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This study offers the first glimpse of the 12-month trajectory of HRQL following pediatric HSCT from mothers' perspectives. This study also highlights the importance of and approaches to addressing missing data in longitudinal research.

A subset of mothers of children who survive HSCT may require psychological intervention. Mothers who are most at risk are younger and evidence anxiety and depressive symptoms at the time of transplantation.

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Chronic illness affects up to 20% of children in the school-age population, 10% of whom are severely compromised. Reintegrating these children is a growing problem for schools, children and their families, and health care professionals, as it has become apparent that school adjustment is highly significant in the children's overall adjustment. This article focuses on the issues of reintegrating the chronically ill child into the school setting, the types of school problems encountered, the process of school reentry, with illustrative case material, and the implications for the school and family of returning the chronically ill child to school.

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No abstract

Higher levels of general psychological distress, cognitive interpretations of the threat of the BMT for the child's future functioning, and negative responses of family and friends may place mothers at risk for post-BMT posttraumatic stress symptomatology.