Affiliations: Universitätsklinikum Ulm, Klinik für Kinder-
und Jugendpsychiatrie und Psychotherapie, Steinhövelstraße 5, Ulm.
Tel.: 0731 / 500 61704; Fax: 0731 / 500 62668; E-mail: [email protected]
Abstract: A paediatric cancer diagnosis may exceed the resources of the
children, adolescents and their families. The goal of this article is to
describe the status quo of paediatric psycho-oncology. First, the nature and
prevalence of psycho-reactive symptoms will be described and a process-oriented
model which includes risk- and protective factors to describe the coping
process with the illness will be developed. Subsequently, the importance of
implementing routine psychological screening is emphasized. Although in the
meanwhile psycho-oncological support is an integral part of multidisciplinary
treatment, there are only few effectiveness studies in this field. In addition,
it remains unclear how the psycho-oncological follow-up and the transition to
adult-care should be designed and thus conclusions for future directions are
drawn.
Keywords: coping with the disease, cancer, child and adolescent, psycho-oncology