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Angst und Emotionsregulation bei Krebspatienten

Anxiety and emotion regulation in cancer patients

  • Schwerpunkt: Angst – Übersichten
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Zusammenfassung

Eine Krebsdiagnose ist für Betroffene und ihre Angehörigen häufig mit damit einhergehenden psychischen Belastungen und mit wesentlichen Veränderungen der alltäglichen Lebensführung verbunden. Die psychoonkologische Versorgung hat das Ziel, der Belastung der Betroffenen und ihrer Angehörigen mit psychosozialen und psychotherapeutischen Mitteln entgegenzuwirken. Häufig äußert sich die Belastung in Form von Ängsten, die je nach Situation und Krankheitsverlauf inter- und intraindividuell teilweise stark variieren und zudem über die Remission einer Krebserkrankung hinweg fortbestehen können. Für die psychoonkologische Beratung und Therapie ist es daher wichtig, pathologische von nichtpathologischen Ängsten differenzieren zu können sowie Informationen über verschiedene Facetten von Angst im onkologischen Kontext und im Krankheitsverlauf zu kennen. Verschiedene Emotionsregulationsstrategien sind als probates Mittel etabliert, um Ängsten von Patienten zu begegnen. Die Theorie der Emotionsregulation liefert ein hilfreiches Gerüst zur Ableitung indizierter Beratungstechniken und therapeutischer Interventionen. Auch für die psychoonkologische Versorgung – mit ihrem hohen Anspruch an Individualität und Flexibilität – bietet die Wahl der jeweils besten Emotionsregulationsstrategien die Chance, optimal auf Ängste und Angstsymptome von Krebspatienten als auch deren Angehörigen reagieren zu können.

Abstract

A diagnosis of cancer is often associated with substantial changes in everyday life and with psychological distress for afflicted individuals and their relatives. Psycho-oncological patient care aims to reduce the distress of afflicted individuals and their relatives by using psychosocial and psychotherapeutic techniques. Cancer-related distress often results in anxieties, which vary interindividually and intraindividually depending on the patient’s situation and course of the disease and can even continue after remission from cancer. Thus, it is essential for psycho-oncological consultation and therapy to be able to differentiate between pathological and non-pathological anxieties and to be aware of different facets of anxiety in the oncological context and during the course of the disease. Various emotion regulation strategies have been established as useful tools to address patient anxiety. The theory of emotion regulation provides a useful framework for the selection of counseling techniques and therapeutic interventions. Accordingly, in psycho-oncological consultation, with its high requirement of individuality and flexibility, the individual selection of emotion regulation strategies offers the opportunity to optimally react to anxieties and anxiety symptoms of cancer patients and their relatives.

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Abb. 1

Notes

  1. Diagnostic and Statistical Manual of Mental Disorders, 5. Aufl.

  2. Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme, 10. Ausg.

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Förderung

Die Erstellung des Beitrags wurde teilweise vom Innovationsfond des Gemeinsamen Bundesausschusses in Form des Projekts „isPO – Integrierte, sektorenübergreifende Psychoonkologie“ gefördert (Förderkennzeichen 01NVF17022-IsPo).

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  1. Klinische Psychologie und Psychotherapie, Humanwissenschaftliche Fakultät, Universität zu Köln, Pohligstr. 1, 50969, Köln, Deutschland

    Sonja Bussmann, Lusine Vaganian, Alexander L. Gerlach &  Jan Christopher Cwik

  2. Centrum für Integrierte Onkologie, Klinik I für Innere Medizin, Universitätsklinikum Köln, Köln, Deutschland

    Michael Kusch & Hildegard Labouvie

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  1. Sonja Bussmann
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  2. Lusine Vaganian
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  3. Michael Kusch
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  4. Hildegard Labouvie
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  5. Alexander L. Gerlach
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Correspondence to Jan Christopher Cwik.

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Interessenkonflikt

S. Bussmann, L. Vaganian, M. Kusch, H. Labouvie, A.L. Gerlach und J.C. Cwik geben an, dass kein Interessenkonflikt besteht.

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Alexandra Martin, Wuppertal

Alexander Gerlach, Köln

Sonja Bussmann und Lusine Vaganian teilen sich die Erstautorenschaft.

Aus Gründen der Lesefreundlichkeit wird in diesem Beitrag das generische Maskulinum verwendet.

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Bussmann, S., Vaganian, L., Kusch, M. et al. Angst und Emotionsregulation bei Krebspatienten. Psychotherapeut 63, 194–203 (2018). https://doi.org/10.1007/s00278-018-0283-3

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