transplantation recipients in China. Medicine. 2018; 97(24): e10993. https://doi.org/10.1097/MD.0000000000010993
18. Foster LW, McLellan L, Rybicki L, Dabney J, Copelan E, Bolwell B. Validating the positive impact of in-hospital lay care-partner support on patient survival in allogeneic BMT: A prospective study. Bone Marrow Transplant. 2013; 48(5): 671–7. https://doi.org/10.1038/bmt.2012.208
19. Gemmill R, Cooke L, Williams AC, Grant M. Informal caregivers of hematopoietic cell transplant patients: a review and recommendations for interventions and research. Cancer Nurs. 2011; 34(6): E13-21. https://doi.org/10.1097/NCC.0b013e31820a592d
20. Sundaramurthi T, Wehrlen L, Friedman E, Thomas S, Bevans M. Hematopoietic stem cell transplantation recipient and caregiver factors affecting length of stay and readmission. Oncol Nurs Forum. 2017; 44(5): 571–9. https://doi.org/10.1188/17.onf.571-579
21. Beattie S, Lebel S, Tay J. The influence of social support on hematopoietic stem cell transplantation survival: A systematic review of literature. PLoS One. 2013; 8(4): 1–6. https://doi.org/10.1371/journal.pone.0061586
22. Rodrigue JR, Pearman TP, Moreb J. Morbidity and mortality following bone marrow transplantation: predictive utility of pre-BMT affective functioning, compliance, and social support stability. Int J Behav Med. 1999; 6(3): 241–54. https://doi.org/10.1207/s15327558ijbm0603_3
23. Posluszny DM, Bovbjerg DH, Agha ME, Hou JZ, Raptis A, Boyiadzis MM, et al. Patient and family caregiver dyadic adherence to the allogeneic hematopoietic cell transplantation medical regimen. Psychooncology. 2017; 27(1): 354–8. https://doi.org/10.1002/pon.4393
24. Wulff-Burchfield EM, Jagasia M, Savani BN. Long-term follow-up of informal caregivers after allo-SCT: A systematic review. Bone Marrow Transplant. 2013; 48(4): 469–73. https://doi.org/10.1038/bmt.2012.123
25. Blum K, Sherman DW. Understanding the experience of caregivers: A focus on transitions. Semin Oncol Nurs. 2010; 26(4): 243–58. https://doi.org/10.1016/j.soncn.2010.08.005
26. Northouse L, Williams AL, Given B, McCorkle R. Psychosocial care for family caregivers of patients with cancer. J Clin Oncol. 2012; 30(11): 1227–34. https://doi.org/10.1200/JCO.2011.39.5798
27. Gerhart JI, Asvat Y, Lilis TA, Fung H, Grosse J, Hobfoll SE. The impact of posttraumatic stress symptoms on social support and social conflict during hematopoietic stem cell transplant. J Psychosoc Oncol. 2018; 36(3): 304-18. https://doi.org/10.1080/07347332.2018.1425793
28. Langer SL, Yi JC, Storer BE, Syrjala KL. Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses: A prospective, five-year longitudinal investigation. Psychooncology. 2010; 19(2): 190–200. https://doi.org/10.1002/pon.1542
29. Simoneau TL, Mikulich-Gilbertson SK, Natvig C, Kilbourn K, Spradley J, Grzywa-Cobb R, et al. Elevated peri-transplant distress in caregivers of allogeneic blood or marrow transplant patients. Psychooncology. 2013; 22(9): 2064-70. https://doi.org/10.1002/pon.3259
30. Bishop MM, Beaumont JL, Hahn EA, Cella D, Andrykowski MA, Brady MJ, et al. Late effects of cancer and hematopoietic stem-cell transplantation on spouses or partners compared with survivors and survivor-matched controls. J Clin Oncol. 2007; 25(11): 1403–11. https://doi.org/10.1200/JCO.2006.07.5705
31. Bevans MF, Ross A, Wehrlen L, Klagholz SD, Yang L, Childs R, et al. Documenting stress in caregivers of transplantation patients: Initial evidence of HPA dysregulation. Stress. 2016; 19(2): 175–84. https://doi.org/10.3109/10253890.2016.1146670
