Objective: We aimed to assess psychological distress in patients with intracranial neoplasia, a group of patients who suffer from severe functional, neurocognitive and neuropsychological side effects, resulting in high emotional distress. Methods: We conducted a cross-sectional study, including inpatients with brain tumours. Eligible patients completed validated self-report questionnaires measuring depression, anxiety, distress, symptoms of posttraumatic stress disorder (PTSD), fear of progression and health-related quality of life. The questionnaire set was completed after brain surgery and receiving diagnosis and before discharge from hospital. Results: A total of n = 31 patients participated in this survey. Fourteen of them suffered from malignant (n = 3 metastatic neoplasia) and 17 from benign brain tumours. Mean values of the total sample regarding depression (M = 9.28, SD = 6.08) and anxiety (M = 6.00, SD = 4.98) remained below the cut-off ≥ 10. Mean psychosocial distress (M = 16.30, SD = 11.23, cut-off ≥ 14) and posttraumatic stress (M = 35.10, SD = 13.29, cut-off ≥ 32) exceeded the clinically relevant cut-off value in all the patients with intracranial tumours. Significantly, more patients with malignant (79%) than benign (29%) brain tumours reported PTSD symptoms (p = 0.006). Conclusion: Distress and clinically relevant PTSD symptoms in patients with intracranial neoplasia should be routinely screened and treated in psycho-oncological interventions immediately after diagnosis. Especially, neuro-oncological patients with malignant brain tumours or metastases need targeted support to reduce their emotional burden.

Die Versorgung von Kindernotaufnahmen geht für Kinder und Angehörige in vielen Fällen mit einem hohen Angst- und Stressempfinden einher. Die vorliegende Arbeit dient der Ermittlung von evidenzbasierten baulichen, Maßnahmen, die das Stress- und Angstempfinden von Kindern und ihren Angehörigen in Wartebereichen von Kindernotaufnahmen reduzieren können. Anschließend an eine systematische Literaturrecherche wurden Handlungsempfehlungen für den architektonischen Entwurf formuliert. Der Einsatz von farbigen Beleuchtungskonzepten und Multisensorik in der Innenarchitektur ist durch Studien belegt, jedoch besteht dabei noch weiterer Forschungsbedarf bezüglich Effekten auf pädiatrische Patient:innen.