Solutions bring new problems: secondary cancers are a risk for some survivors.
Solutions bring new problems: secondary cancers are a risk for some survivors.
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解决方案带来了新问题:继发性癌症对一些幸存者来说是一种风险。
DOI:
10.1097/00004703-199508000-00008
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发表时间:
1997
期刊:
影响因子:
--
通讯作者:
Nelson Nj
中科院分区:
文献类型:
--
作者:
Nelson Nj
The effect of perceived family environment as a determinant of adjustment in children undergoing bone marrow transplant (BMT) was assessed in a prospective, longitudinal study. Measures of patients' social competence, behavior problems, and self-esteem, along with perceived family conflict, cohesion, and expressiveness, were obtained before hospital admission for BMT and again in the period 6 to 12 months post-BMT. Significant declines were observed in post-BMT social competence and overall self-concept. Before BMT, perceptions of family conflict showed a moderate inverse correlation with patient adjustment, whereas family cohesion and expressiveness were unrelated or were weakly related with adjustment measures. In contrast, all pre-BMT family environment variables were highly predictive of adjustment post-BMT. Using a cross-lagged correlational approach, it was determined that perceived family cohesion and expressiveness act as protective factors, promoting resilience to the stresses of BMT, whereas family conflict acts directly as a risk factor that adversely affects adjustment regardless of stress level.