32. Foxall MJ, Gaston-Johansson F. Burden and health outcomes of family caregivers of hospitalized bone marrow transplant patients. J Adv Nurs. 1996; 24(5): 915–23. https://doi.org/10.1111/j.1365-2648.1996.tb02926.x
33. Gaston-Johansson F, Lachica EM, Fall-Dickson JM, Kennedy MJ. Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum. 2004; 31(6): 1161–9. https://doi.org/10.1188/04.onf.1161-1169
34. Given B, Wyatt G, Given C, Sherwood P, Gift A, DeVoss D, et al. Burden and depression among caregivers of patients with cancer at the end of life. Oncol Nurs Forum. 2004; 31(6): 1105–17. https://doi.org/10.1188/04.ONF.1105-1117
35. Son T, Lambert S, Jakubowski A, DiCicco-Bloom B, Loiselle CG. Adaptation of coping together - a self-directed coping skills intervention for patients and caregivers in an outpatient hematopoietic stem cell transplantation setting: a study protocol. BMC Health Serv Res. 2018; 18(1): 669. https://doi.org/10.1186/s12913-018-3483-1
36. Vinci C, Reblin M, Jim H, Pidala J, Bulls H, Cutolo E. Understanding preferences for a mindfulness-based stress management program among caregivers of hematopoietic cell transplant patients. Complement Ther Clin Pract. 2018; 33: 164–9. https://doi.org/10.1016/j.ctcp.2018.10.007
37. Beattie S, Lebel S, Petricone-Westwood D, Wilson KG, Harris C, Devins G, et al. Balancing give and take between patients and their spousal caregivers in hematopoietic stem cell transplantation. Psychooncology. 2017; 26(12): 2224–31. https://doi.org/10.1002/pon.4340
38. Manne S, Mee L, Bartell A, Sands S, Kashy DA. A randomized clinical trial of a parent-focused social-cognitive processing intervention for caregivers of children undergoing hematopoetic stem cell transplantation. J Consult Clin Psychol. 2016; 84(5): 389–401. https://doi.org/10.1037/ccp0000087
39. Sands SA, Mee L, Bartell A, Manne S, Devine KA, Savone M, et al. Group-Based trajectory modeling of distress and well-being among caregivers of children undergoing hematopoetic stem cell transplant. J Pediatr Psychol. 2017; 42(3): 283–95. https://doi.org/10.1093/jpepsy/jsw064
40. Manterola DC, Zavando MD. Cómo interpretar los “Niveles de Evidencia” en los diferentes escenarios clínicos. Rev Chil Cir. 2009; 61(6): 582-95. http://dx.doi.org/10.4067/S0718-40262009000600017
41. Laudenslager ML, Simoneau TL, Kilbourn K, Natvig C, Philips S, Spradley J, et al. A randomized control trial of a psychosocial intervention for caregivers of allogeneic hematopoietic stem cell transplant patients: Effects on distress. Bone Marrow Transplant. 2015; 50(8): 1110-18. https://doi.org/10.1038/bmt.2015.104
42. Laudenslager ML, Simoneau TL, Philips S, Benitez P, Natvig C, Cole S. A randomized controlled pilot study of inflammatory gene expression in response to a stress management intervention for stem cell transplant caregivers. J Behav Med. 2016; 39(2): 346–54. https://doi.org/10.1007/s10865-015-9709-3
43. Bevans M, Castro K, Prince P, Shelburne N, Prachenko O, Loscalzo M, et al. An individualized dyadic problem-solving education intervention for patients and family caregivers during allogeneic hematopoietic stem cell transplantation: a feasibility study. Cancer Nurs. 2010; 33(2): E24-32 https://doi.org/10.1097/NCC.0b013e3181be5e6d
44. Bevans M, Wehrlen L, Castro K, Prince P, Shelburne N, Soeken K, et al. A problem-solving education intervention in caregivers and patients during allogeneic hematopoietic stem cell transplantation. J Health Psychol. 2014; 19(5): 602-17 https://doi.org/10.1177/1359105313475902
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