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Psychother Psychosom Med Psychol 2012; 62(02): 73-79
DOI: 10.1055/s-0032-1301899
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Partner von Krebspatientinnen mit minderjährigen Kindern – Psychische Belastung im Vergleich zur Allgemeinbevölkerung und zur krebskranken Partnerin

Male Partners of Cancer Patients with Underage Children – Psychological Distress in Comparison to the General Population and the Diseased Partner
Heide Götze
1   Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig
,
Gregor Weißflog
1   Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig
,
Elmar Brähler
1   Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig
,
Georg Romer
2   Klinik- für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
,
Corinna Bergelt
3   Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
,
Kai von Klitzing
4   Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters, Universitätsklinikum Leipzig
,
Wolfgang Herzog
5   Klinik für Allgemeine Innere Medizin und Psychosomatik, Medizinische Universitätsklinik Heidelberg
,
Hans-Henning Flechtner
6   Klinik für Psychiatrie, Psychotherapie und Psychosomatische Medizin des Kindes- und Jugendalters, Otto-von-Guericke Universität Magdeburg
,
Ulrike Lehmkuhl
7   Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité – Universitätsmedizin Berlin
,
Jochen Ernst
1   Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig
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Publikationsverlauf

eingereicht 03. Juli 2011

akzeptiert 17. Januar 2012

Publikationsdatum:
14. Februar 2012 (online)

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Zusammenfassung

Die psychische Belastung von Männern mit minderjährigen Kindern, deren Partnerin an Krebs erkrankt ist, wurde mithilfe der Hospital Anxiety and Depression Scale (HADS) erhoben. Die Untersuchungsgruppe (N=141) wurde mit den krebskranken Partnerinnen verglichen sowie einer Vergleichsgruppe von Männern aus der Allgemeinbevölkerung (N=154). Die männlichen Partner von Krebspatientinnen waren psychisch stark belastet. Etwa die Hälfte zeigte im Bereich Ängstlichkeit auffällige Werte und etwa jeder dritte Partner hatte eine erhöhte Depressivität. Hinsichtlich der psychischen Belastung zeigte sich eine Korrelation auf der Paarebene. Die männlichen Partner waren signifikant stärker belastet als die Vergleichsgruppe aus der Allgemeinbevölkerung. Im gesamten Behandlungsverlauf sollten auch die psychosozialen Betreuungswünsche der Partner von Krebspatienten erfasst und angemessen berücksichtigt werden.

Abstract

The psychological distress of men with underage children, whose female partners have cancer, was examined using the Hospital Anxiety and Depression Scale (HADS). The sample (N=141) was compared with the partners who have cancer and a comparison group of men from the general population (N=154). The male partners of cancer patients were psychological strongly distressed. About half of the partners showed increased scores in anxiety and one third of the partners had a high level of depression. There was a high correlation within the couple. The male partners of cancer patients were significantly more distressed than the comparison group of men with underage children from the general population. It is very important to assess psychosocial support needs of partners of cancer patients and to provide adequate options of possible psychosocial treatment.

Schlüsselwörter

Männer - Partner - Krebs - psychische Belastung - Forschungsgruppe ‚Kinder krebskranker Eltern’

Keywords

men - partner - cancer - psychological distress - German Study Group ‘Children of Parents with Cancer’
 

