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Clinical Psychology and Special Education

Publisher: Moscow State University of Psychology and Education

ISSN (online): 2304-0394

DOI: https://doi.org/10.17759/cpse

License: CC BY-NC 4.0

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Clinical Psychology and Special Education
2018. Vol. 7, no. 4, 131–149
doi:10.17759/cpse.2018070408
ISSN: 2304-0394 (online)

Emotional State and Coping Strategies of Adolescents with Oncohematological Diseases

Khain A.E., Head of Clinical Psychology Department, Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia, khain.alina@gmail.com
Kholmogorova A.B., Doctor of Psychology, Professor, Head of the Laboratory of Clinical Psychology and Psychotherapy, Moscow Research Institute of Psychiatry — Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia, kholmogorova-2007@yandex.ru
Ababkov V.A., MD, Professor of the Department of Medical Psychology and Psychophysiology, Faculty of Psychology, St. Petersburg State University, St.Petersburg, Russia, valababkov@mail.ru
Abstract
The article presents data on the study of emotional state characteristics and coping strategies of adolescents in the stressful situation of oncohematological diseases treatment. Two equalized by socio-demographic and clinical parameters groups of patients 11-18 were examined. The experimental group consisted of 28 adolescents undergoing treatment with hemopoietic stem cell transplantation (HSCT) (M = 14.25, SD = 2.20, M: 57.1%, F: 42.9%). The control group consisted of 30 adolescents undergoing chemotherapy (M = 13.71, SD = 2.12, M: 53.3%, F: 46.7%). The psychological state of adolescents in the course of treatment by НSCТ, in comparison with the state of adolescents of the control group, which is characterized by a significantly higher level of distress and anxiety. Significant differences in the use of coping strategies with stress in patients of the two groups were obtained. Adolescents of the experimental group use a less extensive repertoire of productive coping strategies, often use such an ineffective strategy as "discharge" These differences may be associated with less availability, as well as an increase in depletion of various coping resources under special treatment conditions by the НSCТ. The results of the study confirmed that НSCТ is objectively and subjectively more stressful, which indicates the need for additional monitoring of both the psychological state and the need for psychological care for patients in this group, the development of specialized programs for psychological support for transplantation.

Keywords: psychological adjustment, emotional distress, coping strategies, adolescents, adolescent age, pediatric hematology/oncology, hematopoietic stem cell transplantation (HSCT)

Column: Empirical research

DOI: https://doi.org/10.17759/cpse.2018070408

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