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Psychische Komorbidität bei Menschen mit chronischen Erkrankungen im höheren Lebensalter unter besonderer Berücksichtigung von Krebserkrankungen

Psychological comorbidity in elderly patients with cancer

  • Leitthema
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Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Die Lebenserwartung ist in den letzten Jahren national und international deutlich angestiegen und wird auch zukünftig weiter steigen. Ein höheres Lebensalter ist meist mit gesundheitlichen Beeinträchtigungen, chronischen Erkrankungen, zunehmender Multimorbidität, aber auch mit psychosozialen Belastungen, wie zum Beispiel Einsamkeit, Einschränkungen in der sozialen Teilhabe oder mit Behinderungen im Alltag, verbunden. Vor diesem Hintergrund gewinnen Studien zur psychischen Gesundheit sowie zu psychischen Belastungen und Störungen älterer Menschen zunehmend an Bedeutung. Zielsetzung des vorliegenden Überblicks ist eine Darstellung psychischer Komorbidität bei Menschen mit chronischen Erkrankungen im höheren Lebensalter. Es geht um folgende Fragen: 1) Wie hoch sind die Prävalenzraten für psychische Störungen im höheren Lebensalter im Allgemeinen und bei Patienten mit Krebserkrankungen? 2) Wie werden psychische Erkrankungen im Allgemeinen und bei Patienten mit Krebserkrankungen im höheren Lebensalter diagnostiziert? 3) Welche Risikofaktoren für die Entwicklung einer psychischen Erkrankung sind bekannt? 4) Welche Behandlungsmethoden werden verwendet und welche Aspekte sind in der Versorgung von älteren Menschen mit chronischen Erkrankungen zu beachten?

Abstract

Human life expectancy has increased, nationally and internationally, during recent years and will continue to increase in the future. Old age is commonly associated with health-related impairments, chronic diseases, increasing multimorbidity, as well as with psychosocial burdens, such as social deprivation, reduced social participation, and impairment in activities of daily living. Against this background, studies on mental health addressing psychological distress and mental disorders of older people have gained increasing attention. The aim of the present overview is to provide insight into psychological comorbidity in elderly with chronic illnesses. The following questions are addressed: (1) what are the prevalence rates of mental disorders in the elderly in general and, specifically, in patients with cancer? (2) How are mental disorders and cancer, respectively, diagnosed in elderly patients? (3) What are common risk factors associated with the development of mental disorders? (4) Which treatment options are available, and which aspects of health care for elderly patients with chronic diseases need to be considered?

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  1. Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52 – Gebäude W26, 20246, Hamburg, Deutschland

    A. Mehnert, J. Volkert, O. Wlodarczyk & S. Andreas

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Mehnert, A., Volkert, J., Wlodarczyk, O. et al. Psychische Komorbidität bei Menschen mit chronischen Erkrankungen im höheren Lebensalter unter besonderer Berücksichtigung von Krebserkrankungen. Bundesgesundheitsbl. 54, 75–82 (2011). https://doi.org/10.1007/s00103-010-1192-y

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