Kontrollierbarkeit, Bewaeltigungsverhalten und Krankheitsbewaeltigung bei Patienten mit Non-Hodgkin Lymphomen (NHL) Abschlussbericht

Assuming that processes which help tumor patients overcome their diseases may shift the switches for the long-time success of rehabilitation during the primary treatment stage, the spontaneous recovery efforts made by non-Hodgkin lymphoma patients during first in-patient treatments were observed and investigated. Knowing that various concrete, disease-specific problems and situations must be coped with and solved to successfully overcome cancerous diseases, a prospective sectional study was made where the test persons were interviewed repeatedly over a period of 12 months about the stress situations they perceived and about their reactions while struggling with and evaluating such situations. Emphasis was placed on investigations into problems which patients must cope with when adapting to clinico-therapeutic measures. In addition, the significance of individual personality differences and of objective initial medical features in the struggle to overcome the disease was investigated. The project compares patients suffering from highly malignant lymphomas to patients suffering from less malignant lymphomas while considering differing dispositions to managing the specific requirements and reactions. Efficient ways of coping with the disease were identified by assessing the relative effectiveness of problem- versus emotion-centered recovery strategies as a function of situative moments. For that purpose medical, social and psychological variables which may serve as long-time rehabilitation indicators were collected one year after therapy started at the earliest. The 'naive' behavior in the struggle to overcome the disease during early tumor treatment was investigated for its predictive value as regards the result of rehabilitation. The findings could provide a basis for the development of specific methods of intervention for early application during primary treatment. (orig.)SIGLEAvailable from TIB Hannover: F94B1136+a / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekBundesministerium fuer Forschung und Technologie (BMFT), Bonn (Germany)DEGerman