Zusammenfassung
Die Knochenmarktransplantation (KMT) ist eine Behandlungssituation mit gravierenden Belastungen und psychologischen Implikationen, die eine protrahierte Restriktion sozialer Kontakte und die Notwendigkeit sozialer Unterstützung einschließt. Untersucht wurde der Einfluß perzipierter sozialer Unterstützung auf die erlebte Belastung in der Transplantationsperiode in einer prospektiven Verlaufsuntersuchung an 30 erwachsenen Leukämiepatienten. In Widerspruch zu der Hypothese, daß soziale Unterstützung als Streßpuffer wirkt, waren Patienten mit vielen transplantationsunabhängigen Streßereignissen und hoher sozialer Unterstützung in der Transplantationsperiode stärker belastet als die anderen Patienten. Da vergleichbare Ergebnisse aus anderen Studien an stark belasteten Tumorpatienten vorliegen, erscheint eine weitere Differenzierung des Konstrukts „soziale Unterstützung“ notwendig. KMT-Patienten mit enger Einbindung in ihr soziales Netzwerk bedürfen der besonderen Aufmerksamkeit in der klinisch-psychologischen Betreuung.
Summary
(Psychological distress after bone marrow transplantation: Does social support exert a stress buffering function?) Bone marrow transplantation (BMT) is a treatment with a high stress impact and severe psychological implications including prolonged restriction of social contact and the necessity of social support. The present study focussed on the effect of percived social support upon emotional distress during the transplantation period in a prospective longitudinal study of 30 BMT patients with leukemia. In disagreement with the stress buffer hypothesis of social support, patients with a high number of stressful life events independent of transplantation and high social support experienced more distress during the transplantation period as compared to the remainder. Further differentiation of the construct of social support seems to be indicated, even more so because other studies in heavily distressed cancer patients have similar results. BMT patients with strong ties to their social network need the special attention of the clinical psychologist.
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© 1989 Springer-Verlag Berlin Heidelberg
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Neuser, J. (1989). Psychische Belastung unter Knochenmarktransplantation: Hat soziale Unterstützung Pufferwirkung?. In: Verres, R., Hasenbring, M. (eds) Psychosoziale Onkologie. Jahrbuch der medizinischen Psychologie, vol 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74986-5_12
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DOI: https://doi.org/10.1007/978-3-642-74986-5_12
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