Bone marrow transplantation in subjects with mental disorders
| Autor: | Rie Akaho, Miyo Yoshino, Hisashi Sakamaki, Katsuko Hagiya, Hideki Akiyama, Tsukasa Sasaki |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Disease medicine Humans Psychiatry Borderline personality disorder Bone Marrow Transplantation Dysthymic Disorder Leukemia business.industry General Neuroscience Panic disorder Mental Disorders Patient Selection General Medicine Middle Aged medicine.disease Psychiatry and Mental health surgical procedures operative Mood Treatment Outcome Neurology Schizophrenia Anxiety Patient Compliance Female Neurology (clinical) medicine.symptom business Stress Psychological |
| Zdroj: | Psychiatry and clinical neurosciences. 57(3) |
| ISSN: | 1323-1316 |
| Popis: | Bone marrow transplantation (BMT) is a critical treatment of malignant illnesses including leukemia and others. Successful achievement of BMT requires the patients to tolerate isolation for several weeks to avoid infections. They are also required to follow several regulations and instructions to survive the treatment because the patients' physical condition is complicated due to the malignant illness, preparatory treatment and transplant of bone marrow from other subjects. These could be a significant challenge for patients with mental disorders. Here the cases are reported of seven leukemia patients who were referred to the Metropolitan Komagome Hospital for BMT from April 1996 through May 2000, who had been suffering from mental disorders, including schizophrenia, bipolar I mood disorder, panic disorder, dysthymic disorder, autistic disorder, and borderline personality disorder, prior to the treatment. The BMT was achieved in six out of the seven subjects; the exception was a subject with borderline personality disorder. Psychiatric treatments, including medication, to improve and maintain mental status appeared to be critical for the achievement of BMT in several patients. Understanding of the status of the malignant disease and the role of BMT was another significant issue. Test admission seemed to be helpful to reduce concerns and anxiety both in the patients and hospital staff. |
| Databáze: | OpenAIRE |
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