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Psychologische Einflussgrößen auf den Erfolg von pneumologischen Rehabilitationsmaßnahmen

Psychological influences on the success of pulmonary rehabilitation programs

  • Leitthema
  • Published:
Der Pneumologe Aims and scope

Zusammenfassung

Hintergrund

Als multidisziplinärer Behandlungsansatz für Patienten mit chronischer obstruktiver Lungenerkrankung (COPD, „chronic obstructive pulmonary disease“) hat sich die pneumologische Rehabilitation (PR) bewährt. Patienten profitieren jedoch unterschiedlich stark von diesen Maßnahmen und ein nicht zu vernachlässigender Anteil profitiert nicht nachhaltig.

Fragestellung

Welche psychologischen Einflussgrößen tragen zum Rehabilitationserfolg bei COPD-Patienten bei?

Material und Methoden

Identifikation relevanter Forschungsarbeiten durch Literaturrecherche, Zusammenstellung und Überblick über den aktuellen Forschungsstand.

Ergebnisse

Komorbide psychische Symptomatik (Depression, Ängste), Selbstwirksamkeit, Krankheitsüberzeugungen, Coping/Krankheitsverarbeitung, Einstellungen zur PR sowie soziale Unterstützung können einen Einfluss auf den Rehabilitationserfolg haben.

Schlussfolgerung

Im Zuge der bewährten Komponenten von PR-Maßnahmen können potentielle psychologische Einflussfaktoren auf den Rehabilitaionserfolg verändert und so die Behandlung von COPD-Patienten weiter optimiert werden. Weitere Forschung bezüglich der Zusammenhänge zwischen psychologischen Einflussgrößen und Rehabilitationserfolg sowie deren Wirkmechanismen ist jedoch notwendig.

Abstract

Background

Pulmonary rehabilitation has proven to be successful in the treatment of chronic obstructive pulmonary disease (COPD); however, patients benefit to a different extent and some patients fail to improve.

Objectives

Which psychological variables contribute to the success of pulmonary rehabilitation programs?

Material und methods

Identification of relevant research studies through a literature search, summary and review of the current state of research.

Results

Comorbid mental symptoms (e.g. depression and anxiety), self-efficacy, illness perceptions, coping with disease, attitudes towards pulmonary rehabilitation and social support may influence different outcomes of pulmonary rehabilitation.

Conclusion

Potential psychological variables can be addressed in the context of the established components of pulmonary rehabilitation programs so that rehabilitation programs can be optimized; however, more research is needed concerning associations between psychological factors and outcomes of pulmonary rehabilitation.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. I. Vaske, D.C. Keil, W. Rief und N.M. Stenzel geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Fachbereich Psychologie, AG Klinische Psychologie und Psychotherapie, Philipps-Universität Marburg, Gutenbergstr. 18, 35032, Marburg, Deutschland

    I. Vaske, D.C. Keil & W. Rief

  2. Institut für Psychologie, AG Klinische Psychologie und Psychotherapie, Universität Leipzig, Leipzig, Deutschland

    N.M. Stenzel

Authors
  1. I. Vaske
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  2. D.C. Keil
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  3. W. Rief
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  4. N.M. Stenzel
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Correspondence to D.C. Keil.

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I. Vaske und D.C. Keil haben Erstautorenschaft geteilt.

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Vaske, I., Keil, D., Rief, W. et al. Psychologische Einflussgrößen auf den Erfolg von pneumologischen Rehabilitationsmaßnahmen. Pneumologe 12, 227–232 (2015). https://doi.org/10.1007/s10405-014-0847-z

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