{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T08:00:49Z","timestamp":1649145649409},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\nZiel der Studie Etwa 4000 Personen erkranken in Deutschland j\u00e4hrlich an Kehlkopfkrebs. Als einer der wichtigsten Risikofaktoren gilt das Rauchen. Die Studie untersucht den Zusammenhang von Kausalattribution und Rauchverhalten bei Patienten mit Kehlkopfkrebs nach Kehlkopfteilresektion (KTR) und den Einfluss der Kausalattribution auf das Rauchverhalten nach KTR.<\/jats:p><jats:p>\nMethodik In einer multizentrischen prospektiven Kohortenstudie zwischen 2007 und 2013 wurden Patienten mit Kehlkopfkrebs zu 4 Befragungszeitpunkten mit Fragebogen befragt: t1 (zwischen Diagnosestellung und KTR), eine Woche (t2), 3 Monate (t3) und 12 Monate (t4) nach KTR. Nachfolgend werden Daten der Messzeitpunkte t1 und t4 pr\u00e4sentiert. Wesentlicher Gegenstand der deskriptiven Auswertung waren die Kausalattribution (offene Antwort mit anschlie\u00dfender Kodierung entsprechend der wichtigsten Ursachenzuschreibungen sowie fr\u00fcheres und aktuelles Rauchverhalten anhand des DIA-X-Interviewsystems). Die Patienten wurden entsprechend ihrer Kausalattributionen gruppiert und hinsichtlich des Rauchverhaltens verglichen.<\/jats:p><jats:p>\nErgebnisse Zu den Zeitpunkten t1 und t4 wurden 134 Patienten (Durchschnittsalter 62 Jahre, 93% m\u00e4nnlich) interviewt. Ein Viertel der Befragten (25,4%) benennt keine Ursache f\u00fcr die Erkrankung. Wird eine Kausalattribution genannt, ist das Rauchen die am h\u00e4ufigsten beschriebene Ursache (43,3%). Bei aktiven Rauchern dieser Gruppe sinkt die Anzahl der t\u00e4glich gerauchten Zigaretten nach KTR signifikant um 6 Zigaretten (p=0,001) auf durchschnittlich 11 Zigaretten pro Tag. In keiner Gruppe sinkt der Anteil der Rauchenden signifikant.<\/jats:p><jats:p>\nSchlussfolgerung Die Kausalattribution hat keinen signifikanten Einfluss auf die Rauchentw\u00f6hnungsrate. Aktive Raucher reduzieren nach KTR die Menge der Zigaretten signifikant. Dieser Effekt ist noch deutlicher, wenn eine Kausalattribution vorliegt. Indem psychoonkologische Betreuungsangebote, Beratungsgespr\u00e4che und Rauchentw\u00f6hnungsprogramme die Kausalattribution unter Einbezug der Fallspezifik thematisieren, kann dies zu einem prognostisch g\u00fcnstigeren Rauchverhalten nach KTR beitragen.<\/jats:p>","DOI":"10.1055\/a-1322-3541","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T11:59:04Z","timestamp":1615204744000},"page":"320-327","source":"Crossref","is-referenced-by-count":0,"title":["Rauchverhalten von Krebspatienten nach Kehlkopfteilresektion: Welche Bedeutung hat die Kausalattribution?"],"prefix":"10.1055","volume":"71","author":[{"given":"Anika","family":"M\u00fcnnemann","sequence":"additional","affiliation":[{"name":"Abteilung Medizinische Psychologie und Medizinische Soziologie, Universit\u00e4t Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Meyer","sequence":"additional","affiliation":[{"name":"Abteilung Psychoonkologie, Medizinisches Versorgungszentrum Delitzsch, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorit","family":"Engelmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie, Intensiv- und Schmerztherapie, Klinikum Sankt Georg, Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Boehm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen-, Ohrenheilkunde, Klinikum Sankt Georg, Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerstin","family":"Breitenstein","sequence":"additional","affiliation":[{"name":"Hals-, Nasen-, Ohrenheilkunde, Plastische Operationen, Helios Klinikum Erfurt, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Ulrich","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Onkologie und H\u00e4matologie, Klinik Bavaria Kreischa, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlando","family":"Guntinas-Lichius","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- u. Ohrenkrankheiten, Friedrich-Schiller-Universit\u00e4t Jena, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elke-Juliane","family":"Schock","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Plastische