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Die Rolle der Familie bei chronischen Schmerzen

  • H. Flor
  • T. Fydrich

Zusammenfassung

Es erscheint selbstverständlich, daß ein an chronischen Schmerzen leidendes Familienmitglied einen großen Einfluß auf das alltägliche Leben in der Familie haben kann. Andererseits gibt es vielfältige Hinweise darauf, daß die Familie ihrerseits die Chronifizierung von Schmerzen sowie die damit verbundenen Verhaltensweisen mitbestimmt. Familiäre Normen prägen in vielfältiger Weise den Umgang mit einer Krankheit. Die Familie ist das Umfeld, in dem Gewohnheiten entstehen, die Gesundheit fördern oder aber behindern können. Zu Beginn dieses Beitrages sollen Befunde aus der Forschung dargestellt werden, die die genannten Zusammenhänge verdeutlichen:
  1. 1.

    70–90 % aller Erkrankungen werden außerhalb des professionellen Gesundheitssystems —nämlich in der Familie — behandelt (Hilka et al. 1972; Pratt 1976).

     
  2. 2.

    Die Interpretation von Symptomen und die Befolgung ärztlicher Ratschläge sind deutlich von den Einstellungen der nächsten sozialen Umwelt abhängig (Picken U. Ireland 1969; Suchman 1965; Ferguson U. Bole 1979; O’Brien 1980).

     
  3. 3.

    Je höher die Übereinstimmung zwischen Einstellungen von Familienmitgliedern bezüglich einer Erkrankung ist, desto größer ist der zu erwartende Erfolg von Behandlungen (Swanson u. Maruta 1980).

     
  4. 4.

    Gesundheitsförderndes Verhalten tritt bei Kindern deutlich häufiger auf, wenn die Eltern selbst das entsprechende Verhalten zeigen (zusammenfassend: Baranowski u. Nader 1985).

     
  5. 5.

    Ungünstige Bedingungen in der Familie (z. B. dauernder Streit) können den Verlauf und möglicherweise auch die Entwicklung von chronischen und akuten Erkrankungen in der Familie negativ beeinflussen (vgl. z. B. Boyce et al. 1977; Johnson 1985; Meyer U. Haggerty 1962).

     

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • H. Flor
  • T. Fydrich

There are no affiliations available

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