{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:38:37Z","timestamp":1780475917699,"version":"3.54.1"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2006,10,25]],"date-time":"2006-10-25T00:00:00Z","timestamp":1161734400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:p><jats:italic>Objective:<\/jats:italic> The study was conducted to understand the \nemotional impact of multiple myeloma, as well as the impact of its \nprinciple treatment, peripheral blood stem cell transplant (PBSCT). The \nabsence of psycho-oncology research literature on this population prompted \nthe need for a hypothesis-generating investigation. Thus, a qualitative \ndesign was used to construct a theoretical model of the trauma relating to \ndiagnosis and treatment of myeloma. The study also incorporates the \nimportant period of reflection and growth following treatment.<\/jats:p><jats:p><jats:italic>Methods:<\/jats:italic> The sample consisted of 3 women and 3 men treated \nfor myeloma at a New York City-based cancer treatment center. Data from \nindividual interviews were audiotaped and transcribed. After extensive \nreview, the data were categorized into groups of repeating ideas, themes \nand broad theoretical constructs.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> A five-construct model emerged from the data \nanalysis that integrated a model of trauma and growth presented in earlier \nwork (Auerbach et al., 2006). These constructs \nroughly correspond with stages of illness, but do not necessarily imply a \nlinear process, as suggested by stage models. The first construct is \ndiagnosis. Patients receive the news that they have multiple myeloma. \nInitial reactions are discussed and a treatment plan takes form. In the \nsecond construct, treatment, patients highlight the physical and emotional \nhurdles confronted throughout treatment. The third construct, network of \nsafety, presents social factors that play a role in comforting patients \nthroughout illness. Patients recognize the importance of a strong support \nsystem during their experiences. In the fourth construct, recuperation, \nphysical energy is regained after an arduous recovery period. This \ncontributes to higher spirits and a motivation to reengage with life. The \nfifth construct is reflection and new existence. Patients strive to \nbalance a new reality that relapse and death are inevitable, along with \ntheir need to live a meaningful life. Many do not yet appreciate how their \ndisease has impacted them, but describe how their interpersonal lives and \nperceptions have changed, both positively and negatively.<\/jats:p><jats:p><jats:italic>Significance of results:<\/jats:italic> Limitations of the study, future \ndirections for research and clinical implications are discussed.<\/jats:p>","DOI":"10.1017\/s1478951506060470","type":"journal-article","created":{"date-parts":[[2006,10,25]],"date-time":"2006-10-25T22:11:44Z","timestamp":1161814304000},"page":"365-387","source":"Crossref","is-referenced-by-count":37,"title":["A qualitative study of the trauma and posttraumatic growth of \nmultiple myeloma patients treated with peripheral blood stem cell \ntransplant"],"prefix":"10.1017","volume":"4","author":[{"given":"JACQUELINE FINE","family":"DAHAN","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CARL F.","family":"AUERBACH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2006,10,25]]},"reference":[{"key":"S1478951506060470_ref012","doi-asserted-by":"crossref","unstructured":"\u00d6hman, M. , S\u00f6derberg, S. , & Lundman, B. 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(2003).Qualitative data: An introduction to coding and analysis.New York:New York University Press."},{"key":"S1478951506060470_ref006","doi-asserted-by":"crossref","unstructured":"Gurevich, M. , Devins, G. , & Rodin, G.M. (2002).Stress response syndromes and cancer.Psychosomatics,43,259\u2013590.","DOI":"10.1176\/appi.psy.43.4.259"},{"key":"S1478951506060470_ref001","unstructured":"American Psychiatric Association .(1980).Diagnostic and Statistical Manual of Mental Disorders(3rd ed.).Washington, DC:Author."},{"key":"S1478951506060470_ref010","unstructured":"McGarvey, E.L. , Canterbury, R.J. , Koopman, C. ,et al.(1998).Acute stress disorder following diagnosis of cancer.International Journal of Rehabilitation and Health,4,1\u201315."},{"key":"S1478951506060470_ref003","doi-asserted-by":"crossref","unstructured":"Auerbach, C.F. , Salick, E. , & Fine, J. 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(1997).A narrative approach to understanding the illness experiences of amother and daughter. 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