The 47th Annual Meeting of the European Society for Blood and Marrow Transplantation: Psychiatry and Psychology Group - Oral Session (O170-O171)
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June 24, 2021
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0 min
Clinical Scorecard: Psychosocial Issues in Lymphoma Patients Treated with Stem Cell Transplant and Development of UK Psychological Support Day
At a Glance
| Category | Detail |
|---|---|
| Condition | Lymphoma treated with stem cell transplant |
| Key Mechanisms | Stem cell transplantation as an intense treatment causing prolonged psychosocial distress |
| Target Population | Patients with lymphoma undergoing stem cell transplant |
| Care Setting | Stem cell transplant services including adult and pediatric settings |
Key Highlights
- Patients treated with stem cell transplant report higher prevalence of psychosocial issues compared to those without transplant.
- Fear of cancer relapse (FCR) is significantly more common and intense in stem cell transplant patients.
- A UK psychological support day was successfully developed to foster community of practice and improve psychological care for SCT patients.
Guideline-Based Recommendations
Diagnosis
- Assess psychosocial issues systematically in lymphoma patients post stem cell transplant.
- Screen for fear of cancer relapse and associated intrusive thoughts.
Management
- Prioritize psychosocial assessment and intervention during treatment and recovery periods for stem cell transplant patients.
- Develop multidisciplinary psychological support services tailored to SCT patients’ needs.
Monitoring & Follow-up
- Regularly monitor psychosocial distress including anxiety, self-esteem, body image, relationship changes, and isolation.
- Evaluate effectiveness of psychological interventions and support programs.
Risks
- Increased risk of anxiety, loss of self-esteem, body image concerns, social isolation, and fear of cancer relapse in SCT patients.
- Intrusive thoughts and difficulty making future plans associated with FCR.
Patient & Prescribing Data
Lymphoma patients treated with stem cell transplant
Stem cell transplant patients have higher odds of experiencing psychosocial distress and fear of relapse, indicating need for integrated psychological care.
Clinical Best Practices
- Implement routine psychosocial screening for lymphoma patients undergoing stem cell transplant.
- Provide targeted psychological interventions addressing fear of cancer relapse and related distress.
- Facilitate peer support and professional networking opportunities for psychological care providers in SCT services.
- Use multidisciplinary approaches including clinical psychologists, psychotherapists, and counselors to support SCT patients.
References
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