Fluctuation in physical symptoms, coping, and mood in patients following hematopoietic stem cell transplantation: assessing mediation effects using a daily diary approach

Aleksandra Kroemeke , Zuzanna Kwissa-Gajewska , Małgorzata Sobczyk-Kruszelnicka


This study examines the indirect effect between parallel fluctuation in daily physical symptoms, symptomrelated coping, and mood in patients following hematopoietic stem cell transplantation. Two models were analyzed with a within-person mediating role of coping and mood, respectively. Physical symptoms, coping (brooding, reflection, co-rumination, positive reframing, venting, acceptance, and active coping), and positive (PA) and negative affect (NA) were reported by 229 patients for 28 consecutive evenings after post-transplant hospital discharge. The mediating role of coping fluctuation was partially supported since a competitive model assuming coping reactivity was more reliable. Fluctuation in daily PA and NA mediated relationship of physical symptoms with brooding, co-rumination and venting. Daily changes in positive reframing, acceptance and reflection, partially mediated the association between changes in physical symptoms and mood. The study results indicate the usefulness of intervention addressed to the management of daily mood and stimulation of positive reframing and acceptance in post-HSCT patients
Author Aleksandra Kroemeke (Wydział Psychologii)
Aleksandra Kroemeke,,
- Wydział Psychologii
, Zuzanna Kwissa-Gajewska (Wydział Psychologii)
Zuzanna Kwissa-Gajewska,,
- Wydział Psychologii
, Małgorzata Sobczyk-Kruszelnicka
Małgorzata Sobczyk-Kruszelnicka,,
Journal seriesJournal of Behavioral Medicine, ISSN 0160-7715, e-ISSN 1573-3521, (N/A 100 pkt)
Issue year2019
Publication size in sheets0.5
Keywords in EnglishCoping; Daily study; Emotions; Hematopoietic stem cell transplantation; Mediation; Physical symptoms
ASJC Classification2738 Psychiatry and Mental health; 3200 General Psychology
URL https://www.ncbi.nlm.nih.gov/pubmed/30178278
Languageen angielski
Kroemeke_Kwissa_Sobczyk_2019_Fluctuation in physical symptoms, coping and mood in patients following.pdf 419.29 KB
Additional file
Oswiadczenie_A.Kroemeke_Fluctuation in physical.pdf 486.37 KB
Oswiadczenie_Z.Kwissa_Fluctuation.pdf 24.79 KB
Score (nominal)100
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 1.148; WoS Impact Factor: 2017 = 2.88 (2) - 2017=3.179 (5)
Citation count*1 (2021-02-23)
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