Prädiktoren psychischer Störungen bei Tumorpatienten: Empirische Befunde

Krauß, Oliver; Ernst, Jochen; Kuchenbecker, D.; Hinz, Andreas M.; Schwarz, R

doi:10.1055/s-2006-952034

Cited by 38 publications

(33 citation statements)

References 8 publications

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“…The goal of this procedure is to make an early, systematic and specialist identification of the psychooncological requirements in order to avoid the development of chronifications and prolongations of hospital stays for patients with clinically relevant mental symptoms [15]. We assume that one or two short consultations and the offer of psychosocial support, if needed, already have a relieving effect on a portion of the patients.…”

Section: Discussionmentioning

confidence: 99%

Documentation and Communication of Psychooncological Findings in an Interdisciplinary Breast Cancer Center

et al. 2009

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Background: Psychooncological interventions are an integral component of the treatment of breast cancer patients in certified breast cancer centers. Effective multidisciplinary care requires excellent communication among the team members, including written communication. The study explores how written communication can be implemented in a multidisciplinary team treating cancer patients. Patients and Methods: A computerized form to enter psychooncological findings into a software designed for the documentation of the diagnostics and therapy of patients with breast cancer was developed. Results: The psychooncological module includes the sections phase of therapy, mood disturbances, difficulties in handling the disease/treatment, psychosocial burdens, psychosocial resources and treatment recommendations as well as notes about a psychological diagnosis (International Classification of Diseases (ICD)-10) where appropriate. 555 psychooncological findings were documented in the newly designed module. 28% of the patients were diagnosed with a mental disorder. 45% received at least one intervention. Conclusions: The psychooncological module facilitates the combination of oncological and psychooncological documentation. It can give structured psychooncological information to the physicians. However, the development of the module has to be continued.

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Section: Discussionmentioning

confidence: 99%

Documentation and Communication of Psychooncological Findings in an Interdisciplinary Breast Cancer Center

et al. 2009

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“…Gazendam-Donofrio et al (2008) finden bei Krebspatienten mit Kindern ein bis fünf Jahre nach der Diagnose im Vergleich zur Allgemeinbevölkerung Beeinträchtigungen im Bereich der sozialen Funktion sowie der Rollenfunktion, und auch im Vergleich zu Krebspatienten ohne Kinder scheint die Lebensqualität von Eltern mit Krebs eingeschränkt zu sein (Götze, Ernst, Krauß, Weißflog, Schwarz, 2007). Ihr Risiko nach der Krebsbehandlung eine posttraumatische Belastungsstörung zu entwickeln, ist um etwa den Faktor fünf erhöht, auch das Risiko einer Angststörung ist bei Eltern etwa viermal so hoch wie bei Patienten ohne Kinder (Krauss, Ernst, Kuchenbecker, Hinz, Schwarz, 2007). Auch Kröger und Bullinger (2009) beschreiben eine im Vergleich zur Allgemeinbevölkerung reduzierte Lebensqualität krebskranker Eltern, insbesondere im Bereich der körperlichen (Rollen)Funktion.…”

Section: Eltern Mit Krebs Und Ihre Kinderunclassified

“…Dies entspricht den in der Literatur vorhanden Hinweisen, dass Eltern mit Krebserkrankungen stärker belastet sind als die Allgemeinbevölkerung (Kröger u. Bullinger, 2009) und auch als Patienten ohne Kinder (Götze et al, 2007). Die ausgeprägte Beeinträchti-gung im Funktionsbereich Emotional Functioning unterstützt die von Krauss (Krauss et al, 2007) (Waldmann, Pritzkuleit, Raspe, Katalinic, 2007) und Rehabilitationsforschung (Hartmann, Muche, Reuss-Borst, 2007;Strauss-Blasche, Gnad, Ekmekcioglu, Hladschik, Marktl, 2005), die aufzeigen, dass Brustkrebspatientinnen, die eine Rehabilitationsmaßnahme besuchen, in ihrer Lebensqualität deutlicher beeinträchtigt sind als Brustkrebspatientinnen, die nicht an einer Rehabilitation teilnehmen, werden durch unsere Ergebnisse unterstützt. Bei der hier beschriebenen Stichprobe handelt es sich um relativ junge Patientinnen.…”

Section: Befinden Der Mütter Im Vergleich Zur Allgemeinbevölkerungunclassified

Brustkrebskranke Mütter und ihre Kinder: erste Ergebnisse zur Effektivität der familienorientierten onkologischen Rehabilitationsmaßnahme „gemeinsam gesund werden“

