Fluctuation in physical symptoms, coping, and mood in patients following hematopoietic stem cell transplantation: assessing mediation effects using a daily diary approach

This study examines the indirect effect between parallel fluctuation in daily physical symptoms, symptom-related coping, and mood in patients following hematopoietic stem cell transplantation. Two models were analyzed with a within-person mediating role of coping and mood, respectively. Physical sym...

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Bibliographic Details
Published in:Journal of behavioral medicine 2019-04, Vol.42 (2), p.224-233
Main Authors: Kroemeke, Aleksandra, Kwissa-Gajewska, Zuzanna, Sobczyk-Kruszelnicka, Małgorzata
Format: Article
Language:English
Subjects:
Acceptance
Adaptation, Psychological - physiology
Adolescent
Adult
Affect - physiology
Aged
Analysis
Cell culture
Coping
Emotions
Family Medicine
Female
General Practice
Health aspects
Health Psychology
Hematopoietic stem cell transplantation
Hematopoietic Stem Cell Transplantation - psychology
Hematopoietic stem cells
Hospital patients
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Mood
Negative emotions
Physical symptoms
Positive emotions
Reactivity
Rumination
Rumination, Cognitive - physiology
Signs and symptoms
Stem cell transplantation
Stem cells
Stimulation
Transplants & implants
Usefulness
Young Adult
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Summary:This study examines the indirect effect between parallel fluctuation in daily physical symptoms, symptom-related coping, and mood in patients following hematopoietic stem cell transplantation. Two models were analyzed with a within-person mediating role of coping and mood, respectively. Physical symptoms, coping (brooding, reflection, co-rumination, positive reframing, venting, acceptance, and active coping), and positive (PA) and negative affect (NA) were reported by 229 patients for 28 consecutive evenings after post-transplant hospital discharge. The mediating role of coping fluctuation was partially supported since a competitive model assuming coping reactivity was more reliable. Fluctuation in daily PA and NA mediated relationship of physical symptoms with brooding, co-rumination and venting. Daily changes in positive reframing, acceptance and reflection, partially mediated the association between changes in physical symptoms and mood. The study results indicate the usefulness of intervention addressed to the management of daily mood and stimulation of positive reframing and acceptance in post-HSCT patients.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-018-9968-x