Schweer Carolin, Doering Stephan, Haier Jörg, Heuft Gereon, Fritz Fleur, Dugas Martin, Schneider Gudrun
Klinik und Poliklinik für Psychosomatik und Psychotherapie, Universitätsklinikum Münster, Münster.
Z Psychosom Med Psychother. 2011;57(3):223-32. doi: 10.13109/zptm.2011.57.3.223.
To determine the acceptance of psychooncological interventions and predictors of subjective needs in cancer patients over 60 years of age.
We examined 292 in- and outpatients (51% female, 51.7% aged over 60 years) from the Interdisciplinary Cancer Center of the University Hospital of Münster with a questionnaire designed to assess their wish to participate in various psychooncological interventions (FIPA) and with the Hospital Anxiety and Depression Scale (HADS-D).
73.5 % of those over 60 years and 87.9 % of those under 60 years professed a wish for at least one specific psychooncological intervention. Higher age, lower levels of anxiety and cancer relapse were negative predictors of the readiness to attend psychooncological interventions (9 % variance explained). As to specific interventions, those aged 60 years or older showed lower acceptance only for relaxation techniques.
Readiness to attend psychooncological interventions was high with only marginal differences between the age groups. Because objective features of the patient and the disease resulted only in a low predictability of the subjective need for psychooncological interventions, routine screening of cancer patients seems an important issue.
确定60岁以上癌症患者对心理肿瘤学干预措施的接受程度以及主观需求的预测因素。
我们使用一份旨在评估患者参与各种心理肿瘤学干预措施意愿的问卷（FIPA）以及医院焦虑抑郁量表（HADS-D），对明斯特大学医院跨学科癌症中心的292名门诊和住院患者进行了调查（51%为女性，51.7%年龄超过60岁）。
60岁以上人群中有73.5%，60岁以下人群中有87.9%表示希望至少接受一种特定的心理肿瘤学干预措施。年龄较大、焦虑水平较低和癌症复发是参加心理肿瘤学干预措施意愿的负性预测因素（可解释9%的方差）。至于特定的干预措施，60岁及以上的人群仅对放松技巧的接受度较低。
参加心理肿瘤学干预措施的意愿较高，各年龄组之间仅有微小差异。由于患者和疾病的客观特征仅导致心理肿瘤学干预措施主观需求的低可预测性，对癌症患者进行常规筛查似乎是一个重要问题。
