The Psychological State of Pediatric Patients before and after an HSCT

Hematopoietic progenitor stem cell transplantation (HSCT) has different stages; the presence of anxiety and psychological disorders is frequently reported. Objective. To assess and compare the patient’s psychological state before and after HSCT, evaluating the level of anxiety, emotional indicators and external variables which influence the psychological state. Method. First stage, pre- HSCT, 70 patients were assessed: 26 females and 44 males, from the Oncological, Hematological and Immunological departments. Age: 6-18 years old, appropriate for tests. Registration: age, gender, diagnosis, date of diagnosis, hospital stay and family dynamics. Standardized psychological tests and semi-structured interview. Second stage, post- HSCT. Same assessment but with 18 patients. Results. 70% of patients showed social concerns. With regards to their family, most of them had at least 2 emotional indicators. Most patients with high pre- HSCT decreased their anxiety levels during the post- HSCT, while most of the ones with low anxiety remained the same. Conclusions. Psychological assessment and preparation increases the possibility of knowing variables that influence the patient’s emotional status and create a treatment plan appropriate for him/her.