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{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T18:15:33Z","timestamp":1692900933270},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008678","name":"Universit\u00e4t Leipzig","doi-asserted-by":"crossref"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Onkologie"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n <jats:title>Hintergrund<\/jats:title>\n <jats:p>Viele Krebspatienten leiden im Verlauf ihrer Erkrankung und -behandlung, aber zum Teil auch Jahre nach Abschluss der Behandlung unter psychischen Belastungen wie Angst und Depressivit\u00e4t.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Ziel der Arbeit<\/jats:title>\n <jats:p>Diese \u00dcbersichtsarbeit informiert auf der Basis des aktuellen Forschungsstands dar\u00fcber, wie im Arzt-Patienten-Kontakt Symptome von Angst und Depression erkannt, schweregradm\u00e4\u00dfig eingeordnet und mithilfe ad\u00e4quater Kommunikation gelindert werden k\u00f6nnen und bei Bedarf weitere Experten mit einbezogen werden (\u201estepped care\u201c).<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Ergebnisse<\/jats:title>\n <jats:p>F\u00fcr eine erste valide Einsch\u00e4tzung von Angst und Depressivit\u00e4t liegen Screeninginstrumente vor, die leicht im pers\u00f6nlichen Arzt-Patienten-Gespr\u00e4ch einsetzbar sind. Eine patientenzentrierte Kommunikation hilft in Gespr\u00e4chen der regul\u00e4ren onkologischen Versorgung, Angst und Depressivit\u00e4t der Patienten zu lindern. Diese Patientenzentrierung kann dabei u.\u202fa. durch ad\u00e4quate Informationsbereitstellung, die Unterst\u00fctzung der Patientenautonomie und auch durch die F\u00f6rderung einer Toleranz f\u00fcr Ungewissheit kommunikativ mit Leben gef\u00fcllt werden. Konkret kann dies durch anxiolytisch und antidepressiv wirkende Kommunikationsstrategien und -techniken wie z.\u202fB. <jats:italic>\u201epacing and leading\u201c, Reorientierungs\u00fcbungen<\/jats:italic> und den R\u00fcckgriff auf <jats:italic>\u201emastery\u201c <\/jats:italic>erreicht werden. Des Weiteren wird im Beitrag ein Fokus auf das COMSKIL-Modell gerichtet, das einen theoretischen Rahmen f\u00fcr die konkreten Kommunikationstechniken bereitstellt. Es liegt ebenso als Kommunikationstrainingsprogramm f\u00fcr onkologisch T\u00e4tige vor. Vor dem Hintergrund des Stepped-care-Ansatzes ist es hilfreich, Patienten bei Bedarf \u00fcber psychoonkologische Versorgungsangebote vor Ort informieren zu k\u00f6nnen.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00761-023-01349-2","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T14:02:11Z","timestamp":1682690531000},"page":"801-807","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Kommunikativer Umgang mit Angst und Depressivit\u00e4t bei Krebspatienten im Arzt-Patienten-Gespr\u00e4ch","Communication strategies in doctor-patient-conversations when cancer patients are anxious or depressed"],"prefix":"10.1007","volume":"29","author":[{"given":"Gregor","family":"Wei\u00dfflog","sequence":"first","affiliation":[]},{"given":"Heide","family":"G\u00f6tze","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"key":"1349_CR1","doi-asserted-by":"publisher","first-page":"1605","DOI":"10.1200\/JCO.2013.52.4611","volume":"32","author":"BL Andersen","year":"2014","unstructured":"Andersen\u00a0BL, DeRubeis\u00a0RJ, Berman\u00a0BS et\u00a0al (2014) Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. 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