Der Onkologe

, Volume 25, Issue 5, pp 451–455 | Cite as

Partnerschaft und Sexualität bei Tumorerkrankungen

  • Tanja ZimmermannEmail author


Eine Krebserkrankung stellt nicht nur für den Patienten, sondern auch für die Angehörigen eine belastende Situation dar. Insbesondere die Partner erleben häufig vergleichbare psychische und soziale Belastungen wie die Patienten. Dabei spielen die Partner eine wichtige Rolle in der emotionalen und praktischen Unterstützung des Patienten. Die Krebserkrankung kann zu massiven Änderungen der partnerschaftlichen Funktionsfähigkeit wie z. B. Rollenveränderungen oder Einschränkung gemeinsamer Aktivitäten sowie sexuellen Funktionsstörungen führen, die Anpassungsprozesse erforderlich machen. Sexuelle Themen führen oft zu einer Sprachlosigkeit zwischen Patient und Partner, aber auch zwischen dem Paar und dem medizinischen Behandlungsteam. Eine offene Kommunikation über sexuelle Themen – im Idealfall initiiert vom medizinischen Team – wäre empfehlenswert. In der Partnerschaft haben sich ebenfalls eine offene Kommunikation sowie die Förderung des dyadischen Copings (der gemeinsamen Bewältigung des Paares) als hilfreich für die Belastungsreduktion und Steigerung der Lebensqualität erwiesen. Partnerschaftliche Unterstützungsprogramme sind dabei eine sinnvolle Hilfe für Paare in diesem Anpassungs- und Bewältigungsprozess.


Krebserkrankung Dyadisches Coping Lebensqualität Partnerschaftliche Unterstützung Kommunikation 

Partnership and sexuality in cancerous diseases


A cancer diagnosis poses a stressful situation not only for the patient but also for family members. In particular, spouses experience mental and social strains comparable to that of patients. Spouses are the most important sources of emotional and practical support for the patients. The cancer disease can lead to profound changes in the relationship functioning with e. g. role changes or restrictions of couples’ activities as well as sexual functioning, which makes adaptation processes necessary. Topics regarding sexuality often lead to speechlessness between patient and partner and also between the couple and clinicians. An open communication of sexual topics, ideally initiated by the medical team, would be advisable. For couples an open communication as well as enhancement of dyadic coping (common coping efforts of the couple) appears to be helpful in reducing distress and enhancing the quality of life. Couple-based interventions are a useful support for couples during the adaptation and coping process.


Cancer Dyadic coping Quality of life Partner support Communication 


Einhaltung ethischer Richtlinien


T. Zimmermann gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.


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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Klinik für Psychosomatik und PsychotherapieMedizinische Hochschule HannoverHannoverDeutschland

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