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Journal of Pediatric Oncology Nursing, Vol. 21, No. 4, 233-248 (2004)
DOI: 10.1177/1043454203262698

Psychosocial Adjustment of Adolescent Siblings of Hematopoietic Stem Cell Transplant Patients

Wendy Packman, JD, PhD

Pacific Graduate School of Psychology, Palo Alto, California

Kimberly Gong, MPH

Pacific Graduate School of Psychology, Palo Alto, California

Kelly VanZutphen, PhD

Pacific Graduate School of Psychology, Palo Alto, California

Tani Shaffer, MS

Pacific Graduate School of Psychology, Palo Alto, California

Mary Crittenden, PhD

Division of Behavioral and Developmental Pediatrics, Department of Pediatrics, University of California, San Francisco

Hematopoietic stem cell transplantation (HSCT) is a widely practiced therapy for many life-threatening childhood disorders. The authors investigated the psychosocial effects of HSCT on siblings of pediatric HSCT patients ( n = 44; 21 donors, 23 nondonors, ages 6 to 18 years). Donor siblings reported significantly more anxiety and lower self-esteem than did nondonors. Nondonors showed significantly more school problems. Approximately one third of all siblings reported moderate to severe posttraumatic stress. The study drew on the developmental theory of Erik Erikson and the psychosocial model of posttraumatic stress. As part of the study, the authors used the Measures of Psychosocial Development (MPD), a self-report measure based on Eriksonian constructs. The MPD was used to assess the psychosocial adjustment of 12 siblings who were adolescents (≥ 13 years) at the time the study was conducted. In this article, findings are presented from the MPD as well as salient findings from the larger study.

Key Words: siblings • adolescents • Erikson • hematopoietic stem cell transplants • bone marrow transplants • psychosocial adjustment


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