  • Literatur

  • 1 Rhee YS, Yun YH, Park S et al. Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. J Clin Oncol 2008; 26: 5890-5895
    CrossrefPubMedGoogle Scholar
  • 2 Butler SS, Turner W, Kaye LW et al. Depression and caregiver burden among rural elder caregivers. J Gerontol Soc Work 2005; 46: 47-63
    CrossrefPubMedGoogle Scholar
  • 3 Aranda SK, Hayman-White K. Home caregivers of the person with advanced cancer: an Australian perspective. Cancer Nurs 2001; 24: 300-307
    CrossrefPubMedGoogle Scholar
  • 4 Maida V. Factors that promote success in home palliative care: a study of a large suburban palliative care practice. J Palliat Care 2002; 18: 282-286
    PubMedGoogle Scholar
  • 5 Hagedoorn M, Sanderman R, Bolks HN et al. Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects. Psychological Bulletin 2008; 134: 1-30
    CrossrefPubMedGoogle Scholar
  • 6 Gilbar R, Gilbar O. The medical decision-making process and the family: the case of breast cancer patients and their husbands. Bioethics 2009; 23: 183-192
    CrossrefPubMedGoogle Scholar
  • 7 Gaugler JE, Hanna N, Linder J et al. Cancer caregiving and subjective stress: a multi-site, multi-dimensional analysis. Psycho-Oncology 2005; 14: 771-785
    CrossrefPubMedGoogle Scholar
  • 8 Heider D, Schomerus G, Matschinger H et al. Überprüfung der Wirksamkeit eines neu entwickelten Gruppeninterventionsprogramms auf die Lebensqualität von Angehörigen depressiv Erkrankter. Psychother Psych Med 2007; 57: 25-31
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 9 Ross S, Mosher CE, Ronis-Tobin V et al. Psychosocial adjustment of family caregivers of head and neck cancer survivors. Supp Care Cancer 2010; 18: 171-178
    CrossrefPubMedGoogle Scholar
  • 10 Murray SA, Kendall M, Boyd K et al. Archetypal trajectories of social, psychological, and spiritual wellbeing and distress in family care givers of patients with lung cancer: secondary analysis of serial qualitative interviews. BMJ 2010; 340 c2581
    PubMedGoogle Scholar
  • 11 Pitceathly C, Maguire P. The psychological impact of cancer on patients’ partners and other key relatives: a review. European Journal of cancer 2003; 39: 1517-1524
    CrossrefPubMedGoogle Scholar
  • 12 Hagedoorn M, Buunk BP, Kuijer RG et al. Couples dealing with cancer: Role and gender differences regarding psychological distress and quality of life. Psycho-Oncology 2000; 9: 232-242
    CrossrefPubMedGoogle Scholar
  • 13 Asai M, Akechi T, Nakano T et al. Psychiatric disorders and background characteristics of cancer patients’ family members referred to psychiatric consultation service at National Cancer Center Hospitals in Japan. Palliat Support Care 2008; 6: 225-230
    PubMedGoogle Scholar
  • 14 Ben-Zur H, Gilbar O, Lev S. Coping with breast cancer: Patients, spouse, and dyad models. Psychosomatic Medicine 2001; 63: 32-39
    PubMedGoogle Scholar
  • 15 Chvetzoff G, Garnier M, Pérol D et al. Factors predicting home death for terminally ill cancer patients receiving hospital-based home care: the Lyon comprehensive cancer center experience. J Pain Symptom Manage 2005; 30: 528-535
    CrossrefPubMedGoogle Scholar
  • 16 Gyllenhammar E, Thoren-Todoulos E, Strang P et al. Predictive factors for home deaths among cancer patients in Swedish palliative home care. Support Care Cancer 2003; 11: 560-567
    CrossrefPubMedGoogle Scholar
  • 17 Fukui S. Information needs and the related variables of Japanese family caregivers of terminally ill cancer patients. Nurs Health Sci 2004; 6: 29-36
    CrossrefPubMedGoogle Scholar
  • 18 Nijboer C, Triemstra M, Tempelaar R et al. Determinants of caregiving experiences and mental health of partners of cancer patients. Cancer 1999; 86: 577-588
