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Psychoonkologische Unterstützung für Patienten mit begrenzter Lebenserwartung

Psycho-oncological support for patients with limited life expectancy

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Zusammenfassung

Aufgrund einer verbesserten Diagnostik und onkologischen Behandlung leben viele Patienten auch mit einer nicht heilbaren Erkrankung länger. Dies führt zu veränderten Unterstützungsbedürfnissen und dem Bedarf an evidenzbasierten psychoonkologischen Interventionen für Patienten in einer inkurablen Erkrankungssituation. Dieser Beitrag gibt einen Überblick über die spezifische Belastungssituation von Patienten mit einer fortschreitenden Erkrankung und den Stand der psychoonkologischen Interventionsforschung.

Abstract

Improved diagnostics and oncological treatment have led to an extension of survival time for many patients with an incurable disease. These developments lead to changes in supportive care needs and the need for evidence-based psycho-oncological interventions for patients in an incurable disease situation. This article gives an overview of the specific burden of patients with progressive diseases and the state of psycho-oncological interventional research.

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Literatur

  1. World Health Organization (WHO) (1990) Cancer pain relief. World Health Organisation, Genf

    Google Scholar 

  2. Kaasa S, Loge JH et al (2015) Quality of life in palliative care: principles and practice. In: Cherny NI, Fallon M, Kaasa S (Hrsg) Oxford textbook of palliative medicine. Oxford University Press, Oxford, S 1198–1209

    Google Scholar 

  3. Irwin S, von Gunten C et al (2010) The role of palliative care in cancer care transitions. In: Holland J, Breitbart W, Jacobsen P (Hrsg) Psycho-oncology. Oxford University Press, New York, S 277–283

    Chapter  Google Scholar 

  4. Smith TJ, Temin S, Alesi ER et al (2012) American society of clinical oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30:880–887

    Article  PubMed  Google Scholar 

  5. Mehnert A (2015) Psychotherapie in der palliativen Versorgung. Psychother Psych Med 65:387–397

    Article  Google Scholar 

  6. Li M, Hales S, Rodin G et al (2010) Adjustment disorders. In: Holland J, Breitbart W, Jacobsen P (Hrsg) Psycho-oncology. Oxford University Press, New York, S 303–310

    Chapter  Google Scholar 

  7. Vehling S, Oechsle K, Koch U, Mehnert A (2013) Receiving palliative treatment moderates the effect of age and gender on demoralization in patients with cancer. PloS One 8:e59417

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Faller H, Schuler M, Richard M et al (2013) Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. J Clin Oncol 31:782–793

    Article  PubMed  Google Scholar 

  9. Watson M, Kissane DW (Hrsg) (2011) Handbook of psychotherapy in cancer care. John Wiley & Sons, West Sussex

    Google Scholar 

  10. Schulz-Kindermann F (Hrsg) (2013) Psychoonkologie: Grundlagen und psychotherapeutische Praxis. Beltz, Weinheim

    Google Scholar 

  11. Goodwin PJ, Leszcz M, Ennis M et al (2001) The effect of group psychosocial support on survival in metastatic breast cancer. New Engl J Med 345:1719–1726

    Article  CAS  PubMed  Google Scholar 

  12. Kissane D (2009) Beyond the psychotherapy and survival debate: the challenge of social disparity, depression and treatment adherence in psychosocial cancer care. Psychooncology 18:1–5

    Article  PubMed  Google Scholar 

  13. Lederberg M, Holland J (2011) Supportive psychotherapy in cancer care: an essential ingredient of all therapy. In: Watson M, Kissane DW (Hrsg) Handbook of psychotherapy in cancer care. John Wiley & Sons, West Sussex, S 3–14

  14. Redd WH, Montgomery GH, DuHamel KN (2001) Behavioral intervention for cancer treatment side effects. J Natl Cancer Inst 93:810–823

    Article  CAS  PubMed  Google Scholar 

  15. Horne D, Watson M (2011) Cognitive-behavioral therapies in cancer care. In: Watson M, Kissane DW (Hrsg) Handbook of psychotherapy in cancer care. John Wiley & Sons, West Sussex, S 15–26

    Chapter  Google Scholar 

  16. Lewis EJ, Sharp DM (2011) Relaxation and image based therapy. In: Watson M, Kissane DW (Hrsg) Handbook of psychotherapy in cancer care. John Wiley & Sons, West Sussex, S 49–58

    Chapter  Google Scholar 

  17. Payne D (2011) Mindfulness interventions for cancer patients. In: Watson M, Kissane DW (Hrsg) Handbook of psychotherapy in cancer care. John Wiley & Sons, West Sussex, S 39–47

    Chapter  Google Scholar 

  18. Nissim R, Freeman E, Lo C et al (2012) Managing cancer and living meaningfully (CALM): a qualitative study of a brief individual psychotherapy for individuals with advanced cancer. Palliat Med 26:713–721

    Article  PubMed  Google Scholar 

  19. Lo C, Hales S, Jung J et al (2014) Managing cancer and living meaningfully (CALM): phase 2 trial of a brief individual psychotherapy for patients with advanced cancer. Palliat Med 28:234–242

    Article  PubMed  Google Scholar 

  20. Breitbart W, Rosenfeld B, Pessin H et al (2015) Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol 33:749–754

    Article  PubMed  PubMed Central  Google Scholar 

  21. Scheffold K, Philipp R, Engelmann D, Schulz-Kindermann F et al (2015) Efficacy of a brief manualized intervention managing cancer and living meanINGfully (CALM) adapted to german cancer care settings: study protocol for a randomized controlled trial. BMC Cancer 15:592

    Article  PubMed  PubMed Central  Google Scholar 

  22. Chochinov HM, Hack TF, McClement S et al (2002) Dignity in the terminally ill: a developing empirical model. Soc Sci Med 54:433–443

    Article  PubMed  Google Scholar 

  23. Chochinov HM, McKeen NA (2011) Dignity therapy. In: Watson M, Kissane DW (Hrsg) Handbook of psychotherapy in cancer care. John Wiley & Sons, West Sussex, S 79–88

  24. Chochinov HM, Kristjanson LJ, Breitbart W et al (2011) Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial. Lancet Oncol 12:753–762

    Article  PubMed  PubMed Central  Google Scholar 

  25. Kissane DW, McKenzie M, Bloch S et al (2006) Family focused grief therapy: a randomized, controlled trial in palliative care and bereavement. JAMA Psychiatr 163:1208–1218

    Google Scholar 

  26. Weißflog G, Mehnert A (2015) Die familienzentrierte Trauertherapie – ein geeignetes Modell für die Palliativversorgung von Krebspatienten und ihren Familien? Psychother Psychosom Med Psychol 65:434–438

    Article  PubMed  Google Scholar 

  27. Rodin G, Zimmermann C (2008) Psychoanalytic reflections on mortality: a reconsideration. J Am Acad Psychoanal Dyn Psychiatry 36:181–196

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Deutschland

    A. Mehnert

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  1. A. Mehnert
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  2. F. Schulz-Kindermann
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Correspondence to A. Mehnert.

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A. Mehnert und F. Schulz-Kindermann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Mehnert, A., Schulz-Kindermann, F. Psychoonkologische Unterstützung für Patienten mit begrenzter Lebenserwartung. Forum 31, 135–139 (2016). https://doi.org/10.1007/s12312-016-0035-7

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  • DOI: https://doi.org/10.1007/s12312-016-0035-7

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