Die Validität des Hornheider Fragebogens zur psychosozialen Unterstützung bei Tumorpatienten - Eine Untersuchung an zwei repräsentativen ambulanten Stichproben von Melanompatienten -

Abstract

Tumour patients are subject to different degrees of psychosocial distress depending on the course of disease, personality variables and amount of social support available. Often patients do not spontaneously talk about their distress and attending physicians fail to detect it. Therefore, it is important that the presence of distress is ascertained by specific screening instruments so that appropriate supportive measures can be instituted. The Hornheide Questionnaire (HQ) employed for investigating the need for psychosocial support in the case of patients with skin tumours and with tumours in the head and neck region represents such a specific screening instrument. The present study investigates the validity of the HQ on the basis of two representative samples from two different University Clinics for treatment and follow-ups of melanoma patients. With the help of the HQ, 215 patients at the Dermatology Out-patient Unit of the University of Innsbruck and 223 patients at the University of Freiburg were investigated with regard to their subjective experience of distress. The external constructive validity criteria were established on the basis of the Freiburg Questionnaire of Disease-Coping, the questionnaire of social support and Beck's Depression Inventory. There were significant differences between individuals in the severity of distress in different age groups and in patients in different tumour stages. The internal consistency of the HQ and its subscales proved to be satisfactory demarcation from other psychosocial dimensions and an adequate correlation with similar dimensions (depression, depressive illness coping, social support, compliance). The HQ appears to be an economical and valid screening instrument for detecting the need for psychosocial support in melanoma patients in the out-patient follow-up stage.

Psychosocial distress and desire for support among inpatients with skin cancer

“…(1) Institut für Medizinische Psychologie , Universitätsmedizin Greifswald (2) [4][5][6] . Frühzeitige psychologische Interventionen können Symptome wie Ängste, Wut und Depressionen reduzieren, deren Chronifi zierung vorbeugen und die Lebensqualität positiv beeinfl ussen [7][8][9][10] .…”

“…Die interne Konsistenz über alle Fragen beträgt Cronbachs α = 0,898 [ 6,23 ] . Die interne Konsistenz über alle Fragen beträgt Cronbachs α = 0,898 [ 6,23 ] .…”

Psychosoziale Belastung und Unterstützungswunsch ambulanter Hauttumorpatienten

“…Bei dem Hornheider Fragebogen handelt es sich um ein „… valides, reliables und praktikables Messinstrument zur multidimensionalen Belastungserfassung …“ ([13], S. 62) bei Patienten mit Haut‐ und Gesichtstumoren. Klinisch gut anwendbar, ökonomisch und gut verständlich, wird es von Patienten und Behandlern akzeptiert .…”

“…Zahlreiche Untersuchungen kamen zu dem Ergebnis, dass etwa ein Drittel der Krebspatienten unter psychischen Belastungen mit Krankheitswert leidet und im psychosozialen Sinne betreuungsbedürftig ist . Beeinflusst wird die Belastung durch Tumorentität, Krankheitssituation und ‐verlauf, körperliche Symptome sowie soziodemographische Faktoren .…”

Psychosocial burden and desire for support in outpatients with skin cancer

“…Despite the greater time required for analysis – compared to short screening tools – the continued use of the extended version of the Hornheide Questionnaire concurs with the patients’ preference. The quality criteria and the assessment of this instrument by other research groups support this decision.…”