    CrossrefPubMedGoogle Scholar
  • 19 Kim Y, Given BA. Quality of Life of family caregivers of cancer survivors. Cancer 2008; 112: 2556-2568
    CrossrefPubMedGoogle Scholar
  • 20 Kim Y, Baker F, Spillers RL et al. Psychological adjustment of cancer caregivers with multiple roles. Psycho-Oncology 2006; 15: 795-804
    CrossrefPubMedGoogle Scholar
  • 21 Northouse LL, Mood D, Templin T et al. Couples’ patterns of adjustment to colon cancer. Soc Sci Med 2000; 50: 271-284
    CrossrefPubMedGoogle Scholar
  • 22 Akechi T, Akizuki N, Okamura M et al. Psychological Distress Experienced by Families of Cancer Patients. Preliminary Findings from Psychiatric Consultation of a Cancer Center Hospital Japanese Journal of Clinical Oncology 2006; 36: 329-332
    PubMedGoogle Scholar
  • 23 Braun M, Mikulincer M, Rydall A et al. Hidden Morbidity in Cancer: Spouse Caregivers. Journal of Clinical Oncology 2007; 25: 4829-4834
    CrossrefPubMedGoogle Scholar
  • 24 Grunfeld E, Coyle D, Whelan T et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ 2004; 170: 1795-1801
    CrossrefPubMedGoogle Scholar
  • 25 Langer S, Abrams J, Syrjala K. Caregiver and patient marital satisfaction and affect following hematopoietic stem cell transplantation: a prospective, longitudinal investigation. Psycho-Oncology 2003; 12: 239-253
    CrossrefPubMedGoogle Scholar
  • 26 Hasson-Ohayon I, Goldzweig G, Braun M et al. Women with advanced breast cancer and their spouses: diversity of support and psychological distress. Psycho-Oncology 2010; 19: 1195-1204
    CrossrefPubMedGoogle Scholar
  • 27 Künzler A, Zindel A, Znoj HJ et al. Psychische Belastungen bei Krebspatienten und ihren Partnern im ersten Jahr nach Diagnosestellung. Praxis 2010; 99: 593-599
    CrossrefPubMedGoogle Scholar
  • 28 Gustavsson-Lilius M, Julkunen J, Keskivaara P et al. Sense of coherence and distress in cancer patients and their partners. Psycho-Oncology 2007; 16: 1100-1110
    CrossrefPubMedGoogle Scholar
  • 29 Baider L, Bengel J. Cancer and the spouse: gender-related differences in dealing with health care and illness. Crit Rev Oncol Hematol 2001; 40: 115-123
    CrossrefPubMedGoogle Scholar
  • 30 Yee JL, Schulz R. Gender differences in psychiatric morbidity among family caregivers: a review and analysis. Gerontologist 2000; 40: 147-164
    CrossrefPubMedGoogle Scholar
  • 31 Goldzweig G, Hubert A, Walach N et al. Gender and psychological distress among middle- and older-aged colorectal cancer patients and their spouses: An unexpected outcome. Critical Reviews in Oncology/Hematology 2009; 70: 71-82
    CrossrefPubMedGoogle Scholar
  • 32 Tuinstra J, Hagedoorn M, van Sonderen E et al. Psychological distress in couples dealing with colorectal cancer: gender and role differences and intracouple correspondence. Br J Health Psychol 2004; 9: 465-478
    CrossrefPubMedGoogle Scholar
  • 33 Götze H, Ernst J, Krauß O et al. Risiko oder Schutz?- Der Einfluss der Elternschaft auf die Lebensqualität von Krebspatienten. Zeitschrift für psychosomatische Medizin und Psychotherapie 2007; 4: 355-372
    PubMedGoogle Scholar
  • 34 Krauß O, Ernst J, Kuchenbecker D et al. Prädiktoren psychischer Störungen bei Tumorpatienten: Empirische Befunde. Psychother Psychosom Med Psychol 2007; 57: 273-280
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 35 Faulkner RA, Davey M. Children and Adolescents of Cancer Patients: The Impact of Cancer on the Family. The American Journal of Family Therapy 2002; 30: 63-72
    CrossrefPubMedGoogle Scholar
  • 36 Quinn-Beers J. Attachment needs of adolescent daughters of women with cancer. J Psychosoc Oncol 2001; 19: 35-48