Operationen, Krankenhaus Martha-Maria Halle-D\u00f6lau, Halle, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Keszte","sequence":"additional","affiliation":[{"name":"Abteilung Medizinische Psychologie und Medizinische Soziologie, Universit\u00e4t Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"Ernst","sequence":"additional","affiliation":[{"name":"Abteilung Medizinische Psychologie und Medizinische Soziologie, Universit\u00e4t Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,5]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1007\/s10865-016-9782-2","article-title":"The Common-Sense Model of Self-Regulation (CSM): A dynamic framework for understanding illness self-management","volume":"39","author":"H Leventhal","journal-title":"J Behav Med"},{"key":"ref4","first-page":"30","volume-title":"Causal attributon. From cognitive processes to collective beliefs","author":"M Hewstone","year":"1998"},{"key":"ref5","first-page":"419","volume-title":"Kausalerkl\u00e4rungen im Alltag. Attributionstheorie. vol. 180. Europ\u00e4ische Hochschulschriften. Reihe VI, Psychologie Publications universitaires europ\u00e9ennes. S\u00e9rie VI, Psychologie European university studies. Series VI, Psychology","author":"M Effler","year":"1986"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.jpsychores.2007.01.013","article-title":"Illness and treatment beliefs in head and neck cancer: is Leventhal's common sense model a useful framework for determining changes in outcomes over time?","volume":"63","author":"C D Llewellyn","year":"2007","journal-title":"J Psychosom Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1055\/a-0851-6758","article-title":"Warum gerade ich? \u2013 Subjektive Krankheitsursachen und Zusammenh\u00e4nge zu sozialen Faktoren und wahrgenommene Stigmatisierung bei Brust-, Prostata-, Darm- und Lungenkrebspatienten","volume":"70","author":"J Roick","year":"2020","journal-title":"Psychother Psychosom Med Psychol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e58","DOI":"10.1055\/s-0038-1668031","article-title":"Wie erkl\u00e4ren sich Krebspatienten Ihre Erkrankung? 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Zusammenhang mit der psychosozialen Anpassung sowie dem pr\u00e4- und postoperativen Alkohol- und Tabakkonsum","volume":"41","author":"H Maddalena de","year":"1993","journal-title":"HNO"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1324","DOI":"10.1002\/hed.24436","article-title":"Tobacco and alcohol consumption after total laryngectomy and survival: A German multicenter prospective cohort study","volume":"38","author":"M Eichler","year":"2016","journal-title":"Head & Neck"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1026\/0943-8149\/a000033","article-title":"Tabakrauchen und Alkoholkonsum bei Patienten mit Kehlkopfteilresektion f\u00fcnf Jahre nach der Diagnose Kehlkopfkrebs","volume":"19","author":"H Danker","year":"2011","journal-title":"Zeitschrift f\u00fcr Gesundheitspsychologie"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1002\/1097-0142(19950115)75:2<569::AID-CNCR2820750221>3.0.CO;2-I","article-title":"Prevalence and predictors of continued tobacco use after treatment of patients with head and neck cancer","volume":"75","author":"J S Ostroff","year":"1995","journal-title":"Cancer"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1017\/S0022215113003344","article-title":"Treatment modality. A predictor of continued tobacco use after treatment in patients with laryngeal cancer","volume":"128","author":"V Narwani","year":"2014","journal-title":"J Laryngol Otol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1001\/archotol.1983.00800250040009","article-title":"Head and neck cancer survival and life-style change","volume":"109","author":"M H Stevens","year":"1983","journal-title":"Arch Otolaryngol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2469","DOI":"10.1007\/s00405-014-2966-x","article-title":"European Laryngological Society: ELS recommendations for the follow-up of patients treated for laryngeal cancer","volume":"271","author":"R Simo","year":"2014","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1159\/000342685","article-title":"Continuation of smoking after treatment of laryngeal cancer: an independent prognostic factor?","volume":"74","author":"D Kikidis","year":"2012","journal-title":"ORL J. Otorhinolaryngol. Relat. Spec."