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De voor- en nadelen van ontkenning bij longkanker

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Huisarts en wetenschap Aims and scope

Samenvatting

 

Vos MS, Putter H, Van Houwelingen HC, De Haes HC. De voor- en nadelen van ontkenning bij longkanker. Huisarts Wet 2011;54(11):602-6.

Achtergrond

Ontkenning is een bekend fenomeen in de klinischoncologische praktijk, maar er is weinig bekend over het effect: is ontkenning gunstig of juist ongunstig? Wij onderzochten de sociale en emotionele gevolgen van ontkenning.

Methode

Wij interviewden 195 patiënten met nieuwe longkanker maximaal viermaal in de acht maanden volgend op de diagnose. Met behulp van een viertal klinische meetinstrumenten maten wij bij hen de mate van ontkenning, het sociaal en emotioneel functioneren en de mate van angst en depressie.

Resultaten

Patiënten met een stabiel matig niveau van ontkenning of met toenemende ontkenning in de loop van het ziekteproces rapporteerden betere uitkomsten op sociaal gebied, minder angst en depressie en betere kwaliteit van leven dan patiënten met een stabiel laag niveau van ontkenning.

Conclusie

Een bepaalde mate van ontkenning kan een gunstig effect hebben op het sociaal en emotioneel functioneren van longkankerpatiënten.

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Author information

Authors and Affiliations

  1. Ziekenhuis Bronovo, 2597 AX, Bronovolaan 5, Den Haag, The Netherlands

    M.S. Vos

  2. afdeling Biostatistiek, Universiteit van Leiden, Leiden, The Netherlands

    H. Putter

  3. LUMC, Leiden, The Netherlands

    J.C. van Houwelingen

  4. afdeling Medische Psychologie, AMC, Amsterdam, The Netherlands

    J.C.J.M. de Haes

Authors
  1. M.S. Vos
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  2. H. Putter
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  3. J.C. van Houwelingen
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  4. J.C.J.M. de Haes
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Additional information

psychiater

psycholoog

emeritus hoogleraar Medische statistiek

Dit artikel is een bewerkte vertaling van: Vos MS, Putter H, Van Houwelingen HC, De Haes HC. Denial and social and emotional outcomes in lung cancer patients: the protective effect of denial. Lung Cancer 2011;72:119-24. Publicatie gebeurt met toestemming van de uitgever.

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Vos, M., Putter, H., van Houwelingen, J. et al. De voor- en nadelen van ontkenning bij longkanker. HUISARTS WETENSCHAP 54, 602–606 (2011). https://doi.org/10.1007/s12445-011-0292-8

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  • DOI: https://doi.org/10.1007/s12445-011-0292-8

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