Dankert A, Duran G, Engst-Hastreiter U, Keller M, Waadt S, Henrich G, Herschbach P
Institut und Poliklinik für Psychosomatische Medizin, Psychotherapie und Medizinische Psychologie der Technischen Universität München, Munich.
Rehabilitation (Stuttg). 2003 Jun;42(3):155-63. doi: 10.1055/s-2003-40094.
Fear of an increasing disease progression (fear of progression) is among the main psychological stresses in patients with cancer, diabetes mellitus (type 1 and type 2) and chronic arthritis. The questions the study seeks to answer are: (1) Which are the main fears of these patients?, (2) How and in which circumstances in life do they occur?, (3) Which are the triggers of the fear? To answer these questions, a sample of 65 patients were researched through interviews. The results indicate that the predominant fears of cancer patients are the fear of dying and the unpredictability of the progression of the disease. Patients with chronic arthritis most frequently fear being physically dependent on someone else. The most common anxiety of diabetes patients are long-term complications. For all three groups of patients job-related fears cause a high amount of distress. These results contribute to the development of a standardised fear of progression questionnaire.
对疾病进展加剧的恐惧（进展恐惧）是癌症、糖尿病（1型和2型）及慢性关节炎患者的主要心理压力之一。该研究试图回答的问题是：（1）这些患者的主要恐惧有哪些？（2）它们在生活中是如何以及在哪些情况下出现的？（3）恐惧的触发因素有哪些？为回答这些问题，通过访谈对65名患者的样本进行了研究。结果表明，癌症患者最主要的恐惧是对死亡的恐惧和疾病进展的不可预测性。慢性关节炎患者最常担心身体上依赖他人。糖尿病患者最常见的焦虑是长期并发症。对于所有三组患者而言，与工作相关的恐惧都会造成高度的痛苦。这些结果有助于编制一份标准化的进展恐惧问卷。
