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Partnerschaft und Sexualität bei Tumorerkrankungen

  • Tanja ZimmermannEmail author
Psychoonkologie
  • 18 Downloads

Zusammenfassung

Eine Krebserkrankung stellt nicht nur für den Patienten, sondern auch für die Angehörigen eine belastende Situation dar. Insbesondere die Partner erleben häufig vergleichbare psychische und soziale Belastungen wie die Patienten. Dabei spielen die Partner eine wichtige Rolle in der emotionalen und praktischen Unterstützung des Patienten. Die Krebserkrankung kann zu massiven Änderungen der partnerschaftlichen Funktionsfähigkeit wie z. B. Rollenveränderungen oder Einschränkung gemeinsamer Aktivitäten sowie sexuellen Funktionsstörungen führen, die Anpassungsprozesse erforderlich machen. Sexuelle Themen führen oft zu einer Sprachlosigkeit zwischen Patient und Partner, aber auch zwischen dem Paar und dem medizinischen Behandlungsteam. Eine offene Kommunikation über sexuelle Themen – im Idealfall initiiert vom medizinischen Team – wäre empfehlenswert. In der Partnerschaft haben sich ebenfalls eine offene Kommunikation sowie die Förderung des dyadischen Copings (der gemeinsamen Bewältigung des Paares) als hilfreich für die Belastungsreduktion und Steigerung der Lebensqualität erwiesen. Partnerschaftliche Unterstützungsprogramme sind dabei eine sinnvolle Hilfe für Paare in diesem Anpassungs- und Bewältigungsprozess.

Schlüsselwörter

Krebserkrankung Dyadisches Coping Lebensqualität Partnerschaftliche Unterstützung Kommunikation 

Partnership and sexuality in cancerous diseases

Abstract

A cancer diagnosis poses a stressful situation not only for the patient but also for family members. In particular, spouses experience mental and social strains comparable to that of patients. Spouses are the most important sources of emotional and practical support for the patients. The cancer disease can lead to profound changes in the relationship functioning with e. g. role changes or restrictions of couples’ activities as well as sexual functioning, which makes adaptation processes necessary. Topics regarding sexuality often lead to speechlessness between patient and partner and also between the couple and clinicians. An open communication of sexual topics, ideally initiated by the medical team, would be advisable. For couples an open communication as well as enhancement of dyadic coping (common coping efforts of the couple) appears to be helpful in reducing distress and enhancing the quality of life. Couple-based interventions are a useful support for couples during the adaptation and coping process.

Keywords

Cancer Dyadic coping Quality of life Partner support Communication 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