    CrossrefPubMedGoogle Scholar
  • 37 Romer G, Barkmann C, Schulte-Markwort M et al. Children of somatically ill parents: a methodological review. Clinical Child Psychology and Psychiatry 2002; 7: 17-38
    CrossrefPubMedGoogle Scholar
  • 38 Götze H, Ernst J, Schwarz R. Krebskranke Eltern und deren Kinder – Skizzierung des Problemfeldes. Mitteilungsblatt der Sächsischen Krebsgesellschaft e V 2008; 1: 14-15
    PubMedGoogle Scholar
  • 39 Geigges W. Krebs und Familie. Psychoneuro 2004; 30: 215-217
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 40 Gazendam-Donofrio SM, Hoekstra HJ, van der Graaf WTA et al. Quality of life of parents with children living at home: when one parent has cancer. Support Care Cancer 2008; 16: 133-141
    CrossrefPubMedGoogle Scholar
  • 41 Edwards B, Clarke V. The psychological impact of a cancer diagnosis on families: The influence of family functioning and patients’ illness characteristics on depression and anxiety. Psycho-Oncology 2003; 13: 562-576
    PubMedGoogle Scholar
  • 42 Wiegand-Grefe S, Geers P, Petermann F et al. Kinder psychisch kranker Eltern: Merkmale elterlicher psychiatrischer Erkrankung und Gesundheit der Kinder aus Elternsicht. Fortschr Neurol Psychiatr 2011; 79: 32-40
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 43 Fang C, Manne S, Pape S. Functional impairment, marital quality and patient psychological distress as predictors of psychological distress among cancer patients’ spouses. Health Psychol 2001; 20: 452-457
    CrossrefPubMedGoogle Scholar
  • 44 Avis N, Crawford S, Manuel J. Quality of life among younger women with breast cancer. J Clin Oncol 2005; 23: 3322-3330
    CrossrefPubMedGoogle Scholar
  • 45 Herrmann C, Buss U, Snaith RP. HADS-D Hospital Anxiety and Depression Scale – Deutsche Version. Testdokumentation und Handanweisung. Bern: Verlag Hans Huber; 1995
    Google Scholar
  • 46 Hinz A, Brähler E. Normative values for the Hospital Anxiety and Depression Scale (HADS) in the general German population. Journal of Psychosomatic Research 2011; 71: 74-78
    CrossrefPubMedGoogle Scholar
  • 47 Wagner CD, Bigatti SM, Storniolo AM. Quality of life of husbands of women with breast cancer. Psycho-oncology 2006; 15: 109-120
    CrossrefPubMedGoogle Scholar
  • 48 Hinz A, Krauss O, Hauss JP et al. Anxiety and depression in cancer patients compared with the general population. European Journal of Cancer Care 2010; 19: 522-529
    PubMedGoogle Scholar
  • 49 Gazendam-Donofrio SM, Hoekstra HJ, van der Graaf WTA et al. Quality of life of parents with children living at home: when one parent has cancer. Support Care Cancer 2008; 16: 133-141
    CrossrefPubMedGoogle Scholar
  • 50 Paradis M, Consoli SM, Peliciera N et al. Influence of the communication about one parent’s cancer on children’s suffering. La Revue de Médecine Interne 2008; 29: 986-993
    PubMedGoogle Scholar
  • 51 Huizinga GA, Visser A, Hoekstra H et al. Stress response symptoms in adolescent and young adult children of parents diagnosed with cancer. Eur J Cancer 2005; 41: 288-295
    CrossrefPubMedGoogle Scholar
  • 52 Watson St. M, James-Roberts I, Ashley S et al. Factors associated with emotional and behavioural problems among school age children of breast cancer patients. Br J Cancer 2006; 94: 43-50
    CrossrefPubMedGoogle Scholar
  • 53 Parker P, Baile W, De Moor C et al. Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho-oncology 2003; 12: 183-193
    CrossrefPubMedGoogle Scholar
  • 54 Singer S, Kuhnt S, Götze H et al. Hospital Anxiety and Depression Scale Cut-Off Scores for Cancer Patients in Acute Care. British Journal of Cancer 2009; 100: 908-912
    CrossrefPubMedGoogle Scholar