Zusammenfassung
Neben körperlichen Belastungen sind Krebsüberlebende mit vielfältigen psychosozialen Herausforderungen konfrontiert. Körperliche und psychosoziale Aspekte lassen sich dabei schwer trennen und stehen häufig in Wechselwirkung. Ebenso ist eine genaue Abgrenzung zwischen „normaler“ und pathologischer Belastungssymptomatik im Rahmen dieser schwierigen Lebenssituation problematisch und in vielen Fällen nicht zielführend, da auch eine subsyndromale Symptomatik mit hohem Leidensdruck einhergehen kann. Das soziale Umfeld stellt Krebsüberlebende dabei nicht nur vor große Herausforderungen, sondern kann auch als wichtige Ressource dienen. Spirituelle Fragen gewinnen v. a. bei Patienten mit einer fortgeschrittenen Krebserkrankung an Bedeutung. Bisher existieren vielfältige psychosoziale Interventionsmöglichkeiten für Krebsüberlebende. Metaanalysen deuten auf kleine bis mittlere Therapieeffekte hin.
Abstract
Besides physical strain, cancer survivors are confronted with a variety of psychosocial challenges. However, a clear differentiation between physical and psychological issues is often difficult, as these aspects interact with one another. Likewise, a strict distinction between “normal” and pathological psychological symptoms in response to this difficult life situation is hard to make and also not expedient in many cases, as sub-threshold symptoms may also lead to a high degree of suffering for the cancer survivor. The social environment may not only confront survivors with a variety of challenges, but also serve as an important resource. Especially in patients with advanced disease, spiritual concerns gain relevance. Numerous psychosocial intervention strategies for cancer survivors currently exist. Meta-analyses indicate small to medium effect sizes.
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P. Esser und K. Kuba geben an, dass kein Interessenkonflikt besteht.
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Esser, P., Kuba, K. Zentrale psychosoziale Herausforderungen bei Krebsüberlebenden. Forum 34, 181–184 (2019). https://doi.org/10.1007/s12312-019-0564-y
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DOI: https://doi.org/10.1007/s12312-019-0564-y