John

Becker²,

Mattejat³

2010

Senologie - Zeitschrift für Mammadiagnostik und -therapie

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Brustkrebskranke Mütter und ihre Kinder: Erste Ergebnisse zur Effektivität der familienorientierten onkologischen Rehabilitationsmaßnahme "gemeinsam gesund werden"Praxis der Kinderpsychologie und Kinderpsychiatrie 59 (2010) When a parent has a serious somatic illness, children suffer grave distress, their risk to develop a mental disorder increases. Sick mothers, in comparison to patients without children, experience additional strain, e. g. because they worry about their children. Although many studies focus on the quality of life of breast cancer patients, little is known about the special situation of young mothers with breast cancer. Currently, a prospective study with four assessment points (pre, post, 3-and 12-months-follow-up) is conducted on a large sample of women taking part in the family-oriented inpatient rehabilitation program "gemeinsam gesund werden". In this paper a longitudinal sample of 173 women and 153 children, their quality of life and psychological impairment prior to, after and in the course of one year after the rehabilitation is presented. Compared to the general population, the children as well as the mothers are considerably impaired, especially in regard to Psychological Health/Emotional Functioning. These impairments improve markedly within the survey period. One year after the rehabilitation, the children show no more impairment than the reference groups. The mothers improve significantly as well, however, after one year their quality of life scores are still lower than those of the general population. In conclusion, a considerable impairment of the analyzed group of mothers with breast cancer and their children, the necessity of special supportive measures as well as the effectiveness of the model rehabilitation program can be shown.Prax. Kinderpsychol. Kinderpsychiat. 59/2010, 333-358

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“…Following Krauss et al [10] such an inbalance was defined as critical if the development, chronification or worsening of a mental disorder was expected.…”

Section: Samplementioning

confidence: 99%

“…According to Krauss et al [10] patients should be considered as being in need of POT if they present with high psychological distress that affects the course of medical treatment or leads to development, chronification or worsening of a mental disorder. A second criterion should be that symptoms are treatable with psychotherapeutic, psychopharmacological or psychoeducative methods.…”

Section: Introductionmentioning

confidence: 99%

Development of a screening tool for the identification of psychooncological treatment need in breast cancer patients

et al. 2009

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Objective: In breast cancer patients the diagnosis, treatment and aftercare of the physical disease cause a large amount of psychosocial distress, which can have a variety of negative consequences on patients' physical and mental well-being. Although about one-third of the patients show heightened psychosocial distress that may require psychooncological interventions its detection in daily clinical routine is poor and referral to mental health professionals is insufficient. The aim of the study was to develop a short screening tool for the detection of need for psychooncological treatment (POT) in breast cancer patients.Methods: Over a period of six months, 115 breast cancer outpatients attending the Department of Gynaecology at Innsbruck Medical University were consecutively included in the study. Logistic regression analysis and ROC analyses were used to identify the most predictive item set from a set of questionnaires (EORTC-QLQ-C30, HADS and Hornheide Screening Instrument) and other additional questions.Results: Data from 105 breast cancer patients (mean age 58.8, SD 12.3) were available for analysis. A logistic regression equation containing the EORTC-QLQ-C30 scales Emotional Functioning and Role Functioning as well as the yes-no question after psychiatric/ psychological/psychotherapeutic treatment at any point in lifetime showed highest predictive power with regard to need of POT (AUC 5 0.88; CI 95% 0.82-0.95). A pilot study (n 5 20) investigating applicability of a computerized version of this screening tool in oncological routine showed high acceptance and feasibility.Conclusion: The developed PO-screening tool showed high diagnostic accuracy regarding POT needs. The short assessment time and good usability of its computerized version allowed easy implementation in daily oncological routine.

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Prädiktoren psychischer Störungen bei Tumorpatienten: Empirische Befunde

Cited by 38 publications

References 8 publications

Documentation and Communication of Psychooncological Findings in an Interdisciplinary Breast Cancer Center

Documentation and Communication of Psychooncological Findings in an Interdisciplinary Breast Cancer Center

Brustkrebskranke Mütter und ihre Kinder: erste Ergebnisse zur Effektivität der familienorientierten onkologischen Rehabilitationsmaßnahme „gemeinsam gesund werden“

Development of a screening tool for the identification of psychooncological treatment need in breast cancer patients

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