{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T12:44:47Z","timestamp":1790513087146,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,5,16]],"date-time":"2014-05-16T00:00:00Z","timestamp":1400198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Swedish Cancer and Traffic injury Society Fund"},{"name":"Swedish Childrens Cancer Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Hematopoietic stem cell transplantation (HSCT) is curative in several life\u2010threatening pediatric diseases but may affect children and their families inducing depression, anxiety, burnout symptoms, and post\u2010traumatic stress symptoms, as well as post\u2010traumatic growth (PTG). The aim of this study was to investigate the co\u2010occurrence of different aspects of such responses in parents of children that had undergone HSCT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Questionnaires were completed by 260 parents (146 mothers and 114 fathers) 11\u2013198 months after HSCT: the Hospital Anxiety and Depression Scale, the Shirom\u2013Melamed Burnout Questionnaire, the post\u2010traumatic stress disorders checklist, civilian version, and the PTG inventory. Additional variables were also investigated: perceived support, time elapsed since HSCT, job stress, partner\u2010relationship satisfaction, trauma appraisal, and the child's health problems. A hierarchical cluster analysis and a k\u2010means cluster analysis were used to identify patterns of psychological responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four clusters of parents with different psychological responses were identified. One cluster (<jats:italic>n<\/jats:italic>\u2009=\u200940) significantly differed from the other groups and reported levels of depression, anxiety, burnout symptoms, and post\u2010traumatic stress symptoms above the cut\u2010off. In contrast, another cluster (<jats:italic>n<\/jats:italic>\u2009=\u200966) reported higher levels of PTG than the other groups did.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study shows a subgroup of parents maintaining high levels of several aspects of distress years after HSCT. Differences between clusters might be explained by differences in perceived support, the child's health problems, job stress, and partner\u2010relationship satisfaction. Copyright \u00a9 2014 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3567","type":"journal-article","created":{"date-parts":[[2014,5,16]],"date-time":"2014-05-16T08:54:26Z","timestamp":1400230466000},"page":"1307-1313","source":"Crossref","is-referenced-by-count":54,"title":["Patterns of psychological responses in parents of children that underwent stem cell transplantation"],"prefix":"10.1002","volume":"23","author":[{"given":"Roberto","family":"Riva","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health, Childhood Cancer Research Unit Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulla","family":"Forinder","sequence":"additional","affiliation":[{"name":"Department of Social Work Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Arvidson","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Mellgren","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Institution for Clinical Sciences University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek","family":"Toporski","sequence":"additional","affiliation":[{"name":"Section of Pediatric Oncology\/Hematology, Department of Pediatrics Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek","family":"Winiarski","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Astrid Lindgren Children's Hospital Karolinska University Hospital Huddinge  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika Lindahl","family":"Norberg","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, Childhood Cancer Research Unit Karolinska Institutet  Stockholm Sweden"},{"name":"U\u2010CARE\/Psychosocial Oncology and Supportive Care, Department of Public Health and Caring Sciences Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1399"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1701358"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493504041872"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.20101"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-009-0685-4"},{"issue":"6","key":"e_1_2_6_7_1","first-page":"411","article-title":"Psychological distress in parents consenting to child's bone marrow transplantation","volume":"6","author":"Dermatis H","year":"1990","journal-title":"Bone Marrow Transplant"},{"key":"e_1_2_6_8_1","first-page":"843","article-title":"The aftermath of bone marrow transplantation for parents of pediatric patients: a post\u2010traumatic stress disorder","volume":"21","author":"Heiney SP","year":"1994","journal-title":"Oncol Nurg Forum"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/27.7.607"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.6.1700"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1702527"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.69.6.1037"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2009.309"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-007-9063-x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01586.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493513496666"},{"key":"e_1_2_6_17_1","volume-title":"Posttraumatic Growth: Conceptual Foundation and Empirical Evidence","author":"Tedeshi RG","year":"2004"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PSY.0000108104.23738.04"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1132"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOTS.0000014671.27856.7e"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CHI.0000070248.24125.C0"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsi002"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.1992.9935172"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1037\/1076-8998.2.4.275"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00633-5"},{"key":"e_1_2_6_27_1","first-page":"250","volume-title":"Measurement of Stress, Trauma, and Adaptation","author":"Weathers F","year":"1996"},{"key":"e_1_2_6_28_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM\u2010IV","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.2490090305"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.960"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1705021"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.08.025"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12228"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPH.0b013e3181e7dda6"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02198.x"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20334"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105309359331"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpon.3567","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.3567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T20:30:46Z","timestamp":1695501046000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.3567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,16]]},"references-count":36,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1002\/pon.3567"],"URL":"https:\/\/doi.org\/10.1002\/pon.3567","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,16]]}}}