Postdoctoral Research Scholar, Indiana University, School of Nursing, Indianapolis, IN, USA.
Professor of Music Therapy, Temple University, Boyer College of Music and Dance, Philadelphia, PA, USA.
J Psychosoc Oncol. 2024;42(4):457-472. doi: 10.1080/07347332.2023.2276966. Epub 2023 Oct 30.
It is well documented that invasive medical treatment, such as Hematopoietic Stem Cell Transplant (HSCT), can be stressful and potentially traumatic for children, leading to Post Traumatic Stress Disorder (PTSD) or Post Traumatic Stress Symptoms (PTSS) after treatment. Despite this evidence, little is known about the patterns of stress and trauma that develop throughout the HSCT admission.
To examine patterns of toxic stress and trauma that develop throughout the pediatric HSCT admission and understand how music therapists, as members of the interdisciplinary psychosocial care team, may proactively intervene to mitigate the impact of traumatic experiences.
A two-phase retrospective longitudinal multi-case design was used with a combination of time series and template analyses.
The sample included 14 pediatric patients (aged 0-17) undergoing HSCT at a large pediatric hospital in the Midwestern United States.
The results were identifiable patterns of toxic stress and trauma and a model of care for music therapy that is responsive to the identified patterns.
有大量文献记录表明，造血干细胞移植（HSCT）等有创性的医学治疗可能会给儿童带来压力和潜在的创伤，导致治疗后出现创伤后应激障碍（PTSD）或创伤后应激症状（PTSS）。尽管有这些证据，但对于 HSCT 住院期间发生的压力和创伤模式知之甚少。
探讨儿科 HSCT 住院期间发生的毒性压力和创伤模式，并了解音乐治疗师作为跨学科心理社会关怀团队的成员，如何主动干预以减轻创伤经历的影响。
采用两阶段回顾性纵向多案例设计，结合时间序列和模板分析。
该样本包括在美国中西部一家大型儿科医院接受 HSCT 的 14 名儿科患者（年龄 0-17 岁）。
研究结果确定了毒性压力和创伤的模式，并提出了一种针对音乐治疗的护理模式，该模式对确定的模式具有响应性。
