a Center for Advanced Medicine, Rush University Medical Center , Chicago , Illinois , United States of America.
b Center for Advanced Medicine, University of Chicago Medical Center , Chicago , Illinois , United States of America.
J Psychosoc Oncol. 2018 May-Jun;36(3):304-318. doi: 10.1080/07347332.2018.1425793. Epub 2018 Feb 9.
PURPOSE/OBJECTIVES: Social support and its relationship to psychological distress are of interest in hematopoietic stem cell transplant (HSCT) as patients are dependent on caregivers pre-, during, and posttransplant. Although social support is critical for managing stress and trauma, posttraumatic stress symptoms (PTSS) may erode social support and evoke conflict and abandonment within the support system. This study aimed to evaluate whether PTSS were associated with lower support and social conflict in a sample of patients undergoing HSCT.
DESIGN/METHODS: Prospective relationships between PTSS, perceived social support, and social conflict were assessed in 88 participants across the first three months of HSCT (T0 Baseline; T1 +30; T2 +60; T3 +90).
When individuals experienced increase above their own average levels of PTSS, they reported concurrent increase in social conflict (p < .001) and subsequent increase in social support in the following month (p = .026).
CONCLUSION/IMPLICATIONS: Results suggest PTSS during stem cell transplantation may evoke social conflict, but over time, the support system may recalibrate to be more supportive. Patients undergoing HSCT may benefit from family and social-level interventions that specifically target the incidence of interpersonal conflict as it unfolds during the initial stages of HSCT.
目的/目标：社会支持及其与心理困扰的关系在造血干细胞移植（HSCT）中很重要，因为患者在移植前、移植期间和移植后都依赖护理人员。虽然社会支持对于应对压力和创伤至关重要，但创伤后应激症状（PTSS）可能会削弱社会支持，并在支持系统中引发冲突和抛弃。本研究旨在评估在接受 HSCT 的患者样本中，PTSS 是否与较低的支持和社会冲突相关。
方法/方法：在 HSCT 的头三个月内（T0 基线；T1 +30；T2 +60；T3 +90），对 88 名参与者的 PTSS、感知社会支持和社会冲突之间的前瞻性关系进行了评估。
当个体经历的 PTSS 水平高于自身平均水平时，他们报告同期社会冲突增加（p <.001），并在下一个月社会支持增加（p =.026）。
结论/意义：结果表明，HSCT 期间的 PTSS 可能会引发社会冲突，但随着时间的推移，支持系统可能会重新调整以提供更多支持。接受 HSCT 的患者可能受益于家庭和社会层面的干预措施，这些干预措施专门针对 HSCT 初始阶段人际冲突的发生。