T. Zimmermann gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Literatur

  1. 1.
    Aizer AA, Chen MH, McCarthy EP et al (2013) Marital status and survival in patients with cancer. J Clin Oncol 31:3869–3876CrossRefGoogle Scholar
  2. 2.
    Badr H (2017) New frontiers in couple-based interventions in cancer care: refining the prescription for spousal communication. Acta Oncol 56:139–145CrossRefGoogle Scholar
  3. 3.
    Badr H, Krebs P (2013) A systematic review and meta-analysis of psychosocial interventions for couples coping with cancer. Psychooncol 22:1688–1704CrossRefGoogle Scholar
  4. 4.
    Bober SL, Recklitis CJ, Campbell EG et al (2009) Caring for cancer survivors: a survey of primary care physicians. Cancer 115:4409–4418CrossRefGoogle Scholar
  5. 5.
    Bober SL, Varela VS (2012) Sexuality in adult cancer survivors: challenges and intervention. J Clin Oncol 30:3712–3719CrossRefGoogle Scholar
  6. 6.
    Bodenmann G, Randall AK, Falconier MK (2016) Coping in couples: The Systemic Transactional Model (STM). In: Falconier MK, Randall AK, Bodenmann G (Hrsg) Couples coping with stress: A cross-cultural perspective. Routledge, New York, S 5–22Google Scholar
  7. 7.
    Carlson LE, Bultz BD, Speca M et al (2000) Partners of cancer patients: Part I. Impact, adjustment, and coping across the illness trajectory. J Psychosoc Oncol 18:39–63CrossRefGoogle Scholar
  8. 8.
    Degroot J, Mah K, Fyles A et al (2005) The psychosocial impact of cervical cancer among affected women and their partners. Int J Gynecol Cancer 15:918–925CrossRefGoogle Scholar
  9. 9.
    Fife BL, Weaver MT, Cook WL et al (2013) Partner interdependence and coping with life-threatening illness: the impact on dyadic adjustment. J Fam Psychol 27:702CrossRefGoogle Scholar
  10. 10.
    Goodwin JS, Hunt WC, Key CR et al (1987) The effect of marital status on stage, treatment, and survival of cancer patients. J Am Med Assoc 258:3120–3215CrossRefGoogle Scholar
  11. 11.
    Hawkins Y, Ussher J, Gilbert E et al (2009) Changes in sexuality and intimacy after the diagnosis and treatment of cancer: the experience of partners in a sexual relationship with a person with cancer. Cancer Nurs 32:271–280CrossRefGoogle Scholar
  12. 12.
    Heinrichs N, Zimmermann T (2008) Bewältigung einer gynäkologischen Krebserkrankung in der Partnerschaft: Ein psycho-onkologisches Behandlungsprogramm für Paare. Hogrefe, GöttingenGoogle Scholar
  13. 13.
    Heinrichs N, Zimmermann T, Huber B et al (2012) Cancer distress reduction with a couple-based skills training: a randomized controlled trial. Ann Behav Med 43:239–252CrossRefGoogle Scholar
  14. 14.
    Holm LV, Hansen DG, Johansen C et al (2012) Participation in cancer rehabilitation and unmet needs: a population-based cohort study. Support Care Cancer 20:2913–2924CrossRefGoogle Scholar
  15. 15.
    Hordern AJ, Street AF (2007) Communicating about patient sexuality and intimacy after cancer: mismatched expectations and unmet needs. Med J Aust 186:224–227PubMedGoogle Scholar
  16. 16.
    Jonsdottir JI, Jonsdottir H, Klinke ME (2018) A systematic review of characteristics of couple-based intervention studies addressing sexuality following cancer. J Adv Nurs 74:760–773CrossRefGoogle Scholar
  17. 17.
    Kayser K, Watson LE, Andrade JT (2007) Cancer as a “we-disease”: examining the process of coping from a relational perspective. Fam Syst Health 25:404–418CrossRefGoogle Scholar
  18. 18.
    Kim Y, Carver CS, Deci EL et al (2008) Adult attachment and psychological well-being in cancer caregivers: the mediational role of spouses’ motives for caregiving. Health Psychol 27:S144–S154CrossRefGoogle Scholar
  19. 19.
    Li Q, Loke AY (2014) A systematic review of spousal couple-based intervention studies for couples coping with cancer: direction for the development of interventions. Psychooncology 23:731–739CrossRefGoogle Scholar
  20. 20.
    Manne S, Badr H (2008) Intimacy and relationship processes in couples’ psychosocial adaptation to cancer. Cancer 112:2541–2555CrossRefGoogle Scholar
  21. 21.
    Manne S, Badr H, Kashy DA (2012) A longitudinal analysis of intimacy processes and psychological distress among couples coping with head and neck or lung cancers. J Behav Med 35:334–346CrossRefGoogle Scholar
  22. 22.
    Manne S, Myers S, Ozga M et al (2014) Holding back sharing concerns, dispositional emotional expressivity, perceived unsupportive responses and distress among women newly diagnosed with gynecological cancers. Gen Hosp Psychiatry 36:81–87CrossRefGoogle Scholar
  23. 23.
    Manne SL, Kissane DW, Nelson CJ et al (2011) Intimacy-enhancing psychological intervention for men diagnosed with prostate cancer and their partners: a pilot study. J Sex Med 8:1197–1209CrossRefGoogle Scholar
  24. 24.
    Mcclure KS, Nezu AM, Nezu CM et al (2012) Social problem solving and depression in couples coping with cancer. Psychooncology 21:11–19CrossRefGoogle Scholar
  25. 25.
    Mehnert A, Hartung TJ, Friedrich M et al (2018) One in two cancer patients is significantly distressed: prevalence and indicators of distress. Psychooncology 27:75–82CrossRefGoogle Scholar
  26. 26.
    Park ER, Norris RL, Bober SL (2009) Sexual health communication during cancer care: barriers and recommendations. Cancer J 15:74–77CrossRefGoogle Scholar
  27. 27.
    Porter LS, Keefe FJ, Baucom DH et al (2009) Partner-assisted emotional disclosure for patients with gastrointestinal cancer: results from a randomized controlled trial. Cancer 115:4326–4338CrossRefGoogle Scholar
  28. 28.
    Regan TW, Acquati C, Zimmermann T (2018) Interpersonal relationships. In: Feuerstein M, Nekhlyudov L (Hrsg) Handbook of cancer survivorship. Springer, Cham, S 265–284CrossRefGoogle Scholar
  29. 29.
    Revenson TA, Abraido-Lanza AF, Majerovitz SD et al (2005) Couples coping with chronic illnes: what’s gender got to do with it? In: Revenson TA, Kayser K, Bodenmann G (Hrsg) Couples coping with stress: emerging perspectives on dyadic coping. American Psychological Association, Washington, DC, S 137–156CrossRefGoogle Scholar
  30. 30.
    Stead ML, Brown JM, Fallowfield L et al (2003) Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. Br J Cancer 88:666–671CrossRefGoogle Scholar
  31. 31.
    Traa MJ, De Vries J, Bodenmann G et al (2015) Dyadic coping and relationship functioning in couples coping with cancer: a systematic review. Br J Health Psychol 20:85–114CrossRefGoogle Scholar
  32. 32.
    Vermeer WM, Bakker RM, Kenter GG et al (2016) Cervical cancer survivors’ and partners’ experiences with sexual dysfunction and psychosexual support. Support Care Cancer 24:1679–1687CrossRefGoogle Scholar
  33. 33.
    Wimberly S, Carver C, Laurenceau JP et al (2005) Perceived partner reactions to diagnosis and treatment of breast cancer: Impact on psychosocial and psychosexual adjustment. J Consult Clin Psychol 73:300–311CrossRefGoogle Scholar
  34. 34.
    Zimmermann T, Heinrichs N (2008) „Seite an Seite“ eine gynäkologische Krebserkrankung in der Partnerschaft gemeinsam bewältigen – Ein Ratgeber für Paare. Hogrefe, GöttingenGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Klinik für Psychosomatik und PsychotherapieMedizinische Hochschule HannoverHannoverDeutschland

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