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1080\/07347332.2010.548445","article-title":"Causal attribution among cancer survivors of the 10 most common cancers","volume":"29","author":"L M Ferrucci","year":"2011","journal-title":"J Psychosoc Oncol"},{"key":"ref19","volume-title":"F\u00f6rderschwerpunkt \u201eRehabilitationswissenschaften\u201c. Empfehlungen der Arbeitsgruppen \u201eGenerische Methoden\u201c, \u201eRoutinedaten\u201c und \u201eReha-\u00d6konomie\u201c","year":"1999"},{"key":"ref20","first-page":"565","article-title":"Causal attributions in physical illness","volume":"43","author":"T Sensky","year":"1997","journal-title":"J Psychosom Res"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1002\/pon.1000","article-title":"Cancer-related beliefs and health behavior change among breast cancer survivors and their first-degree relatives","volume":"15","author":"C Rabin","year":"2006","journal-title":"Psychooncology"},{"key":"ref22","first-page":"1","article-title":"Attributionstheorie. Grundlagen und Anwendungen. Hogrefe","author":"F F\u00f6rsterling","year":"1994","journal-title":"Verl. f\u00fcr Psychologie"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1055\/s-0034-1398521","article-title":"Fear of Recurrence (FoR) after Partial Laryngectomy (PA)","volume":"94","author":"M J Asen","year":"2015","journal-title":"Laryngorhinootologie"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1055\/s-0042-100736","article-title":"Stigmatisierende Einstellungen gegen\u00fcber Krebspatienten \u2013 Ergebnisse einer repr\u00e4sentativen Bev\u00f6lkerungsbefragung","volume":"66","author":"J Ernst","year":"2016","journal-title":"Psychother Psychosom Med Psychol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"717","DOI":"10.2217\/14796694.4.5.717","article-title":"Stigma in cancer patients whose behavior may have contributed to their disease","volume":"4","author":"S Lebel","year":"2008","journal-title":"Future Oncol"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1026\/02474-000","volume-title":"Handbuch Psychoonkologie","author":"A Mehnert","year":"2016"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1037\/0022-3514.46.3.489","article-title":"Attributions, beliefs about control, and adjustment to breast cancer","volume":"46","author":"S E Taylor","year":"1984","journal-title":"J Pers Soc Psychol"},{"key":"ref28","first-page":"53","article-title":"Subjektive Krankheitstheorien von Tumorpatienten","author":"M Charis F\u00f6rster","year":"2003"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/00002820-199602000-00003","article-title":"Causal attributions, coping strategies, and adjustment to breast cancer","volume":"19","author":"J F Lavery","year":"1996","journal-title":"Cancer Nurs"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1007\/s12160-010-9227-z","article-title":"Intentions to quit smoking: causal attribution, perceived illness severity, and event-related fear during an acute health event","volume":"40","author":"E D Boudreaux","year":"2010","journal-title":"Ann Behav Med"}],"container-title":["PPmP - Psychotherapie \u00b7 Psychosomatik \u00b7 Medizinische Psychologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1322-3541.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T22:35:11Z","timestamp":1628721311000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1322-3541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,5]]},"references-count":27,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2021,8,11]]},"published-print":{"date-parts":[[2021,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1322-3541","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0937-2032","1439-1058"],"issn-type":[{"value":"0937-2032","type":"print"},{"value":"1439-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,5]]}}}