Anxiety as a possible predictor of acute GVHD.

In order to determine the influence of anxiety on the development of BMT complications and survival, we analysed data on 35 consecutive patients undergoing BMT in our Centre between June 1992 and December 1994. All patients received bone marrow from HLA-identical MLC non-responsive siblings. For GVHD prophylaxis, all patients received cyclosporin (CsA) and short methotrexate (MTX).

[Transference and countertransference problems in patients treated with bone marrow transplantation].

Psychological problems that restrain the patient before, during and after the bone marrow transplantation (BMT) are multiple and are very complex and often have significant effect on the transplantation procedure itself. What patient is going through followed with his expectations and dependence on the transplantation team, together with development of an archaic transference develops a number of counter-transference reactions within the team members. If we assume that during the time spent in a sterile unit and isolation, because of the regressive position, patients use early defending mechanisms, which again, reflect in the reactions of the team members.