Tschuschke V, Pfleiderer K, Denzinger R, Hertenstein B, Kächele H, Arnold R
Abteilungen für Psychotherapie, Universität Ulm.
Psychother Psychosom Med Psychol. 1994 Sep-Oct;44(9-10):346-54.
The coping strategies of 36 adult leukemia patients admitted for bone marrow transplantation have been investigated systematically by trained raters using audio-taped material from semi-structured interviews. So-called long term survivors with a median survival time of 978 days after BMT displayed significantly lower passive-stoic acceptance and resignation than non-survivors who died within a median time of 229 days after BMT. These copings were of high prognostic value prior to all treatment regimes in strong correlation with a negative hematological prognosis and age. Non-survivors showed significantly higher passive-stoic acceptance and resignation coping. Form of leukemia and other sociodemographic variables or stress had neither a significant impact on coping intensity nor on coping quality. Consequences for further coping research and possible treatment interventions prior to or immediately after BMT are being discussed.
训练有素的评估人员使用来自半结构化访谈的录音材料，对36名接受骨髓移植的成年白血病患者的应对策略进行了系统调查。所谓的长期幸存者在骨髓移植后中位生存时间为978天，其被动顺从接受和听天由命的程度明显低于在骨髓移植后中位时间229天内死亡的非幸存者。在所有治疗方案之前，这些应对方式具有很高的预后价值，与血液学预后不良和年龄密切相关。非幸存者表现出明显更高的被动顺从接受和听天由命的应对方式。白血病类型以及其他社会人口统计学变量或压力，对应对强度和应对质量均无显著影响。文中还讨论了对骨髓移植前或移植后立即进行的进一步应对研究和可能的治疗干预措施的影响。
