{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:10:11Z","timestamp":1771459811117,"version":"3.50.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die amyotrophe Lateralsklerose (ALS) ist mit einer erh\u00f6hten psychischen\n                        Belastung assoziiert, jedoch ist die Anzahl psychosozialer Interventionen\n                        bislang begrenzt. Wir untersuchten die Machbarkeit einer bei palliativ\n                        erkrankten Tumorpatient*innen etablierten Psychotherapie bei\n                        ALS-Patient*innen.<\/jats:p>\n                  <jats:p>Wir setzten CALM (Managing Cancer and Living Meaningfully), eine wirksame\n                        psychodynamische Kurzzeit-Psychotherapie bei palliativ erkrankten\n                        Tumorpatient*innen, bei ALS-Patient*innen ein. Wir erhoben quantitative\n                        Daten zu Patientenr\u00fccklauf, -teilnahme und den Therapiesitzungen. Basierend\n                        auf den Behandlungsprotokollen reflektierte die Therapeutin die\n                        Anwendbarkeit der Behandlungsstruktur, Besonderheiten in der psychosozialen\n                        Arbeit mit ALS-Betroffenen und Vorschl\u00e4ge zur Therapiemodifikation.<\/jats:p>\n                  <jats:p>Von 15 geeigneten Patient*innen nahmen f\u00fcnf teil. Drei Patient*innen\n                        erhielten die vollst\u00e4ndige Behandlung, von zwei Patient*innen standen die\n                        gesamten Studiendaten zur Verf\u00fcgung. Die Studie wurde vorzeitig aufgrund von\n                        Problemen der Machbarkeit beendet. Sechs (22%) Sitzungen wurden telefonisch\n                        durchgef\u00fchrt, an 10 (37%) Sitzungen nahmen An-\/Zugeh\u00f6rige teil. Die\n                        Therapiestruktur zeigte sich als begrenzt anwendbar f\u00fcr die\n                        ALS-Patient*innen, gr\u00f6\u00dftenteils weil angstbesetzte Themen einschlie\u00dflich\n                        Leiden und Sterblichkeit weitgehend vermieden wurden. Im Vergleich zu\n                        palliativ erkrankten Tumorpatient*innen fluktuierte bei den untersuchten\n                        ALS-Patient*innen die psychische und physische Belastung st\u00e4rker und sie\n                        waren mehr mit den erkrankungsassoziierten praktischen Versorgungsthemen\n                        besch\u00e4ftigt. Empfehlungen der Therapeutin beinhalten die Versorgung in einem\n                        multi-professionellen Team, Auffrischungssitzungen und eine direkte\n                        Unterst\u00fctzung f\u00fcr die An-\/Zugeh\u00f6rigen.<\/jats:p>\n                  <jats:p>Eine f\u00fcr palliativ erkrankte Tumorpatient*innen effektive Psychotherapie\n                        zeigte eine begrenzte Anwendbarkeit bei ALS-Betroffenen. Manche dieser\n                        Limitationen sind behandlungsinh\u00e4rent und daher schwer zu adaptieren. Statt\n                        das Behandlungsprogramm zu modifizieren, schlagen wir die Entwicklung einer\n                        spezifischen supportiven psychotherapeutischen Intervention mit einem\n                        partizipativen Studienansatz vor. Studienregistrierung: Die Studie wurde bei\n                        ClinicalTrials.gov registriert (NCT03975608).<\/jats:p>","DOI":"10.1055\/a-2711-2085","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:19:56Z","timestamp":1762993196000},"page":"86-94","source":"Crossref","is-referenced-by-count":0,"title":["Erfahrungen mit der Anwendung einer Kurzzeit-Psychotherapie bei\n                    Patient*innen mit Amyotropher Lateralsklerose: Was k\u00f6nnen wir daraus\n                    lernen?"],"prefix":"10.1055","volume":"76","author":[{"given":"Moritz","family":"Metelmann","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Neurologie, Universit\u00e4tsklinikum\n                    Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7980-484X","authenticated-orcid":false,"given":"Svenja","family":"Heyne","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Medizinische Psychologie und Medizinische Soziologie,\n                    Universit\u00e4t Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mareike","family":"Peuker","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Medizinische Psychologie und Medizinische Soziologie,\n                    Universit\u00e4t Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Cla\u00dfen","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Neurologie, Universit\u00e4tsklinikum\n                    Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6872-9805","authenticated-orcid":false,"given":"Anja","family":"Mehnert-Theuerkauf","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Medizinische Psychologie und Medizinische Soziologie,\n                    Universit\u00e4t Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Esser","sequence":"additional","affiliation":[{"name":"Psychosomatische Klinik, Klinik Angerm\u00fchle GmbH,\n                    Deggendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1056\/NEJMra1603471","article-title":"Amyotrophic Lateral Sclerosis","volume":"377","author":"R H Brown","year":"2017","journal-title":"N Engl J Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"4","DOI":"10.3109\/17482960802379004","article-title":"Dysarthria in amyotrophic lateral sclerosis: A review","volume":"11","author":"B Tomik","year":"2010","journal-title":"Amyotroph Lateral Scler"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3109\/17482968.2010.502941","article-title":"Existential well-being and spirituality of individuals with amyotrophic lateral\n                    sclerosis is related to psychological well-being of their caregivers","volume":"12","author":"F Pagnini","year":"2011","journal-title":"Amyotroph Lateral Scler"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"647","DOI":"10.1111\/ene.12015","article-title":"Prevalence and prognostic impact of comorbidities in amyotrophic lateral\n                    sclerosis","volume":"20","author":"S K\u00f6rner","year":"2013","journal-title":"Eur J Neurol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1186\/s12883-015-0340-2","article-title":"Interaction of physical function, quality of life and depression in Amyotrophic\n                    lateral sclerosis: Characterization of a large patient cohort","volume":"15","author":"S K\u00f6rner","year":"2015","journal-title":"BMC Neurol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"2131","DOI":"10.1016\/S0277-9536(01)00356-2","article-title":"Amyotrophic lateral sclerosis and hopelessness. 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